[PMID]: | 28854219 |
[Au] Autor: | Shekarabi M; Hajikhani B; Salimi Chirani A; Fazeli M; Goudarzi M |
[Ad] Endereço: | Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. |
[Ti] Título: | Molecular characterization of vancomycin-resistant Staphylococcus aureus strains isolated from clinical samples: A three year study in Tehran, Iran. |
[So] Source: | PLoS One;12(8):e0183607, 2017. |
[Is] ISSN: | 1932-6203 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | INTRODUCTION: Emergence of vancomycin-intermediate Staphylococcus aureus (VISA) and vancomycin-resistant S. aureus (VRSA) strains has led to great concern in global public health in both developing and developed countries. This study investigated distribution and molecular characterization of VRSA strains in Tehran's hospitals using a combination of molecular typing methods. MATERIALS AND METHODS: A total of 1789 S. aureus isolates obtained between 2014 and 2017 and were characterized using antibiogram, SCCmec typing, spa typing, and multilocus-sequence typing. Resistance to vancomycin was determined by E-test method. After confirmation of the isolated VRSA strain, genetic analysis was performed by evaluating vanA and vanB genes presence.The presence of resistance (ermA, ermB, ermC, mupA, msrA, msrB, tetM, ant (4΄)-Ia, aac (6΄)-Ie/aph (2Ë), aph (3΄)-IIIa) and toxin (etb, eta, pvl, tst) encoding genes was investigated by the polymerase chain reaction (PCR) technique. RESULTS: Of all S. aureus tested isolates, four isolates were confirmed as VRSA isolates and two isolates confirmed as VISA isolates. ST5- SCCmec II/t002 and ST239-SCCmec III/t037 strains had MIC values of 512µg/ml, ST239-SCCmec III/t037 and ST8-SCCmecIV/t008 strains had MIC values of 64µg/ml and ST22-SCCmec IV/t790 and ST239-SCCmec III/t030 strains had MIC values ≥ 8 µg/ml. pvl-encoding gene was confirmed in ST8-SCCmecIV/t008 and ST22-SCCmec IV/t790 strains. The isolates differed in the carriage of resistance and toxin encoding genes. CONCLUSIONS: The study revealed the existence of VRSA strains in capital of Iran, Tehran. To our knowledge, this is the first report of ST239-SCCmec III/t037 as VRSA strain. These findings support the need for future surveillance studies on VRSA strains to keep the emergence and transmission of these isolates to a minimum. |
[Mh] Termos MeSH primário: |
Infecção Hospitalar/microbiologia Infecções Estafilocócicas/microbiologia Staphylococcus aureus/genética Resistência a Vancomicina/genética
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[Mh] Termos MeSH secundário: |
Proteínas de Bactérias/genética Toxinas Bacterianas/genética Técnicas de Tipagem Bacteriana/métodos Carbono-Oxigênio Ligases/genética Infecção Hospitalar/epidemiologia Exotoxinas/genética Genes Bacterianos/genética Hospitais Seres Humanos Irã (Geográfico)/epidemiologia Leucocidinas/genética Testes de Sensibilidade Microbiana/métodos Proteínas Nucleares/genética Proteínas de Ligação às Penicilinas/genética Reação em Cadeia da Polimerase Infecções Estafilocócicas/epidemiologia Staphylococcus aureus/classificação Staphylococcus aureus/fisiologia
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[Pt] Tipo de publicação: | JOURNAL ARTICLE |
[Nm] Nome de substância:
| 0 (Bacterial Proteins); 0 (Bacterial Toxins); 0 (Exotoxins); 0 (Leukocidins); 0 (Nuclear Proteins); 0 (Panton-Valentine leukocidin); 0 (Penicillin-Binding Proteins); 0 (VanA ligase, Bacteria); 0 (mecA protein, Staphylococcus aureus); 0 (mupA protein, Staphylococcus aureus); EC 6.1.- (Carbon-Oxygen Ligases) |
[Em] Mês de entrada: | 1710 |
[Cu] Atualização por classe: | 171023 |
[Lr] Data última revisão:
| 171023 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 170831 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1371/journal.pone.0183607 |
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