Characterization of Pseudomonas aeruginosa strains isolated from cystic fibrosis patients by different typing methods

Pseudomonas (P.) aeruginosa strains isolated from the sputum of cystic fibrosis patients (CFP) are frequently difficult to type by conventional typing methods. The purpose of this study was to develop a random amplified polymorphic DNA (RAPD) analysis for the routine typing of these strains. Sixty P. aeruginosa non-repetitive strains recovered from CFP in a teaching hospital were typed. Thirty-five non-serotyped strains were studied by RAPD-PCR analysis with primers 272 and 208. RAPD data were performed to establish the relatedness between bioptype, antibiotic susceptibility and genotype. Fifty-five percent of strains are multiresistant, and no relation was found between antibiotype and biotype. A possible correlation between various phenotypes belonging to a single genotype was observed. RAPD typing characterized 30 distinct genotypes and two small clusters of strains were observed among isolates with each primer. Strains belonging to one cluster were present in two (6%) of the 35 strains. Strains belonging to the other cluster were present in three (8%) of the 35 strains. The occurrence of these clusters indicates that cross-infection may occur. The results indicate also that only the RAPD method can establish a clonal relation whereas the other methods may only reflect phenotypical differences, and thus are inadequate to type these strains.