Molecular and Phenotypic Characterization of Ocular Methicillin-Resistant Staphylococcus epidermidis Isolates in Taiwan

Purpose: Staphylococcus epidermidis, a commensal, has emerged as an important opportunistic pathogen, particularly methicillin-resistant S. epidermidis (MRSE). The mechanism behind this transformation remains unclear. This study aimed to investigate the molecular and phenotypic characteristics of MRSE isolated from healthy conjunctiva and ocular infections.

Methods: We collected MRSE isolates from two groups: healthy conjunctiva from patients undergoing cataract surgeries and ocular infections at our hospital. Genotypic analysis included pulsed-field gel electrophoresis (PFGE), multilocus sequence typing (MLST), staphylococcal cassette chromosome mec (SCCmec), and biofilm-related genes (icaA, aap, and bhp). Additionally, phenotypic data on biofilm production and antibiotic susceptibility were recorded.

Results: A total of 86 isolates, including 42 from healthy conjunctiva and 44 from ocular infections, were analyzed. MLST identified 21 sequence types (STs), with ST59 being the most frequent (n = 33, 39.5%), followed by ST130 (n = 10, 11.6%), ST57 (n = 6, 7.0%), and ST2 (n = 6, 7.0%). All isolates were categorized in 23 PFGE types, and SCCmec IV was the most prevalent SCCmec type (n = 52, 60.5%). The two sources of isolates exhibited overlapping molecular types and phenotypic traits, although the ocular infection isolates exhibited significantly higher multidrug resistance compared to healthy conjunctiva isolates (P = 0.032). When contrasting ST59 with non-ST59, ST59 displayed a significantly higher presence of aap (100%) and bhp (69.7%) while lacking icaA (0%). ST59 also showed lower susceptibility to fluoroquinolones compared to non-ST59 (42.4%-54.5% vs. 75.5%-83.0%; P < 0.01).

Conclusions: MRSE isolates from healthy conjunctiva and ocular infections demonstrated a degree of resemblance. Specific strains, notably ST59, exhibited distinctive characterizations.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:64

Enthalten in:

Investigative ophthalmology & visual science - 64(2023), 13 vom: 03. Okt., Seite 33

Sprache:

Englisch

Beteiligte Personen:

Chang, Yin-Hsi [VerfasserIn]
Huang, Yhu-Chering [VerfasserIn]
Chen, Hung-Chi [VerfasserIn]
Ma, David H K [VerfasserIn]
Yeh, Lung-Kun [VerfasserIn]
Hung, Kuo-Hsuan [VerfasserIn]
Hsiao, Ching-Hsi [VerfasserIn]

Links:

Volltext

Themen:

Anti-Bacterial Agents
Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 30.10.2023

Date Revised 30.10.2023

published: Print

Citation Status MEDLINE

doi:

10.1167/iovs.64.13.33

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363543767