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Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

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Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
14:04

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Published on: May 8, 2013

[Staphylococcus aureus: new and old antimicrobial agents].

B Perazzi1, M Camacho, K Bombicino

  • 1Laboratorio de Bacteriología Clinica, Departamento de Bioqufmica Clinica, Hospital de Clinicas, Facultad de Farmacia y Bioquimica, Universidad de Buenos Aires. Av. Córdoba 2351 (1120) Ciudad Autónoma de Buenos Aires. hugodandrea@ciudad.com.ar

Revista Argentina De Microbiologia
|December 29, 2010
PubMed
Summary
This summary is machine-generated.

Hospital-acquired oxacillin-resistant Staphylococcus aureus (HA-ORSA) shows resistance to many agents, but remains susceptible to tigecycline and linezolid. Community-acquired ORSA (CA-ORSA) is susceptible to most agents, indicating distinct resistance profiles.

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Area of Science:

  • Clinical Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Staphylococcus aureus is a significant pathogen causing both hospital-acquired (HA-ORSA) and community-acquired (CA-ORSA) infections.
  • Understanding antimicrobial susceptibility patterns is crucial for effective treatment of S. aureus infections.
  • Oxacillin resistance (ORSA) necessitates evaluation of both established and novel antimicrobial agents.

Purpose of the Study:

  • To assess the in vitro susceptibility of HA-ORSA, CA-ORSA, and oxacillin-susceptible S. aureus (OSSA) to various old and new antimicrobial agents.
  • To characterize genetic markers associated with ORSA phenotypes, including the mecA gene and Panton-Valentine leukocidin (PVL).

Main Methods:

  • Agar dilution method following Clinical and Laboratory Standards Institute (CLSI) guidelines was used to determine minimum inhibitory concentrations (MICs).
  • Polymerase chain reaction (PCR) was employed to detect specific resistance genes (mecA, PVL, gamma-hemolysin) and SCCmec cassette types in ORSA isolates.
  • 118 consecutive S. aureus isolates (44 HA-ORSA, 16 CA-ORSA, 58 OSSA) were analyzed.

Main Results:

  • HA-ORSA isolates exhibited multidrug resistance, with susceptibility only to tigecycline (TIG), vancomycin, teicoplanin, and linezolid (LZD).
  • CA-ORSA isolates were susceptible to all tested non-oxacillin agents, with resistance primarily to oxacillin.
  • All CA-ORSA isolates carried the mecA, PVL, gamma-hemolysin genes, and SCCmec type IV, distinguishing them from HA-ORSA.

Conclusions:

  • HA-ORSA demonstrates extensive resistance, highlighting the importance of glycopeptides, doxycycline, rifampin, trimethoprim-sulfamethoxazole, LZD, and TIG for treatment.
  • CA-ORSA retains susceptibility to a broad range of agents, with the SCCmec type IV being a strong indicator.
  • Distinct antimicrobial susceptibility profiles between HA-ORSA and CA-ORSA underscore the need for targeted therapeutic strategies.