Virulence Factors in Methicillin-Resistant <i>Staphylococcus aureus</i> Isolated from ICU Units in Brazil — Oak Academic Publishing
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Virulence Factors in Methicillin-Resistant <i>Staphylococcus aureus</i> Isolated from ICU Units in Brazil
Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
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Instituto de Ciências Biomédicas, Departamento de Microbiologia, Universidade de S?o Paulo, S?o Paulo, Brazil
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Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
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Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
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Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
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Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
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Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
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Instituto de Ciências Biomédicas, Departamento de Microbiologia, Universidade de S?o Paulo, S?o Paulo, Brazil
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Instituto de Ciências Biomédicas, Departamento de Microbiologia, Universidade de S?o Paulo, S?o Paulo, Brazil
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Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
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Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
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Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil;Instituto de Ciências Biomédicas, Departamento de Microbiologia, Universidade de S?o Paulo, S?o Paulo, Brazil
1 Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
2 Instituto de Ciências Biomédicas, Departamento de Microbiologia, Universidade de S?o Paulo, S?o Paulo, Brazil
3 Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
4 Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
5 Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
6 Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
7 Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
8 Instituto de Ciências Biomédicas, Departamento de Microbiologia, Universidade de S?o Paulo, S?o Paulo, Brazil
9 Instituto de Ciências Biomédicas, Departamento de Microbiologia, Universidade de S?o Paulo, S?o Paulo, Brazil
10 Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
11 Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil
12 Instituto Multidisciplinar em Saúde, Núcleo de Tecnologia em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brazil;Instituto de Ciências Biomédicas, Departamento de Microbiologia, Universidade de S?o Paulo, S?o Paulo, Brazil
Species of Staphylococcus are common in hospital infection (HI). Methicillin resistant S. aureus (MRSA) has also become a serious problem in Brazilian HI. The aim of this study was to characterize the pathogenicity of methicillin-resistant S. aureus (MRSA) and methicillin-sensitive Staphylococcus aureus (MSSA) isolated in public hospitals. The clinical isolates were obtained from intensive care unit. The MRSA and MSSA strains were genotyped by PCR for detection genes related to virulence factors. Moreover, the strains were tested for biofilm formation and cytokine induction in macrophages. Three strains of MRSA (9.68%) expressed the Sea gene, one (3.23%) Seb, 17 (54.84%) Spa and seven (22.58%) had PVL. Two MSSA strains (2.98%) expressed the Sea gene, three (4.48%) Seb, 18 (26.87%) Spa and 11 (16.42%) showed positive results for the PVL gene. There was no expression of Sec and CflA between MRSA and MSSA strains. Among MRSA and MSSA isolates, none statistical differences were observed in biofilm production. The analysis of cytokine induction in the inflammatory response of J774 macrophages by MRSA and MSSA isolates did not show statistical difference. Understanding the mechanisms of pathogenesis of S. aureus could provide important clues for both preventing and treating infection caused by these organisms.
Pereira, M.S., Souza, A.C.S., Tipple, A.F.V. and Prad, M.A. (2005) Infecção hospitalar e suas Implementações para o cuidado da enfermagem. Texto & Contexto Enfermagem, 14, 250-257. http://dx.doi.org/10.1590/S0104-07072005000200013
Pilonetto, M., Rosa, E.A.R., Brofman, P.R.S., et al. (2004) Hospital Gowns as a Vehicle for Bacterial Dissemination in an Intensive Care Unit. Brazilian Journal of Infectious Diseases, 8, 206-210. http://dx.doi.org/10.1590/S1413-86702004000300003
Martins, S.T., Moreira, M. and Furtado, G.H. (2004) Application of Control Measures for Infections Caused by Multi-Resistant Gram-Negative Bacteria in Intensive Care Unit Patients. The Memórias do Instituto Oswaldo Cruz, 99, 331-334. http://dx.doi.org/10.1590/S0074-02762004000300017
Dos Santos, A.L., Santos, D.O., Freitas, C.C., et al. (2007) Staphylococcus aureus: visitando uma cepa de importancia hospitalar. Jornal Brasileiro de Patologia e Medicina Laboratorial, 43, 414.
