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A 1.5 Hour Procedure for Identification of Enterococcus Species Directly from Blood Cultures
Published on: February 10, 2011
High incidence of hemolysin production by Enterococcus (Streptococcus) faecalis strains associated with human
Abstract:
Hemolysin production, clumping (pheromone) response, transferability of the hemolytic trait, and drug resistance were examined in 97 clinical isolates of Enterococcus (Streptococcus) faecalis. The isolates were derived from various sources (i.e., urine, pus, vagina, sputum, bile, and blood), and approximately 60% were found to be hemolytic. About 85% of the hemolytic strains exhibited a clumping response, compared with about 49% of the nonhemolytic strains. Over 50% of the hemolytic strains carried transferable hemolysin determinants, and in no case were drug resistance genes linked. The hemolytic strains exhibited multiple drug resistance more frequently than did the nonhemolytic strains. In contrast to the high frequency of hemolysin producers among parenteral isolates, strains derived from fecal specimens of healthy individuals exhibited a low (17%) incidence of hemolysin production.
Insights
Most clinical Enterococcus faecalis isolates produce hemolysin, a trait linked to clumping response and drug resistance. Hemolysin determinants are transferable, but not linked to drug resistance genes.
Area of Science:
- Microbiology
- Clinical Infectious Diseases
Background:
- Enterococcus faecalis is an opportunistic pathogen.
- Hemolysin production and clumping factor are virulence factors in Enterococcus faecalis.
Purpose of the Study:
- To investigate hemolysin production, clumping response, and drug resistance in clinical isolates of Enterococcus faecalis.
- To determine the transferability of the hemolytic trait and its association with drug resistance.
Main Methods:
- Analysis of 97 clinical isolates of Enterococcus faecalis from diverse sources.
- Assessment of hemolysin production, clumping response, and antibiotic resistance profiles.
- Evaluation of the transferability of hemolysin determinants.
Main Results:
- Approximately 60% of isolates were hemolytic.
- Hemolytic strains showed a higher prevalence of clumping response (85%) compared to nonhemolytic strains (49%).
- Over 50% of hemolytic strains possessed transferable hemolysin determinants, independent of drug resistance genes. Hemolytic strains were more frequently multidrug-resistant.
Conclusions:
- Hemolysin production is common in clinical Enterococcus faecalis isolates and associated with clumping factor and increased drug resistance.
- The hemolytic trait is transferable but not linked to drug resistance genes in these isolates.
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