Epidemiologia molecular de Staphylococcus epidermidis isolados de infecções de corrente sanguinea em pacientes do Hospital das Clinicas da UNICAMP

AUTOR(ES)
DATA DE PUBLICAÇÃO

2005

RESUMO

Clinical strains of Staphylococcus epidermidis taken from bloodstream infection from UNICAMP (teaching hospital in Campinas São Paulo State, Brazil) were analyzed. The strains were characterized by phenotypic and genotypic analysis. The antimicrobial susceptibility tests were made to compare the disk diffusion tests, MIC, and agar-salt screening-test to determine the relevant clinical antimicrobial resistance. There were also made PCR assays for mecA detection, biofilm production, genotypic by SmaI-digested and pulsed-field gel electrophoresis. Patients epidemiological data were employed to determine the major clinical importance of these strains. For oxacillin 82 strains were resistant, and 78 (95.12%) had positive PCR assay for mecA gene, and two strains presented characteristics of ?-lactamases hyperproduction. In the MIC tests for teicoplanin, 52 strains were susceptible; 35 strains intermediate and 13 strains were resistant, and when compared to the results obtained by disk diffusion tests, MIC, were observed discordant results in 43% of the strains where the disk diffusion test was not able to identify strains intermediate and resistant (P <0.001). MIC test had only one intermediate of 8.0 ?g/mL for vancomycin. Strains vancomycin-resistant were not observed. The variable data statistically significant in the logistic regression analysis related to the treatment of the BSI by S. epidermidis were: neutropenia (P = 0.002) and chemotherapy (P = 0.015). The genotyping analysis of isolates demonstrated a clonal distribution of S. epidermidis in the hospital environment and it was checked that dilution tests are necessary when glycopeptides are being studied.. The phylogenetic analysis showed great genetic stability and adaptability of the mecA gene responsible for the oxacillin resistance

ASSUNTO(S)

staphylococcus epidermidis infecção hospitalar eletroforese em gel de campo pulsado epidemiologia molecular eletroforese em gel

ACESSO AO ARTIGO

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