Clonality of slime-producing methicillin-resistant coagulase-negative staphylococci disseminated in the neonatal intensive care unit of a university hospital

Clin Microbiol Infect. 2006 Dec;12(12):1230-3. doi: 10.1111/j.1469-0691.2006.01565.x.

Abstract

Methicillin-resistant coagulase-negative staphylococci (MR-CNS) (n = 132), isolated from pre-term neonates, were analysed to determine their antibiotic resistance patterns, clonal distribution, biofilm production and the presence of the ica operon. All MR-CNS were multiresistant, and 89% produced slime. A major clone was identified (77 isolates) among 115 Staphylococcus epidermidis isolates. Ten of 16 Staphylococcus haemolyticus isolates also belonged to a single clone. Most (80%) slime-positive isolates possessed all the ica genes tested, while the remaining 23 (20%) had a variety of gene combinations. The entire ica cluster was detected in three of 15 slime-negative isolates. One major and two minor slime-positive, multiresistant MR-CNS clones had disseminated among hospitalised pre-term neonates.

MeSH terms

  • Adhesins, Bacterial / genetics*
  • Coagulase / analysis
  • Cross Infection / microbiology*
  • Hospitals, University
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal
  • Methicillin Resistance*
  • Microbial Sensitivity Tests
  • Operon / genetics
  • Polysaccharides, Bacterial / analysis
  • Polysaccharides, Bacterial / biosynthesis
  • Sepsis / microbiology
  • Staphylococcal Infections / microbiology*
  • Staphylococcus / drug effects
  • Staphylococcus / genetics*
  • Staphylococcus / pathogenicity

Substances

  • Adhesins, Bacterial
  • Coagulase
  • Polysaccharides, Bacterial