Molecular analysis of Staphylococcus epidermidis strains isolated from community and hospital environments in China.

<h4>Background</h4>Staphylococcus epidermidis is a common cause of nosocomial infections worldwide. This study analyzed the differences in genetic endowment and clonal lineages with pathogenesis and resistance traits of S. epidermidis isolates collected from community and hospital enviro...

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Autores principales: Xin Du, Yuanjun Zhu, Yan Song, Tianming Li, Tao Luo, Gang Sun, Chongguang Yang, Cuiming Cao, Yuan Lu, Min Li
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:158effb4403947b5bd7094ca1677bfce2021-11-18T07:46:01ZMolecular analysis of Staphylococcus epidermidis strains isolated from community and hospital environments in China.1932-620310.1371/journal.pone.0062742https://doaj.org/article/158effb4403947b5bd7094ca1677bfce2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23675424/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Staphylococcus epidermidis is a common cause of nosocomial infections worldwide. This study analyzed the differences in genetic endowment and clonal lineages with pathogenesis and resistance traits of S. epidermidis isolates collected from community and hospital environments (patients and healthcare staff) of the same ecological niche, time period, and geographical location in China.<h4>Methodology/principal findings</h4>Molecular epidemiology and population analysis showed that nasal colonization rates of S. epidermidis in the community of Shanghai area of China and in healthcare personnel were 44.8% (methicillin-resistant S. epidermidis, MRSE: 17.2%) and 61.3% (MRSE: 30.0%), respectively. 86.7% of clinical isolates were MRSE. Among the strains studied, 44 sequence types (STs) were identified with 91.7% belonging to clonal complex 2 (CC2). Only 40.8% isolates from patients were also found in healthy individuals. MRSE-ST2-SCCmecIII was the predominant clone in clinical isolates, almost resistant to all antibiotics tested. Biofilm-related genes IS256 and icaA were detected in majority of the predominant clinical MRSE-ST2 clone with a 40.5% biofilm-positive rate. No ST2 isolate was found in community setting. We found a high prevalence of arginine catabolic mobile element (ACME) (74.1%). The prevalence of ACME-arc and ACME-opp3 clusters was 71.6% and 32.4%, respectively. Methicillin-sensitive S. epidermidis (MSSE) isolates harbored more ACME (83.3%) than MRSE isolates (67.7%), and there was no association between ACME and SCCmec types. An association was found between low-level ACME presence and invasive infections.<h4>Conclusions/significance</h4>We observed a high level of diversity within S. epidermidis in this study, with CC2 as the dominant clonal complex in both community and hospital settings. Only 40.8% of the isolates from patients were also found in healthy individuals. Contrary to that biofilm formation and multiple antibiotic resistance were associated closely with pathogenicity of S. epidermidis, ACME was more likely to be an indicator for colonization rather than a virulence factor.Xin DuYuanjun ZhuYan SongTianming LiTao LuoGang SunChongguang YangCuiming CaoYuan LuMin LiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 5, p e62742 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Xin Du
Yuanjun Zhu
Yan Song
Tianming Li
Tao Luo
Gang Sun
Chongguang Yang
Cuiming Cao
Yuan Lu
Min Li
Molecular analysis of Staphylococcus epidermidis strains isolated from community and hospital environments in China.
description <h4>Background</h4>Staphylococcus epidermidis is a common cause of nosocomial infections worldwide. This study analyzed the differences in genetic endowment and clonal lineages with pathogenesis and resistance traits of S. epidermidis isolates collected from community and hospital environments (patients and healthcare staff) of the same ecological niche, time period, and geographical location in China.<h4>Methodology/principal findings</h4>Molecular epidemiology and population analysis showed that nasal colonization rates of S. epidermidis in the community of Shanghai area of China and in healthcare personnel were 44.8% (methicillin-resistant S. epidermidis, MRSE: 17.2%) and 61.3% (MRSE: 30.0%), respectively. 86.7% of clinical isolates were MRSE. Among the strains studied, 44 sequence types (STs) were identified with 91.7% belonging to clonal complex 2 (CC2). Only 40.8% isolates from patients were also found in healthy individuals. MRSE-ST2-SCCmecIII was the predominant clone in clinical isolates, almost resistant to all antibiotics tested. Biofilm-related genes IS256 and icaA were detected in majority of the predominant clinical MRSE-ST2 clone with a 40.5% biofilm-positive rate. No ST2 isolate was found in community setting. We found a high prevalence of arginine catabolic mobile element (ACME) (74.1%). The prevalence of ACME-arc and ACME-opp3 clusters was 71.6% and 32.4%, respectively. Methicillin-sensitive S. epidermidis (MSSE) isolates harbored more ACME (83.3%) than MRSE isolates (67.7%), and there was no association between ACME and SCCmec types. An association was found between low-level ACME presence and invasive infections.<h4>Conclusions/significance</h4>We observed a high level of diversity within S. epidermidis in this study, with CC2 as the dominant clonal complex in both community and hospital settings. Only 40.8% of the isolates from patients were also found in healthy individuals. Contrary to that biofilm formation and multiple antibiotic resistance were associated closely with pathogenicity of S. epidermidis, ACME was more likely to be an indicator for colonization rather than a virulence factor.
format article
author Xin Du
Yuanjun Zhu
Yan Song
Tianming Li
Tao Luo
Gang Sun
Chongguang Yang
Cuiming Cao
Yuan Lu
Min Li
author_facet Xin Du
Yuanjun Zhu
Yan Song
Tianming Li
Tao Luo
Gang Sun
Chongguang Yang
Cuiming Cao
Yuan Lu
Min Li
author_sort Xin Du
title Molecular analysis of Staphylococcus epidermidis strains isolated from community and hospital environments in China.
title_short Molecular analysis of Staphylococcus epidermidis strains isolated from community and hospital environments in China.
title_full Molecular analysis of Staphylococcus epidermidis strains isolated from community and hospital environments in China.
title_fullStr Molecular analysis of Staphylococcus epidermidis strains isolated from community and hospital environments in China.
title_full_unstemmed Molecular analysis of Staphylococcus epidermidis strains isolated from community and hospital environments in China.
title_sort molecular analysis of staphylococcus epidermidis strains isolated from community and hospital environments in china.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/158effb4403947b5bd7094ca1677bfce
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