Characterization of a cfr-positive methicillin-resistant Staphylococcus epidermidis strain of the lineage ST22 implicated in a life-threatening human infection

被引:20
作者
Lozano, Carmen [1 ]
Ruiz-Garcia, Montserrat [2 ]
Gomez-Sanz, Elena [1 ]
Lopez-Garcia, Pilar [2 ]
Royo-Garcia, Gloria [2 ]
Zarazaga, Myriam [1 ]
Torres, Carmen [1 ]
机构
[1] Univ La Rioja, Area Bioquim & Biol Mol, Logrono 26006, Spain
[2] Hosp Gen Univ Elche, Secc Microbiol, Elche 03203, Spain
关键词
cfr; MRSE; ST22; fexA; Linezolid resistance; 23S RIBOSOMAL-RNA; LINEZOLID RESISTANCE; UNITED-STATES; 1ST REPORT; GENE CFR; AUREUS; CHLORAMPHENICOL; FLORFENICOL; MUTATIONS; MECHANISM;
D O I
10.1016/j.diagmicrobio.2012.04.013
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The cfr gene was identified in 3 methicillin-resistant Staphylococcus epidermidis (MRSE) isolates of lineage ST22 implicated in a fatal human infection. MRSE isolates displayed an indistinguishable pulsed-field gel electrophoresis profile and SCCmec type III, and showed a multiresistance phenotype. The presence of cfr, fexA, aac(6')-aph(2 ''), and dfrS1 genes was confirmed by polymerase chain reaction and sequencing. A mutation in 23S rRNA gene (C2534T) and amino acid changes and/or insertions in 13 and L4 proteins were detected. The cfr and fexA genes were located in a conjugative plasmid of approximately 45 kb and in the chromosome. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:380 / 382
页数:3
相关论文
共 23 条
[1]  
[Anonymous], 2011, 21 INFORMATIONAL SUP
[2]   DNA methylase modifications and other linezolid resistance mutations in coagulase-negative staphylococci in Italy [J].
Bongiorno, Dafne ;
Campanile, Floriana ;
Mongelli, Gino ;
Baldi, Maria Teresa ;
Provenzani, Rosamaria ;
Reali, Silvia ;
Lo Russo, Carolina ;
Santagati, Maria ;
Stefani, Stefania .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2010, 65 (11) :2336-2340
[3]   LEADER Program Results for 2009: an Activity and Spectrum Analysis of Linezolid Using 6,414 Clinical Isolates from 56 Medical Centers in the United States [J].
Farrell, David J. ;
Mendes, Rodrigo E. ;
Ross, James E. ;
Sader, Helio S. ;
Jones, Ronald N. .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2011, 55 (08) :3684-3690
[4]   Nosocomial outbreak of linezolid-resistant Enterococcus faecalis infection in a tertiary care hospital [J].
Gomez-Gil, Rosa ;
Pilar Romero-Gomez, Maria ;
Garcia-Arias, Africa ;
Gallego Ubeda, M. ;
Sota Busselo, M. ;
Cisterna, Ramon ;
Gutierrez-Altes, Avelino ;
Mingorance, Jesus .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2009, 65 (02) :175-179
[5]  
박혜경, 2008, Journal of Bacteriology and Virology, V38, P189
[6]   Distribution of florfenicol resistance genes fexA and cfr among chloramphenicol-resistant Staphylococcus isolates [J].
Kehrenberg, C ;
Schwarz, S .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2006, 50 (04) :1156-1163
[7]   A new mechanism for chloramphenicol, florfenicol and clindamycin resistance: methylation of 23S ribosomal RNA at A2503 [J].
Kehrenberg, C ;
Schwarz, S ;
Jacobsen, L ;
Hansen, LH ;
Vester, B .
MOLECULAR MICROBIOLOGY, 2005, 57 (04) :1064-1073
[8]   IS21-558 insertion sequences are involved in the mobility of the multiresistance gene cfr [J].
Kehrenberg, Corinna ;
Aarestrup, Frank M. ;
Schwarz, Stefan .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2007, 51 (02) :483-487
[9]   Dissemination of two international linezolid-resistant Staphylococcus epidermidis clones in Greek hospitals [J].
Liakopoulos, A. ;
Spiliopoulou, I. ;
Damani, A. ;
Kanellopoulou, M. ;
Schoina, S. ;
Papafragas, E. ;
Marangos, M. ;
Fligou, F. ;
Zakynthinos, E. ;
Makris, D. ;
Protonotariou, E. ;
Tsiapara, F. ;
Filos, K. ;
Diza, E. ;
Anastassiou, E. D. ;
Petinaki, E. .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2010, 65 (05) :1070-1071
[10]   The Cfr rRNA methyltransferase confers resistance to phenicols, lincosamides, oxazolidinones, pleuromutilins, and streptograrnin A antibiotics [J].
Long, Katherine S. ;
Poehlsgaard, Jacob ;
Kehrenberg, Corinna ;
Schwarz, Stefan ;
Vester, Birte .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2006, 50 (07) :2500-2505