Prevalence of Staphylococcus spp. from human specimens submitted to diagnostic laboratories in South Africa,

Themba T Sigudu1,2, James W Oguttu1, Daniel N Qekwana3

  • 1Department of Agriculture and Animal Health, College of Agriculture and Environmental Sciences, University of South Africa, Pretoria, South Africa.

Abstract

Insights

Staphylococci are opportunistic pathogens, with coagulase-positive species (CoPS) being most common in South Africa. The study highlights the need for improved infection control for coagulase-negative staphylococci (CoNS).

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Public Health

Background:

  • Staphylococci are common commensals but also opportunistic pathogens.
  • Certain coagulase-negative staphylococci (CoNS) species, like S. haemolyticus and S. epidermidis, are known to be zoonotic.

Purpose of the Study:

  • To investigate the prevalence of coagulase-positive (CoPS), CoNS, and coagulase-variable Staphylococcus species in human clinical cases in South Africa.
  • To analyze the distribution of Staphylococcus isolates by time, place, and person.

Main Methods:

  • Retrospective analysis of 404,217 diagnostic laboratory submissions from 2012 to 2017.
  • Examination of isolate data based on time, geographical location (KwaZulu-Natal), and patient demographics (age, sex).

Main Results:

  • Coagulase-positive staphylococci (CoPS) were the most frequently isolated (74.7%), followed by CoNS (18.9%).
  • The majority of isolates were from males (51.2%) and patients aged 0-4 years (21.5%).
  • Urinary specimens constituted 29.8% of isolates, with no significant seasonal variation.

Conclusions:

  • Staphylococcus aureus and Staphylococcus epidermidis were the most predominant species identified.
  • The presence of CoNS indicates a need for enhanced infection control measures in South Africa.
  • Further research is required to understand the factors contributing to observed variations in Staphylococcus infections.