Objective:To determine the pattern of antibiotic resistance among Staphylococcus aureus(S. aureus) isolates from clinical specimens and to identify community-acquired methicillin-resistant Staphylococcus aureus(CA-MRS...Objective:To determine the pattern of antibiotic resistance among Staphylococcus aureus(S. aureus) isolates from clinical specimens and to identify community-acquired methicillin-resistant Staphylococcus aureus(CA-MRSA) in specimens that have been collected from patients referring to one of the hospitals of Ahvaz.Methods:S.aureus isolates from a hospital in Ahvaz were screened for resistance to various antibiotics including methicillin.The susceptibility of the isolates was determined by Kirby-Bauer disc diffusion method.The MRSA was also treated with ethidium bromide to find the origin of resistance.Results:Among the bacterial isolates,all of 11 S.aureus were resistant to methicillin and cefixime,2 were resistant to ciprofloxacin,6 were resistant to tetracycline and the reminder were sensitive or intermediate to other antibiotics.The treated isolates were reminded resistant to methicillin and this suggested that the plasmid was not the origin of resistance in these isolates.Conclusions:These results showed that infection due to MRSA is widespread in Ahvaz and with respect to the spread of vancomycin resistance among MRSA and appearance of overwhelming infections.It is necessary to identify continuously the profile of antibiotic resistance among S.aureus isolates in other regions and finding appropriate antibiotic for infection control and eradication.展开更多
Background Staphylococcus aureus （S. aureus） remains as an important microbial pathogen resulting in community and nosocomial acquired infections with significant morbidity and mortality. Few reports for S. aureus i...Background Staphylococcus aureus （S. aureus） remains as an important microbial pathogen resulting in community and nosocomial acquired infections with significant morbidity and mortality. Few reports for S. aureus in lower respiratory tract infections （LRTIs） have been documented. The aim of this study was to explore the molecular epidemiology of S. aureus in LRTIs in China.Methods A multicenter study of the molecular epidemiology of S. aureus in LRTIs was conducted in 21 hospitals in Beijing, Shanghai and twelve other provinces from November 2007 to February 2009. All the collected S. aureus strains were classified as minimum inhibitory concentration （MIC）, mecA gene, virulence genes Panton-Valentine Leukocidin （PVL） and y-hemolysin （hlg）, staphylococcal cassette chromosome mec （SCCmec） type, agr type, and Multilocus Sequence Typinq （MLST）.Results Totally, nine methicillin-sensitive S. aureus （MSSA） and 29 methicillin-resistant S. aureus （MRSA） strains were isolated after culture from a total of 2829 sputums or bronchoalveolar lavages. The majority of MRSA strains （22/29） had a MIC value of 〉512 μg/ml for cefoxitin. The mecA gene acting as the conservative gene was carried by all MRSA strains. PVL genes were detected in only one S. aureus strain （2.63%, 1/38）. The hlg gene was detected in almost the all S. aureus （100% in MSSA and 96.56% in MRSA strains）. About 75.86% of MRSA strains carried SCCmec Ⅲ. Agr type 1 was predominant （78.95%） among the identified three agr types （agr types 1,2, and 3）. Totally, ten sequence type （ST） of S. aureus strains were detected. A new sequence type （ST1445） was found besides confirming ST239 as the major sequence type （60.53%）. A dendrogram generated from our own MLST database showed all the bootstrap values 〈50%. Conclusion Our preliminary epidemiology data show SCCmec Ⅲ, ST239 and agr type 1 of S. aureus as the predominant strains in LRTIs in Mainland of China.展开更多
基金Shahid Chamran University for providing the research grant
文摘Objective:To determine the pattern of antibiotic resistance among Staphylococcus aureus(S. aureus) isolates from clinical specimens and to identify community-acquired methicillin-resistant Staphylococcus aureus(CA-MRSA) in specimens that have been collected from patients referring to one of the hospitals of Ahvaz.Methods:S.aureus isolates from a hospital in Ahvaz were screened for resistance to various antibiotics including methicillin.The susceptibility of the isolates was determined by Kirby-Bauer disc diffusion method.The MRSA was also treated with ethidium bromide to find the origin of resistance.Results:Among the bacterial isolates,all of 11 S.aureus were resistant to methicillin and cefixime,2 were resistant to ciprofloxacin,6 were resistant to tetracycline and the reminder were sensitive or intermediate to other antibiotics.The treated isolates were reminded resistant to methicillin and this suggested that the plasmid was not the origin of resistance in these isolates.Conclusions:These results showed that infection due to MRSA is widespread in Ahvaz and with respect to the spread of vancomycin resistance among MRSA and appearance of overwhelming infections.It is necessary to identify continuously the profile of antibiotic resistance among S.aureus isolates in other regions and finding appropriate antibiotic for infection control and eradication.
文摘Background Staphylococcus aureus （S. aureus） remains as an important microbial pathogen resulting in community and nosocomial acquired infections with significant morbidity and mortality. Few reports for S. aureus in lower respiratory tract infections （LRTIs） have been documented. The aim of this study was to explore the molecular epidemiology of S. aureus in LRTIs in China.Methods A multicenter study of the molecular epidemiology of S. aureus in LRTIs was conducted in 21 hospitals in Beijing, Shanghai and twelve other provinces from November 2007 to February 2009. All the collected S. aureus strains were classified as minimum inhibitory concentration （MIC）, mecA gene, virulence genes Panton-Valentine Leukocidin （PVL） and y-hemolysin （hlg）, staphylococcal cassette chromosome mec （SCCmec） type, agr type, and Multilocus Sequence Typinq （MLST）.Results Totally, nine methicillin-sensitive S. aureus （MSSA） and 29 methicillin-resistant S. aureus （MRSA） strains were isolated after culture from a total of 2829 sputums or bronchoalveolar lavages. The majority of MRSA strains （22/29） had a MIC value of 〉512 μg/ml for cefoxitin. The mecA gene acting as the conservative gene was carried by all MRSA strains. PVL genes were detected in only one S. aureus strain （2.63%, 1/38）. The hlg gene was detected in almost the all S. aureus （100% in MSSA and 96.56% in MRSA strains）. About 75.86% of MRSA strains carried SCCmec Ⅲ. Agr type 1 was predominant （78.95%） among the identified three agr types （agr types 1,2, and 3）. Totally, ten sequence type （ST） of S. aureus strains were detected. A new sequence type （ST1445） was found besides confirming ST239 as the major sequence type （60.53%）. A dendrogram generated from our own MLST database showed all the bootstrap values 〈50%. Conclusion Our preliminary epidemiology data show SCCmec Ⅲ, ST239 and agr type 1 of S. aureus as the predominant strains in LRTIs in Mainland of China.
基金supported by the National Natural Science Foundation of China(81472882)Natural Science Foundation of Hunan(11JJ5083)The Young Talents Support Plan of Hunan,P.R.China
