Genotypic characterization of Staphylococcus aureus isolates from cases of keratitis and healthy conjunctival sacs

Saeko Hayashi1, Takashi Suzuki, Satoshi Yamaguchi

  • 1Department of Ophthalmology, Ehime University Graduate School of Medicine, Toon, Japan.

Cornea
|October 23, 2013
PubMed
Abstract

Insights

Specific methicillin-susceptible Staphylococcus aureus (MSSA) clones are more prevalent in keratitis cases than in healthy eyes. Methicillin-resistant S. aureus (MRSA) genotypes appear similar between keratitis and healthy eye isolates in Japan.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Genetics

Background:

  • Staphylococcus aureus is a leading cause of bacterial keratitis.
  • Increasing rates of drug-resistant S. aureus necessitate understanding its epidemiology.
  • Limited data exists on S. aureus keratitis genotypes in Japan.

Purpose of the Study:

  • To characterize the genotypes of methicillin-susceptible S. aureus (MSSA) and methicillin-resistant S. aureus (MRSA) from keratitis and healthy conjunctival sacs in Japan.
  • To investigate potential genotypic differences between S. aureus causing keratitis and those found as commensals.

Main Methods:

  • Multilocus sequence typing (MLST) was performed on 30 keratitis isolates (19 MSSA, 11 MRSA) and 18 healthy conjunctival sac isolates (16 MSSA, 2 MRSA).
  • Prevalence of Panton-Valentine leukocidin genes was assessed.

Main Results:

  • MLST revealed ST5 and ST764 as predominant MRSA sequence types in both keratitis and healthy isolates.
  • ST188 was the most common MSSA type in keratitis isolates, while ST8 predominated in healthy commensal isolates.
  • No isolates harbored Panton-Valentine leukocidin genes.

Conclusions:

  • MRSA strains from keratitis and healthy eyes share similar genotypic profiles.
  • Specific MSSA clones are disproportionately represented in keratitis cases compared to commensal strains.
  • Certain MSSA lineages may possess distinct genotypic traits that enhance their ability to cause keratitis.

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