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Identification of Infantile Diarrhea Caused by Breast Milk-Transmitted Staphylococcus aureus Infection
Zhong Chen1, Wei-Guang Pan1, Wei-Yi Xian2
1Department of Infectious Diseases and Shenzhen Key Lab for Endogenous infection, The Affiliated Shenzhen Nanshan Hospital, Guangdong Medical University, No 89, Taoyuan Road, Nanshan district, Shenzhen, 518052, China.
Insights
Breastfeeding may transmit Staphylococcus aureus (S. aureus) from mothers to infants. Genetic analysis confirmed S. aureus homology between mothers' milk and infant stool, highlighting potential infection routes.
Area of Science:
- Microbiology
- Infectious Diseases
- Molecular Epidemiology
Background:
- Staphylococcus aureus causes numerous human infections.
- Vertical transmission of microorganisms, including S. aureus, from mother to infant via breastfeeding is possible.
- Identifying specific transmission routes is crucial for infant health.
Purpose of the Study:
- To investigate the transmission of Staphylococcus aureus from healthy lactating mothers to their infants through breastfeeding.
- To genetically characterize S. aureus strains isolated from paired mother-infant samples.
Main Methods:
- Collection of breast milk and infant stool samples from three mother-infant pairs.
- Isolation and culture of Staphylococcus aureus.
- Molecular typing using pulsed-field gel electrophoresis (PFGE) and spa typing.
- Multilocus sequence typing (MLST) to determine sequence types (STs).
- Detection of toxin genes (seb, sec, tst, pvl).
Main Results:
- Six Staphylococcus aureus isolates were cultured, with identical PFGE and spa types within each mother-infant pair.
- Four sequence types (ST15, ST188, ST59) were identified.
- Toxin genes seb, sec, and tst were detected; the pvl gene was absent.
- Genetic homology confirmed S. aureus transmission from mothers to infants via breastfeeding.
Conclusions:
- Breastfeeding is a potential route for Staphylococcus aureus transmission from mothers to infants.
- The characterized S. aureus strains show genetic relatedness between maternal milk and infant infections.
- Further evaluation of S. aureus characteristics in this context is warranted.
Abstract:
Staphylococcus aureus is a well-known organism which is responsible for a variety of human infectious diseases including skin infections, pneumonia, bacteremia, and endocarditis. Few of the microorganisms can be transmitted from mother to the newborn or infant by milk breastfeeding. This study aims to identify transmission of S. aureus from healthy, lactating mothers to their infants by breastfeeding. Stool specimens of diarrheal infants and breast milk of their mother (totally three pairs) were collected and six Staphylococcus aureus isolates were cultured positively. Homology and molecular characters of isolated strains were tested using pulsed-field gel electrophoresis (PFGE), spa typing, and multilocus sequence typing. Furthermore, toxin genes detection was also performed. Each pair of isolates has the same PFGE type and spa type. Four Sequence types (STs) were found among all the isolates; they are ST15, ST188, and ST59, respectively. Among the strains, seb, sec, and tst genes were found, and all were negative for pvl gene. The homology of the S. aureus strains isolated from the infants' stool and the mothers' milk was genetically demonstrated, which indicated that breastfeeding may be important in the transmission of S. aureus infection, and the character of S. aureus needed to be further evaluated.
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