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Updated: May 13, 2026

Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
Published on: May 8, 2013
Identification and Characterization of a High Vancomycin-Resistant Staphylococcus aureus Harboring VanA Gene Cluster
Anahita Dezfulian1, Mohammad Mehdi Aslani, Mahvash Oskoui
1Research Centre of Gastroenterology and Liver Diseases (RCGLD) in Shahid Beheshti University, Tehran, Iran.
Objectives:
Staphylococcus aureus is a common cause of human infection, and emergence of vancomycin-resistance S. aureus is a great concern for treatment of methicillin-resistant S. aureus,(MRSA) in recent years (MRSA). Here, we report the isolation of high-level VRSA.
Materials And Methods:
S. aureus was isolated from foot ulcer of a diabetic woman in Tehran, Iran. Antibiotic susceptibility was determined according to CLSI guidelines. VanA gene cluster PCR was carried out and PCR amplicon of vanA was sequenced.
Results:
S. aureus had high-level vancomycin-resistant (MIC 512 ≥ µg/ml). Patient's history revealed that VRSA isolate was acquired through community transmission. Only vanA, vanR and vanS genes were amplified in our isolate. Sequencing revealed that the vanA sequence had high similarity to the vanA sequence of Tn1546.
Conclusion:
Although VRSA infection continues to be rare, isolation of community-acquired VRSA is a significant issue and it needs the efforts of public health authorities.
Insights
High-level vancomycin-resistant Staphylococcus aureus (VRSA) was isolated from a diabetic patient in Iran. This community-acquired VRSA case highlights the need for public health vigilance against emerging antibiotic resistance.
Area of Science:
- Clinical microbiology
- Infectious diseases
- Antimicrobial resistance
Background:
- Staphylococcus aureus is a frequent cause of human infections.
- The emergence of vancomycin-resistant Staphylococcus aureus (VRSA) poses a significant challenge for treating methicillin-resistant Staphylococcus aureus (MRSA) infections.
Purpose of the Study:
- To report the isolation of a high-level VRSA strain.
- To characterize the genetic basis of vancomycin resistance in the isolated strain.
Main Methods:
- Isolation of Staphylococcus aureus from a diabetic patient's foot ulcer in Tehran, Iran.
- Determination of antibiotic susceptibility using CLSI guidelines.
- Polymerase chain reaction (PCR) amplification and sequencing of the vanA gene cluster.
Main Results:
- The isolated S. aureus exhibited high-level vancomycin resistance (MIC ≥ 512 µg/ml).
- The patient's history indicated community transmission of the VRSA isolate.
- PCR confirmed the presence of vanA, vanR, and vanS genes, with vanA sequencing showing high similarity to Tn1546.
Conclusions:
- The isolation of community-acquired VRSA, though rare, is a significant public health concern.
- Increased efforts from public health authorities are necessary to monitor and control the spread of VRSA.
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