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Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
Published on: May 8, 2013
Molecular characterization and antibiotic susceptibility of Staphylococcus aureus from a multidisciplinary hospital
Ramona Ionescu1, José R Mediavilla, Liang Chen
1Infectious Diseases Hospital and Clinic County Hospital, Braşov, Romania.
Abstract:
From 2004 to 2005, 60%-72% of invasive Staphylococcus aureus isolates from Romanian hospitals were resistant to methicillin (methicillin-resistant S. aureus [MRSA]), the highest frequency for any European nation. Few reports, however, have addressed the molecular characteristics of S. aureus in Romania. In this study, we utilized spa typing, multilocus sequence typing, staphylococcal cassette chromosome mec (SCCmec) typing, dru typing, pulsed-field gel electrophoresis, and detection of virulence factors to characterize 146 S. aureus strains isolated from 2004 to 2005 at the Clinic County Hospital in Braşov. Antibiotic susceptibility patterns for all MRSA isolates and patient demographic data were also obtained. Fifty-six strains (38.4%) were determined to be MRSA by susceptibility testing and SCCmec typing. All MRSA strains were resistant to beta-lactams and tetracycline, but susceptible to nitrofurans, vancomycin, and clindamycin, with inducible clindamycin resistance in 23/28 clindamycin-sensitive/erythromycin-resistant isolates. Molecular typing identified 15 clonal backgrounds (CC 1, 5, 8, 8/239, 9, 15, 20, 22, 25, 30, 45, 80, 97, 101, and 121), only 4 of which were associated with MRSA (CC 1, 8/239, 30, and 80). Spa types 35 (t127, CC 1) and 351 (t030, CC 8/239) accounted for 27.4% and 21.9% of all S. aureus strains, respectively, and 19.6% and 57.1% of all MRSA strains. Both hospital-associated (SCCmec type III) and community-associated (SCCmec type IV) elements were identified within MRSA strains, whereas Panton-Valentine leukocidin was detected in 10 MRSA and 12 methicillin-sensitive S. aureus strains. These results demonstrate the presence of various endemic S. aureus clones within the Clinic County Hospital in Braşov, suggestive of ongoing nosocomial and community transmission.
Insights
This study investigated Staphylococcus aureus strains in Romania, finding diverse MRSA clones and resistance patterns. The research highlights ongoing hospital and community transmission of these bacteria.
Area of Science:
- Microbiology
- Infectious Diseases
- Molecular Epidemiology
Background:
- Romania reported high rates of methicillin-resistant Staphylococcus aureus (MRSA) between 2004-2005.
- Limited data existed on the molecular characteristics of S. aureus in Romania.
Purpose of the Study:
- To characterize S. aureus strains from a Romanian hospital using molecular typing.
- To determine antibiotic susceptibility patterns of MRSA isolates.
- To identify virulence factors and transmission dynamics.
Main Methods:
- Utilized spa typing, multilocus sequence typing, SCCmec typing, dru typing, PFGE, and virulence factor detection.
- Antibiotic susceptibility testing and analysis of patient demographic data were performed.
- 146 S. aureus strains isolated from 2004-2005 at Clinic County Hospital in Braşov were analyzed.
Main Results:
- 38.4% of strains were identified as MRSA, exhibiting resistance to beta-lactams and tetracycline.
- Fifteen clonal backgrounds were identified, with CC 1, 8/239, 30, and 80 associated with MRSA.
- Both hospital-associated (SCCmec type III) and community-associated (SCCmec type IV) MRSA were detected, along with Panton-Valentine leukocidin.
Conclusions:
- Diverse S. aureus clones are endemic in Braşov, Romania.
- Evidence suggests ongoing nosocomial and community transmission of S. aureus.
- Molecular characterization is crucial for understanding bacterial epidemiology and guiding control strategies.
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