Nasal Colonization of Serine Protease espPositive Staphylococcus epidermidis Affecting Staphylococcus aureus Colonization

Background: Staphylococcus aureus is a common colonizer of the nasal vestibule and is found in approximately 20%–30% of healthy adults, while Staphylococcus epidermidis appears to be the most frequent colonizer in all regions of the upper respiratory tract. Esp, a serine protease of S. epidermidis,...

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Main Authors: Goeun Kang, Hyun Soo Kim, Han-Sung Kim, Wonkeun Song, Jae-Seok Kim
Format: Article
Language:English
Published: Korean Society of Clinical Microbiology 2021-09-01
Series:Annals of Clinical Microbiology
Subjects:
Online Access:https://www.acm.or.kr/article/?num=ACM_21-015
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author Goeun Kang
Hyun Soo Kim
Han-Sung Kim
Wonkeun Song
Jae-Seok Kim
author_facet Goeun Kang
Hyun Soo Kim
Han-Sung Kim
Wonkeun Song
Jae-Seok Kim
author_sort Goeun Kang
collection DOAJ
description Background: Staphylococcus aureus is a common colonizer of the nasal vestibule and is found in approximately 20%–30% of healthy adults, while Staphylococcus epidermidis appears to be the most frequent colonizer in all regions of the upper respiratory tract. Esp, a serine protease of S. epidermidis, was reported to inhibit S. aureus colonization. This study was performed to examine the nasal colonization of S. aureus and S. epidermidis and the presence of esp determinants. Methods: Nasal swab specimens from 54 patients were cultured on blood agar plates (BAP) and selective media for S. aureus (S. aureus ID, bioMerieux, France) for the isolation of S. aureus and S. epidermidis. After 48 hours of incubation of with BAP, three or four colonies suspected of being coagulase-negative staphylococci (CNS) were identified by MALDI-TOF MS (Bruker, Germany). Polymerase chain reaction (PCR) for esp was performed on all CNS isolates identified as S. epidermidis. Results: Forty-three S. epidermidis strains were isolated from 18 (33.3%) of the 54 patients. Nine (50.0%) of the 18 patients carried S. aureus, while the other nine did not. Of the 36 S.epidermidis non-carriers, 13 (36.1%) were colonized by S. aureus. All S. epidermidis strains were confirmed by PCR to have esp determinants. Conclusion: S. epidermidis colonization did not affect S. aureus colonization in the nasal cavity. All S. epidermidis strains harbored the esp gene. We could not find any differences in the nasal colonization rates of S. aureus according to the presence of esp-positive S. epidermidis. Further research on the characterization of S. epidermidis in Korea is needed to understand the association between S. epidermidis and S. aureus colonization.
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spelling doaj.art-2b28050674844d349ba2b81ad9b9ca0d2022-12-22T04:10:15ZengKorean Society of Clinical MicrobiologyAnnals of Clinical Microbiology2288-05852288-68502021-09-0124310511010.5145/ACM.2021.24.3.5Nasal Colonization of Serine Protease espPositive Staphylococcus epidermidis Affecting Staphylococcus aureus ColonizationGoeun Kang0Hyun Soo Kim1Han-Sung Kim2Wonkeun Song3Jae-Seok Kim4Department of Laboratory Medicine, Hallym University College of Medicine, Seoul, KoreaDepartment of Laboratory Medicine, Hallym University College of Medicine, Seoul, KoreaDepartment of Laboratory Medicine, Hallym University College of Medicine, Seoul, KoreaDepartment of Laboratory Medicine, Hallym University College of Medicine, Seoul, KoreaDepartment of Laboratory Medicine, Hallym University College of Medicine, Seoul, KoreaBackground: Staphylococcus aureus is a common colonizer of the nasal vestibule and is found in approximately 20%–30% of healthy adults, while Staphylococcus epidermidis appears to be the most frequent colonizer in all regions of the upper respiratory tract. Esp, a serine protease of S. epidermidis, was reported to inhibit S. aureus colonization. This study was performed to examine the nasal colonization of S. aureus and S. epidermidis and the presence of esp determinants. Methods: Nasal swab specimens from 54 patients were cultured on blood agar plates (BAP) and selective media for S. aureus (S. aureus ID, bioMerieux, France) for the isolation of S. aureus and S. epidermidis. After 48 hours of incubation of with BAP, three or four colonies suspected of being coagulase-negative staphylococci (CNS) were identified by MALDI-TOF MS (Bruker, Germany). Polymerase chain reaction (PCR) for esp was performed on all CNS isolates identified as S. epidermidis. Results: Forty-three S. epidermidis strains were isolated from 18 (33.3%) of the 54 patients. Nine (50.0%) of the 18 patients carried S. aureus, while the other nine did not. Of the 36 S.epidermidis non-carriers, 13 (36.1%) were colonized by S. aureus. All S. epidermidis strains were confirmed by PCR to have esp determinants. Conclusion: S. epidermidis colonization did not affect S. aureus colonization in the nasal cavity. All S. epidermidis strains harbored the esp gene. We could not find any differences in the nasal colonization rates of S. aureus according to the presence of esp-positive S. epidermidis. Further research on the characterization of S. epidermidis in Korea is needed to understand the association between S. epidermidis and S. aureus colonization.https://www.acm.or.kr/article/?num=ACM_21-015colonizationespserine proteasestaphylococcus aureusstaphylococcus epidermidis
spellingShingle Goeun Kang
Hyun Soo Kim
Han-Sung Kim
Wonkeun Song
Jae-Seok Kim
Nasal Colonization of Serine Protease espPositive Staphylococcus epidermidis Affecting Staphylococcus aureus Colonization
Annals of Clinical Microbiology
colonization
esp
serine protease
staphylococcus aureus
staphylococcus epidermidis
title Nasal Colonization of Serine Protease espPositive Staphylococcus epidermidis Affecting Staphylococcus aureus Colonization
title_full Nasal Colonization of Serine Protease espPositive Staphylococcus epidermidis Affecting Staphylococcus aureus Colonization
title_fullStr Nasal Colonization of Serine Protease espPositive Staphylococcus epidermidis Affecting Staphylococcus aureus Colonization
title_full_unstemmed Nasal Colonization of Serine Protease espPositive Staphylococcus epidermidis Affecting Staphylococcus aureus Colonization
title_short Nasal Colonization of Serine Protease espPositive Staphylococcus epidermidis Affecting Staphylococcus aureus Colonization
title_sort nasal colonization of serine protease esppositive staphylococcus epidermidis affecting staphylococcus aureus colonization
topic colonization
esp
serine protease
staphylococcus aureus
staphylococcus epidermidis
url https://www.acm.or.kr/article/?num=ACM_21-015
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AT wonkeunsong nasalcolonizationofserineproteaseesppositivestaphylococcusepidermidisaffectingstaphylococcusaureuscolonization
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