Characterization of multiple antibiotic resistant clinical strains of Staphylococcus isolated from pregnant women vagina
Language English Country United States Media print-electronic
Document type Journal Article, Multicenter Study
PubMed
29594949
DOI
10.1007/s12223-018-0593-4
PII: 10.1007/s12223-018-0593-4
Knihovny.cz E-resources
- Keywords
- Antibiotic resistance, ERIC-2, Enterotoxin, RAPD, Staphylococcus, Vagina,
- MeSH
- Anti-Bacterial Agents pharmacology MeSH
- Genes, Bacterial genetics MeSH
- DNA, Bacterial genetics MeSH
- Enterotoxins genetics MeSH
- Virulence Factors genetics MeSH
- Genotype MeSH
- Pregnancy Complications, Infectious microbiology MeSH
- Humans MeSH
- Drug Resistance, Multiple, Bacterial * MeSH
- Cluster Analysis MeSH
- Staphylococcal Infections microbiology MeSH
- Staphylococcus classification genetics isolation & purification MeSH
- Pregnancy MeSH
- Vagina microbiology MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Geographicals
- South Africa MeSH
- Names of Substances
- Anti-Bacterial Agents MeSH
- DNA, Bacterial MeSH
- Enterotoxins MeSH
- Virulence Factors MeSH
Vagina which is one of the important reservoirs for Staphylococcus and in pregnant women pathogenic strains may infect the child during the birth or by vertical transmission. A total of 68 presumptive Staphylococcus strains isolated from human vagina were found to be gram-positive cocci, and only 32 (47%) isolates were found beta-hemolytic. Matrix-assisted laser desorption/ionization time-of-flight mass-spectrometry (MALDI-TOF MS) results confirmed 33 isolates belonged to Staphylococcus which consisting of 6 species, i.e., S. aureus (14), S. vitulinus (7), S. epidermidis (4), S cohnii (3), S. equorum (3), and S. succinus (2). Further, the result of antibiotic susceptibility tests showed that large proportions (76%-100%) of the isolates were resistant to multiple antibiotics and more often resistant to penicillin (100%), ampicillin (100%), oxacillin (97%), oxytetracycline (97%), vancomycin (97%), rifampin (85%), erythromycin (82%), and streptomycin (76%). In the present study, only the sec enterotoxin gene was detected in four S. aureus strains. DNA fingerprints of the 33 isolates that were generated using random amplified polymorphic DNA (RAPD) and enterobacterial repetitive intergenic consensus (ERIC) PCR analysis revealed great genetic relatedness of isolates. High prevalence of vaginal colonization with multiple antibiotic-resistant staphylococci among pregnant women was observed which were emerged from the single respective species clones that underwent evolution. The vertical transmission of these multiple antibiotic-resistant Staphylococcus species to the infant is possible; therefore, the findings of this study emphasize the need for regular surveillance of antibiotic-resistant bacterial strains in pregnant women in this area.
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