Molecular epidemiology of the nasal colonization by methicillin-susceptible Staphylococcus aureus in Swiss children.

Details

Serval ID
serval:BIB_838D44F214EE
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Molecular epidemiology of the nasal colonization by methicillin-susceptible Staphylococcus aureus in Swiss children.
Journal
Clinical microbiology and infection
Author(s)
Mégevand C., Gervaix A., Heininger U., Berger C., Aebi C., Vaudaux B., Kind C., Gnehm H.P., Hitzler M., Renzi G., Schrenzel J., François P.
Working group(s)
Paediatric Infectious Disease Group Switzerland Staphylococcus aureus Study Group
ISSN
1469-0691 (Electronic)
ISSN-L
1198-743X
Publication state
Published
Issued date
09/2010
Peer-reviewed
Oui
Volume
16
Number
9
Pages
1414-1420
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Nasal carriage of Staphylococcus aureus contributes to an increased risk of developing an infection with the same bacterial strain. Genetic regulatory elements and toxin-expressing genes are virulence factors associated with the pathogenic potential of S. aureus. We undertook an extensive molecular characterization of methicillin-susceptible S. aureus (MSSA) carried by children. MSSA were recovered from the nostrils of children. The presence of Panton-Valentine leukocidin (PVL), exfoliatins A and B (exfoA and exfoB), and the toxic-shock staphylococcal toxin (TSST-1) and agr group typing were determined by quantitative PCR. A multiple-locus variable-number of tandem repeat analysis (MLVA) assay was also performed for genotyping. Five hundred and seventy-two strains of MSSA were analysed. Overall, 30% were positive for toxin-expressing genes: 29% contained one toxin and 1.6% two toxins. The most commonly detected toxin gene was tst, which was present in 145 (25%) strains. The TSST-1 gene was significantly associated with the agr group 3 (OR 56.8, 95% CI 32.0-100.8). MLVA analysis revealed a large diversity of genetic content and no clonal relationship was demonstrated among the analysed MSSA strains. Multilocus sequence typing confirmed this observation of diversity and identified ST45 as a frequent colonizer. This broad diversity in MSSA carriage strains suggests a limited selection pressure in our geographical area.
Keywords
Anti-Bacterial Agents/pharmacology, Bacterial Toxins/genetics, Bacterial Typing Techniques, Carrier State/epidemiology, Carrier State/microbiology, Child, Child, Preschool, Cluster Analysis, Female, Genotype, Humans, Infant, Male, Methicillin/pharmacology, Minisatellite Repeats, Molecular Epidemiology, Molecular Typing, Nose/microbiology, Staphylococcal Infections/epidemiology, Staphylococcal Infections/microbiology, Staphylococcus aureus/classification, Staphylococcus aureus/genetics, Staphylococcus aureus/isolation & purification, Switzerland/epidemiology, Virulence Factors/genetics
Pubmed
Web of science
Open Access
Yes
Create date
11/02/2010 11:48
Last modification date
14/05/2024 8:08
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