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Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA
Published on: February 9, 2011
Molecular detection and characterization of methicillin-resistant Staphylococcus pseudintermedius (MRSP) ST2361 in a
Reza Besharati1, Ali Haghbin2, Seyed Ahmad Hashemi3
1Department of Pathobiology and Laboratory Sciences, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Background:
Staphylococcus pseudintermedius, a commensal in dogs, is an emerging zoonotic pathogen with increasing methicillin-resistant (MRSP) strains. This study investigated MRSP isolates from hospital environments and healthcare workers in Bojnurd, Iran, to assess antimicrobial resistance and zoonotic potential.
Methods:
Nasal swabs from healthcare workers (n = 40) and hospital supplies (n = 35) were cultured. Phenotypic and genotypic analyses included antimicrobial susceptibility testing (Kirby-Bauer), PCR for resistance (mecA, vanA, cfr) and virulence genes (pvl, hla, icaA/D), SCCmec typing, and multilocus sequence typing (MLST).
Results:
Two MRSP isolates (ST2361) were identified, one from a nasal swab and another from hospital supplies. Both exhibited resistance to β-lactams (cefoxitin, penicillin), fluoroquinolones, macrolides, and sulfonamide-trimethoprim, but susceptibility to tetracyclines, gentamicin, linezolid, and vancomycin. PCR confirmed mecA and virulence genes (pvl, hla, icaA/D). A SCCmec pattern consistent with type IV and identical ST2361 profiles suggested potential clonal relatedness.
Conclusion:
The presence of MRSP ST2361 in humans and hospital environments highlights its zoonotic and nosocomial transmission risks. The isolates' multidrug resistance and virulence genes underscore the need for improved diagnostics, antimicrobial stewardship, and infection control measures in healthcare settings.
Insights
Methicillin-resistant Staphylococcus pseudintermedius (MRSP) was found in hospital staff and supplies in Iran. This highlights the risk of MRSP spreading between animals, humans, and healthcare settings.
Area of Science:
- Veterinary Microbiology
- Infectious Diseases
- Public Health
Background:
- Staphylococcus pseudintermedius is a common dog bacterium.
- Methicillin-resistant strains (MRSP) are an emerging zoonotic threat.
- This study focuses on MRSP in a hospital setting in Iran.
Purpose of the Study:
- Investigate MRSP in hospital environments and healthcare workers.
- Assess antimicrobial resistance and zoonotic potential of MRSP isolates.
- Determine the prevalence and characteristics of MRSP in Bojnurd, Iran.
Main Methods:
- Cultured nasal swabs from healthcare workers and hospital supplies.
- Performed antimicrobial susceptibility testing (Kirby-Bauer).
- Conducted PCR for resistance (mecA, vanA, cfr) and virulence genes (pvl, hla, icaA/D), SCCmec typing, and MLST.
Main Results:
- Identified two MRSP isolates (ST2361), one from a healthcare worker and one from hospital supplies.
- Isolates showed resistance to beta-lactams, fluoroquinolones, macrolides, and sulfonamide-trimethoprim.
- Confirmed presence of mecA and virulence genes (pvl, hla, icaA/D); SCCmec type IV and ST2361 suggested clonal relation.
Conclusions:
- MRSP ST2361 presence in humans and hospitals indicates zoonotic and nosocomial transmission risks.
- Multidrug resistance and virulence genes necessitate enhanced infection control.
- Urgent need for improved diagnostics and antimicrobial stewardship in healthcare settings.
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