Soumya Kandammuriyil Radhakrishnan, Mathew Shiji, Sugathan Sheela, Mathew Jyothis, Radhakrishnan Edayileveettil Krishnankutty
School of Biosciences, Mahatma Gandhi University, Kottayam, India.
MOSC Medical College, Kolencherry, India.
APMIS. 2016 Apr;124(4):319-26. doi: 10.1111/apm.12510. Epub 2016 Feb 4.
Coagulase negative staphylococci (CoNS) are nosocomial pathogens that cause indwelling medical device associated infections due to its biofilm forming potential and multiple antibiotic resistance. The current study focused on species identification, antibiotic resistance profile and molecular basis of biofilm formation and attachment of CoNS isolated from clinical samples. Along with this, molecular screening for mecA and newly identified surface colonization protein encoded by sasX gene was also conducted. S. epidermidis (n = 19, 47%) was identified as the most prevalent CoNS species and very interestingly two biofilm forming, mecA positive S. epidermidis isolates were found to carry all the biofilm associated genes screened in this study, which indicates its potential to form the strong biofilm. Another novel observation of the study is the detection of sasX gene in one biofilm positive S. epidermidis isolate. The study also identified one doxycycline resistant mecA positive, multidrug resistant S. haemolyticus isolate. In conclusion, the study signifies the existence of multiple biofilm related genes, multidrug resistance and the presence of sasX gene among clinical isolates of CoNS.
凝固酶阴性葡萄球菌(CoNS)是医院病原体,由于其形成生物膜的潜力和多重耐药性,可导致与留置医疗器械相关的感染。当前研究聚焦于从临床样本中分离出的CoNS的菌种鉴定、抗生素耐药谱以及生物膜形成和附着的分子基础。与此同时,还进行了mecA和由sasX基因编码的新鉴定表面定植蛋白的分子筛查。表皮葡萄球菌(n = 19,47%)被鉴定为最常见的CoNS菌种,非常有趣的是,发现两株形成生物膜的、mecA阳性的表皮葡萄球菌分离株携带了本研究中筛查的所有生物膜相关基因,这表明其形成强生物膜的潜力。该研究的另一项新发现是在一株生物膜阳性的表皮葡萄球菌分离株中检测到了sasX基因。该研究还鉴定出一株对强力霉素耐药、mecA阳性、多重耐药的溶血葡萄球菌分离株。总之,该研究表明CoNS临床分离株中存在多个与生物膜相关的基因、多重耐药性以及sasX基因。