Brites, C., Silva, N. and Sampaio-Sá, M. (2006) Temporal Evolution of the Prevalence of Methicillin-Resistant Staphylococcus aureus in a Tertiary Hospital in Bahia, Brazil. A Nine-Year Evaluation Study. Brazilian Journal of Infectious Diseases, 10, 235-238. http://dx.doi.org/10.1590/S1413-86702006000400003
Appelbaum, P.C. (2007) Microbiology of Antibiotic Resistance in Staphylococcus aureus. Clinical Infectious Diseases, 45, 165-170. http://dx.doi.org/10.1086/519474
Aung, M.S., Urushibara, N., Kawaguchiya, M., et al. (2011) Virulence Factors and Genetic Characteristics of Methicillin-Resistant and Methicillin-Susceptible Staphylococcus aureus Isolates in Myanmar. Microbial Drug Resistance, 17, 525-535. http://dx.doi.org/10.1089/mdr.2011.0061
Antunes, A.L.S., Perez, L.R.R., Reiter, K.C., et al. (2007) Detecção da Produção de Biofilmes em Staphylococcus ssp. por Agar Congo Red. Revista de Saúde da Universidade Católica de Pelotas, 1, 1.
Campos, G.B., Souza, S.G., Lobão, T.N., et al. (2012) Isolation, Molecular Characteristics and Disinfection of Methicillin-Resistant Staphylococcus aureus from ICU Units in Brazil. New Microbiologica, in Press.
Fan, H.H., Kleven, S.H. and Jackwood, M.W. (1995) Application of Polymerase Chain Reaction with Arbitrary Primers to Strain Identification of Mycoplasma gallisepticum. Avian Diseases, 39, 729-735. http://dx.doi.org/10.2307/1592409
Proietti, P.C., Coppola, G., Bietta, A., et al. (2010) Characterization of Genes Encoding Virulence Determinants and Toxins in Staphylococcus aureus from Bovine Milk in Central Italy. The Journal of Veterinary Medical Science, 72, 1443-1448. http://dx.doi.org/10.1292/jvms.10-0158
Cassat, J.E., Lee, C.Y. and Smeltzer, M.S. (2007) Investigation of Biofilm Formation in Clinical Isolates of Staphylococcus aureus. Methods in Molecular Biology, 391, 127-144. http://dx.doi.org/10.1007/978-1-59745-468-1_10
Coelho, L.R., Souza, R.R., Ferreira, F.A., et al. (2008) agr RNAIII Divergently Regulates Glucose-Induced Biofilm Formation in Clinical Isolates of Staphylococcus aureus. Microbiology, 154, 3480-3490. http://dx.doi.org/10.1099/mic.0.2007/016014-0
Lima, M.E., Andrade, D. and Haas, V.J. (2008) Avaliação Prospectiva da Ocorrência de Infecção em Pacientes Críticos de Unidade de Terapia Intensiva. Revista Brasileira de Terapia Intensiva, 19, 134-137.
Souza, L.B. and Figueiredo, B.B. (2008) Prevalência de Infecções Nosocomiais Provocadas por Staphylococcus aureus Resistente à Meticilina (M.R.S.A.), no Hospital Universitário Regional de Maringá. RBAC, 40, 31-34.
Calderón, E.J., Monteros, L.E.E. and Beltran, R.A. (2002) Epidemiology of drug resistance: The case of Staphylococcus aureus and coagulase-negative staphylococci infections. Salud Pública de México, 44, 108-112. http://dx.doi.org/10.1590/S0036-36342002000200004
Menegotto, F.R. and Picoli, S.U. (2007) Staphylococcus aureus oxacilina resistente (MRSA): incidência de cepas adquiridas na comunidade (CA-MRSA) e importancia da pesquisa e descolonização em hospital. RBAC, 39, 147-150.
Almeida, M.I., Bedendo, J., Cavasin, E.D. and Tognim, M.C.B. (2007) Prevalência e perfil de sensibilidade de amostras de Staphylococcus aureus isoladas de casos clínicos de infecções hospitalares. Revista Eletrônica de Enfermagem, 9, 489-495.
Moura, J.P., Gir, E., Rosa, J.O., et al. (2010) Resistência à mupirocina entre isolados de Staphylococcus aureus de profissionais de enfermagem. Acta Paul Enferm, 23, 399-403. http://dx.doi.org/10.1590/S0103-21002010000300014
Gotz, F. (2002) Staphylococcus and Biofilms. Molecular Microbiology, 43, 1367-1378. http://dx.doi.org/10.1046/j.1365-2958.2002.02827.x
Smith, K., Perez, A., Ramage, G., Lappin, D., Gemmell, C.G. and Lang, S. (2008) Biofilm Formation by Scottish Clinical Isolates of Staphylococcus aureus. Journal of Medical Microbiology, 57, 1018-1023. http://dx.doi.org/10.1099/jmm.0.2008/000968-0
Grinholc, M., Wegrzyn, G. and Kurlenda, J. (2007) Evaluation of Biofilm Production and Prevalence of the icaD Gene in Methicillin-Resistant and Methicillin-Susceptible Staphylococcus aureus Strains Isolated from Patients with Nosocomial Infections and Carriers. FEMS Immunology & Medical Microbiology, 50, 375-379. http://dx.doi.org/10.1111/j.1574-695X.2007.00262.x
Nunes, M.C.P., Cassati, M.Z., Villalpando, K.T. and Cirano, F.R. (2007) Contribution of Dental Biofilm Study to the Treatment of Periodontal Diseases. Revista do Instituto de Ciências da Saúde, 25, 55-61.
