Molecular epidemiology of coagulase-negative bloodstream isolates: detection of Staphylococcus epidermidis ST2, ST7 and linezolid-resistant ST23

The mechanisms contributing to persistence of coagulase-negative staphylococci are diverse; to better understanding of their dynamics, the characterization of nosocomial isolates is needed. Our aim was to characterize phenotypic and molecular characteristics of Staphylococcus epidermidis and Staphyl...

Full description

Bibliographic Details
Main Authors: Adrián Martínez-Meléndez, Rayo Morfín-Otero, Licet Villarreal-Treviño, Adrián Camacho-Ortíz, Gloria González-González, Jorge Llaca-Díaz, Eduardo Rodríguez-Noriega, Elvira Garza-González
Format: Article
Language:English
Published: Elsevier 2016-09-01
Series:Brazilian Journal of Infectious Diseases
Online Access:http://www.sciencedirect.com/science/article/pii/S1413867016301015
_version_ 1818838046731141120
author Adrián Martínez-Meléndez
Rayo Morfín-Otero
Licet Villarreal-Treviño
Adrián Camacho-Ortíz
Gloria González-González
Jorge Llaca-Díaz
Eduardo Rodríguez-Noriega
Elvira Garza-González
author_facet Adrián Martínez-Meléndez
Rayo Morfín-Otero
Licet Villarreal-Treviño
Adrián Camacho-Ortíz
Gloria González-González
Jorge Llaca-Díaz
Eduardo Rodríguez-Noriega
Elvira Garza-González
author_sort Adrián Martínez-Meléndez
collection DOAJ
description The mechanisms contributing to persistence of coagulase-negative staphylococci are diverse; to better understanding of their dynamics, the characterization of nosocomial isolates is needed. Our aim was to characterize phenotypic and molecular characteristics of Staphylococcus epidermidis and Staphylococcus haemolyticus human blood isolates from two tertiary care hospitals in Mexico, the Hospital Universitario in Monterrey and the Hospital Civil in Guadalajara.Antimicrobial susceptibility was determined. Biofilm formation was assessed by crystal violet staining. Detection of the ica operon and Staphylococcal Cassette Chromosome mec typing were performed by PCR. Clonal relatedness was determined by Pulsed-fiel gel electrophoresis and Multi locus sequence typing.Methicillin-resistance was 85.5% and 93.2% for S. epidermidis and S. haemolyticus, respectively. Both species showed resistance >70% to norfloxacin, clindamycin, levofloxacin, trimethoprim/sulfamethoxazole, and erythromycin. Three S. epidermidis and two S. haemolyticus isolates were linezolid-resistant (one isolate of each species was cfr+). Most isolates of both species were strong biofilm producers (92.8% of S. epidermidis and 72.9% of S. haemolyticus). The ica operon was amplified in 36 (43.4%) S. epidermidis isolates. SCCmec type IV was found in 47.2% of the S. epidermidis isolates and SCCmec type V in 14.5% of S. haemolyticus isolates. No clonal relatedness was found in either species. Resistance to clindamycin, levofloxacin, erythromycin, oxacillin, and cefoxitin was associated with biofilm production for both species (p < 0.05). A G2576T mutation in 23S rRNA gene was detected in an S. haemolyticus linezolid-resistant isolate. All linezolid-resistant S. epidermidis isolates belonged to ST23; isolate with SCCmec type IV belonged to ST7, and isolate with SCCmec type III belonged to ST2. This is the first report of ST7 in Mexico.There was a high genetic diversity in both species, though both species shared characteristics that may contibute to virulence. Keywords: Linezolid resistance, Staphylococcal Cassette Chromosome mec, Coagulase-negative staphylococci, Multilocus Sequence Typing
first_indexed 2024-12-19T03:32:10Z
format Article
id doaj.art-c8b9cab328254e2db3a8ff5be2ca64cc
institution Directory Open Access Journal
issn 1413-8670
language English
last_indexed 2024-12-19T03:32:10Z
publishDate 2016-09-01
publisher Elsevier
record_format Article
series Brazilian Journal of Infectious Diseases
spelling doaj.art-c8b9cab328254e2db3a8ff5be2ca64cc2022-12-21T20:37:28ZengElsevierBrazilian Journal of Infectious Diseases1413-86702016-09-01205419428S1413-86702016000500419Molecular epidemiology of coagulase-negative bloodstream isolates: detection of Staphylococcus epidermidis ST2, ST7 and linezolid-resistant ST23Adrián Martínez-Meléndez0Rayo Morfín-Otero1Licet Villarreal-Treviño2Adrián Camacho-Ortíz3Gloria González-González4Jorge Llaca-Díaz5Eduardo Rodríguez-Noriega6Elvira Garza-González7Universidad Autónoma de Nuevo León, Facultad de Ciencias Biológicas, Departamento de Microbiología e Inmunología, Monterrey, MexicoHospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara, Mexico; Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Instituto de Patología Infecciosa y Experimental, Guadalajara, MexicoUniversidad Autónoma de Nuevo León, Facultad de Ciencias Biológicas, Departamento de Microbiología e Inmunología, Monterrey, MexicoUniversidad Autónoma de Nuevo León, Hospital Universitario Dr. José Eleuterio González, Servicio de Infectología, Monterrey, MexicoUniversidad Autónoma de Nuevo León, Facultad de Medicina, Departamento de Microbiología, México, Monterrey, MexicoUniversidad Autónoma de Nuevo León, Hospital Universitario Dr. José Eleuterio González, Departamento de Patología