The distribution of pathogenic and toxigenic genes among MRSA and MSSA clinical isolates

Abbas Ali Imani Fooladi1, Elnaz Ashrafi2, Shafie Gorbani Tazandareh3

  • 1Applied Microbiology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Microbial Pathogenesis
|March 18, 2015
PubMed

Insights

This study reveals that methicillin-sensitive Staphylococcus aureus (MSSA) strains can harbor significant virulence factors, similar to methicillin-resistant S. aureus (MRSA). This highlights the need to consider MSSA as a serious threat due to its potential for causing severe infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Molecular Biology

Background:

  • Staphylococcus aureus is a major nosocomial pathogen.
  • Antibiotic resistance contributes to its increasing morbidity and mortality.
  • Limited data exists on the molecular properties of infecting S. aureus strains.

Purpose of the Study:

  • To assess the prevalence of virulence factor genes and staphylococcal cassette chromosome mec (SSCmec) subtypes in clinical S. aureus isolates.
  • To evaluate antibiotic susceptibility patterns and vancomycin resistance.
  • To compare molecular characteristics between methicillin-sensitive S. aureus (MSSA) and methicillin-resistant S. aureus (MRSA).

Main Methods:

  • Polymerase chain reaction (PCR) was used to detect genes for staphylococcal enterotoxins (SEs), toxic shock syndrome toxin (TSST), exfoliative toxins, and SSCmec subtypes.
  • Disk diffusion and micro-dilution methods were employed to determine antibiotic susceptibility and vancomycin minimum inhibitory concentrations (MICs).

Main Results:

  • Out of 192 S. aureus isolates, 88 were MSSA and 104 were MRSA.
  • The mecA gene was detected in 89% of isolates, and various enterotoxin genes (entA, entC, entE) were prevalent.
  • SCCmec type III was associated with higher rates of MRSA and resistance to multiple antibiotics, except penicillin G, kanamycin, and linezolid.
  • A small percentage (2.3%) of strains showed vancomycin MIC > 2 mg/L, notably higher in multi-drug resistant (MDR), MRSA, and SCCmec type III strains.

Conclusions:

  • MSSA isolates can carry significant virulence factor genes, posing a threat comparable to MRSA.
  • SCCmec type III strains exhibit increased antibiotic resistance.
  • Clinical vigilance is necessary for both MSSA and MRSA due to their diverse molecular profiles and resistance patterns.

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