Thomson, C.H. (2011) Biofilms: Do They Affect Wound Healing? International Wound Journal, 8, 63-67. http://dx.doi.org/10.1111/j.1742-481X.2010.00749.x
Souza, R.R., Coelho, L.R., Botelho, A.M., Ribeiro, A., Rito, P.N., Vieira, V.V., Teixeira, L.A., Ferreira-Carvalho, B.T. and Figueiredo, A.M.S. (2009) Biofilm Formation and Prevalence of lukf-pv, seb, sec and tst Genes among Hospital- and Community-Acquired Isolates of Some International Methicillin-Resistant Staphylococcus aureus Lineages. Clinical Microbiology and Infection, 15, 203-207. http://dx.doi.org/10.1111/j.1469-0691.2008.02118.x
Kim, J.S., Song, W., Kim, H.S., Chan Cho, H., Lee, K.M., Choi, M.S. and Kim, E.C. (2006) Association between the Methicillin Resistance of Clinical Isolates of Staphylococcus aureus, Their Staphylococcal Cassette Chromosome mec (SCCmec) Subtype Classification, and Their Toxin Gene Profiles. Diagnostic Microbiology & Infectious Disease, 56, 289-295. http://dx.doi.org/10.1016/j.diagmicrobio.2006.05.003
Sila, J., Sauer, P. and Kolar, M. (2009) Comparison of the Prevalence of Genes Coding for Enterotoxins, Exfoliatins, PantonValentine Leukocidin and Tsst-1 between Methicillin-Resistant and Methicillin-Susceptible Isolates of Staphylococcus aureus at the University Hospital in Olomouc. Biomedical papers of the Medical Faculty of the University Palacky, 153, 215-218. http://dx.doi.org/10.5507/bp.2009.036
Baba-Moussa, L., Anani, L., Scheftel, J.M., Couturier, M., Riegel, P., Haìkou, N., Hounsou, F., Monteil, H., Sanni, A. and Prévost, G. (2008) Virulence Factors Produced by Strains of Staphylococcus aureus Isolated from Urinary Tract Infections. Journal of Hospital Infection, 68, 32-38. http://dx.doi.org/10.1016/j.jhin.2007.10.010
Bhakdi, S., Klonisch, T., Nuber, P. and Fischer, W. (1991) Stimulation of Monokine Production by Lipoteichoic Acids. Infection and Immunity, 59, 4614-4620.
De Kimpe, S.J., Kengatharan, M., Thiemermann, C. and Vane, J.R. (1995) The Cell Wall Components Peptidoglycan and Lipoteichoic Acid from Staphylococcus aureus Act in Synergy to Cause Shock and Multiple Organ Failure. Proceedings of the National Academy of Sciences of the United States of America, 92, 10359-10363. http://dx.doi.org/10.1073/pnas.92.22.10359
Jones, K.J., Perris, A.D., Vernallis, A.B., Worthington, T., Lambert, P.A. and Elliott, T.S.J. (2005) Induction of Inflammatory Cytokines and Nitric Oxide in J774.2 Cells and Murine Macrophages by Lipoteichoic Acid and Related Cell Wall Antigens from Staphylococcus epidermidis. Journal of Medical Microbiology, 54, 315-321. http://dx.doi.org/10.1099/jmm.0.45872-0
Lo, W.T., Tang, C.S., Chen, S.J., Huang, C.F., Tseng, M.H. and Wang, C.C. (2009) Panton-Valentine Leukocidin Is Associated with Exacerbated Skin Manifestations and Inflammatory Response in Children with Community-Associated Staphylococcal Scarlet Fever. Clinical Infectious Diseases, 49, e69-e75. http://dx.doi.org/10.1086/605580
Dauwalder, O., Thomas, D., Ferry, T., Debard, A.L., Badiou, C., Vandenesch, F., Etienne, J., Lina, G. and Monneret, G. (2006) Comparative Inflammatory Properties of Staphylococcal Superantigenic Enterotoxins SEA and SEG: Implications for Septic Shock. Journal of Leukocyte Biology, 80, 753-758. http://dx.doi.org/10.1189/jlb.0306232