Prevalence, antimicrobial resistance, and molecular characterization of methicillin-resistant Staphylococcus aureus

K Kreausukon1, A Fetsch, B Kraushaar

  • 1Department Biological Safety, Federal Institute for Risk Assessment, 12277 Berlin, Germany.

Insights

Methicillin-resistant Staphylococcus aureus (MRSA) was found in German dairy herds. These livestock-associated MRSA strains, belonging to CC398, exhibit antimicrobial resistance and carry hemolysin genes, similar to pig strains.

Area of Science:

  • Veterinary Microbiology
  • Food Safety
  • Antimicrobial Resistance

Background:

  • Methicillin-resistant Staphylococcus aureus (MRSA) is a significant pathogen in both human and animal health.
  • Livestock, particularly pigs, are known reservoirs for specific MRSA strains, including CC398.
  • The presence and characteristics of MRSA in dairy herds are crucial for understanding transmission dynamics and potential public health risks.

Purpose of the Study:

  • To determine the prevalence of MRSA in bulk tank milk from German dairy herds.
  • To characterize MRSA isolates for their Staph. aureus protein A (spa) type, staphylococcal cassette chromosome mec (SCCmec) type, antimicrobial resistance, and virulence-associated genes.

Main Methods:

  • A 2-step selective enrichment protocol was used to detect MRSA in 25 mL bulk tank milk samples.
  • Presumptive MRSA isolates were confirmed using Polymerase Chain Reaction (PCR).
  • Characterization involved broth microdilution and a microarray for MRSA, including spa typing and analysis of antimicrobial resistance and virulence genes.

Main Results:

  • All 36 characterized MRSA isolates from German dairy herds belonged to the clonal complex CC398.
  • High levels of resistance were observed for tetracycline (100%), clindamycin (58%), erythromycin (52%), quinupristin/dalfopristin (36%), and kanamycin (27%).
  • Isolates lacked Panton-Valentine leukocidin genes but carried hemolysin genes.

Conclusions:

  • Livestock-associated MRSA CC398 is present in German dairy herds.
  • The identified MRSA strains possess antimicrobial resistance profiles and virulence gene patterns similar to those found in MRSA from pigs.
  • These findings highlight the importance of monitoring MRSA in dairy production for animal and public health surveillance.

Related Concept Videos

Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Mechanism of Antibiotic Resistance in MRSA01:25

Mechanism of Antibiotic Resistance in MRSA

Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...
Development of Antibiotic Resistance01:30

Development of Antibiotic Resistance

Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...