Clínica, Monterrey, MexicoHospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara, MexicoUniversidad Autónoma de Nuevo León, Hospital Universitario Dr. José Eleuterio González, Departamento de Patología Clínica, Monterrey, Mexico; Universidad Autónoma de Nuevo León, Hospital Universitario Dr. José Eleuterio González, Servicio de Gastroenterología, Monterrey, Mexico; Corresponding author.The mechanisms contributing to persistence of coagulase-negative staphylococci are diverse; to better understanding of their dynamics, the characterization of nosocomial isolates is needed. Our aim was to characterize phenotypic and molecular characteristics of Staphylococcus epidermidis and Staphylococcus haemolyticus human blood isolates from two tertiary care hospitals in Mexico, the Hospital Universitario in Monterrey and the Hospital Civil in Guadalajara.Antimicrobial susceptibility was determined. Biofilm formation was assessed by crystal violet staining. Detection of the ica operon and Staphylococcal Cassette Chromosome mec typing were performed by PCR. Clonal relatedness was determined by Pulsed-fiel gel electrophoresis and Multi locus sequence typing.Methicillin-resistance was 85.5% and 93.2% for S. epidermidis and S. haemolyticus, respectively. Both species showed resistance >70% to norfloxacin, clindamycin, levofloxacin, trimethoprim/sulfamethoxazole, and erythromycin. Three S. epidermidis and two S. haemolyticus isolates were linezolid-resistant (one isolate of each species was cfr+). Most isolates of both species were strong biofilm producers (92.8% of S. epidermidis and 72.9% of S. haemolyticus). The ica operon was amplified in 36 (43.4%) S. epidermidis isolates. SCCmec type IV was found in 47.2% of the S. epidermidis isolates and SCCmec type V in 14.5% of S. haemolyticus isolates. No clonal relatedness was found in either species. Resistance to clindamycin, levofloxacin, erythromycin, oxacillin, and cefoxitin was associated with biofilm production for both species (p < 0.05). A G2576T mutation in 23S rRNA gene was detected in an S. haemolyticus linezolid-resistant isolate. All linezolid-resistant S. epidermidis isolates belonged to ST23; isolate with SCCmec type IV belonged to ST7, and isolate with SCCmec type III belonged to ST2. This is the first report of ST7 in Mexico.There was a high genetic diversity in both species, though both species shared characteristics that may contibute to virulence. Keywords: Linezolid resistance, Staphylococcal Cassette Chromosome mec, Coagulase-negative staphylococci, Multilocus Sequence Typinghttp://www.sciencedirect.com/science/article/pii/S1413867016301015
spellingShingle Adrián Martínez-Meléndez
Rayo Morfín-Otero
Licet Villarreal-Treviño
Adrián Camacho-Ortíz
Gloria González-González
Jorge Llaca-Díaz
Eduardo Rodríguez-Noriega
Elvira Garza-González
Molecular epidemiology of coagulase-negative bloodstream isolates: detection of Staphylococcus epidermidis ST2, ST7 and linezolid-resistant ST23
Brazilian Journal of Infectious Diseases
title Molecular epidemiology of coagulase-negative bloodstream isolates: detection of Staphylococcus epidermidis ST2, ST7 and linezolid-resistant ST23
title_full Molecular epidemiology of coagulase-negative bloodstream isolates: detection of Staphylococcus epidermidis ST2, ST7 and linezolid-resistant ST23
title_fullStr Molecular epidemiology of coagulase-negative bloodstream isolates: detection of Staphylococcus epidermidis ST2, ST7 and linezolid-resistant ST23
title_full_unstemmed Molecular epidemiology of coagulase-negative bloodstream isolates: detection of Staphylococcus epidermidis ST2, ST7 and linezolid-resistant ST23
title_short Molecular epidemiology of coagulase-negative bloodstream isolates: detection of Staphylococcus epidermidis ST2, ST7 and linezolid-resistant ST23
title_sort molecular epidemiology of coagulase negative bloodstream isolates detection of staphylococcus epidermidis st2 st7 and linezolid resistant st23
url http://www.sciencedirect.com/science/article/pii/S1413867016301015
work_keys_str_mv AT adrianmartinezmelendez molecularepidemiologyofcoagulasenegativebloodstreamisolatesdetectionofstaphylococcusepidermidisst2st7andlinezolidresistantst23
AT rayomorfinotero molecularepidemiologyofcoagulasenegativebloodstreamisolatesdetectionofstaphylococcusepidermidisst2st7andlinezolidresistantst23
AT licetvillarrealtrevino molecularepidemiologyofcoagulasenegativebloodstreamisolatesdetectionofstaphylococcusepidermidisst2st7andlinezolidresistantst23
AT adriancamachoortiz molecularepidemiologyofcoagulasenegativebloodstreamisolatesdetectionofstaphylococcusepidermidisst2st7andlinezolidresistantst23
AT gloriagonzalezgonzalez molecularepidemiologyofcoagulasenegativebloodstreamisolatesdetectionofstaphylococcusepidermidisst2st7andlinezolidresistantst23
AT jorgellacadiaz molecularepidemiologyofcoagulasenegativebloodstreamisolatesdetectionofstaphylococcusepidermidisst2st7andlinezolidresistantst23
AT eduardorodrigueznoriega molecularepidemiologyofcoagulasenegativebloodstreamisolatesdetectionofstaphylococcusepidermidisst2st7andlinezolidresistantst23
AT elviragarzagonzalez molecularepidemiologyofcoagulasenegativebloodstreamisolatesdetectionofstaphylococcusepidermidisst2st7andlinezolidresistantst23