Molecular Characteristics of Methicillin-Resistant Staphylococcus epidermidis on the Abdominal Skin of Females before

Pin-Jia Wang1,2, Cheng-Bin Xie3, Feng-Hui Sun4

  • 1Medical Genetics, West China Shool of Medicine, West China Hospital, Sichuan University, Chengdu 610041, China. pinjiawong@foxmail.com.

Insights

Methicillin-resistant Staphylococcus epidermidis (MRSE) is common on abdominal skin before surgery. These resistant strains show diverse genetic profiles and unfavorable antimicrobial susceptibility patterns, posing a risk for surgical site infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Genetics

Background:

  • Staphylococcus epidermidis, particularly methicillin-resistant strains (MRSE), can cause surgical site infections.
  • MRSE may act as a reservoir for staphylococcal cassette chromosome mec (SCCmec) in S. aureus.
  • Understanding MRSE prevalence and characteristics on patient skin is crucial for infection control.

Purpose of the Study:

  • To determine the prevalence of MRSE on the abdominal skin of females undergoing laparotomy.
  • To characterize the molecular features of MRSE isolates.
  • To assess the antimicrobial susceptibility patterns of MRSE.

Main Methods:

  • Detection of MRSE using mecA gene.
  • Antimicrobial susceptibility testing via broth microdilution.
  • Molecular typing including SCCmec and pulsed field gel electrophoresis (PFGE).

Main Results:

  • MRSE was detected in 54 out of 157 isolates (34.4%).
  • All MRSE isolates exhibited unfavorable antimicrobial susceptibility; 42.6% were multi-drug resistant.
  • High diversity in SCCmec types (predominantly type IVa) and PFGE patterns was observed, with no identical pulsotypes.

Conclusions:

  • Methicillin-resistant Staphylococcus epidermidis is frequently found on the abdominal skin of females prior to laparotomy.
  • MRSE isolates display significant antimicrobial resistance and genetic diversity.
  • Resistance profiles did not appear to correlate with SCCmec or PFGE types for common antibiotics.

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...
7
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...
4
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...
37
The Skin Microbiota01:27

The Skin Microbiota

The human skin serves as a complex ecosystem inhabited by a diverse community of microorganisms, including bacteria, fungi, and viruses. This microbiome plays a critical role in maintaining skin health and defending against pathogenic invaders. The composition of microbial communities varies significantly across different regions of the body, influenced primarily by the local levels of moisture and sebum.Regional Variation in Skin MicrobiotaCutibacterium acnes predominantly colonizes sebaceous...
13
Surface Membrane Barriers01:18

Surface Membrane Barriers

The skin and mucous membranes serve as the primary line of defense against pathogens by providing both physical and chemical protection. These barriers are essential in preventing the entry and establishment of microbes, thereby maintaining the integrity of the host.
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
3.3K