Absence of the mecC gene in methicillin-resistant Staphylococcus aureus isolated from various clinical samples: The first multi-centered study in Turkey

Çıkman, Aytekin; Aydın, Merve; Gülhan, Barış; Karakeçili, Faruk; Kurtoğlu, Muhammet Güzel; Yüksekkaya, Şerife; Parlak, Mehmet; Gültepe, Bilge; Çiçek, Ayşegül Çopur; Bilman, Fulya Bayındır; Çiftçi, İhsan Hakkı; Kara, Murat; Atmaca, Selahattin; Özekinci, Tuncer

doi:10.1016/j.jiph.2019.01.063

Cited by 34 publications

(25 citation statements)

References 36 publications

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“…Since then, several retrospective and prospective studies using human S. aureus isolates/samples were carried out in order to search for mecC -MRSA isolates ( Table 1 and Table 2 ) [ 16 , 18 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 ,…”

Section: Detection Of Mecc -Mrsa Isolates In Humentioning

confidence: 99%

“…In any case, the mecC -MRSA human prevalence detected in most of the studies was very low. Several studies did not identify any mecC -positive S. aureus among included human isolates/samples ( Table 2 ) [ 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 ]. In studies in which this gene was detected ( Table 1 ), the prevalence identified, considering the total number of isolates/samples included, was < 1% in most of the cases [ 24 , 27 , 28 , 29 , 32 , 33 , 37 , 40 , 41 , 42 , 43 ], similar to that identified in the first study in which mecC was discovered (approximately 0.04%) [ 16 ].…”

Section: Detection Of Mecc -Mrsa Isolates In Humentioning

confidence: 99%

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Human mecC-Carrying MRSA: Clinical Implications and Risk Factors

et al. 2020

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A new methicillin resistance gene, named mecC, was first described in 2011 in both humans and animals. Since then, this gene has been detected in different production and free-living animals and as an agent causing infections in some humans. The possible impact that these isolates can have in clinical settings remains unknown. The current available information about mecC-carrying methicillin resistant S. aureus (MRSA) isolates obtained from human samples was analyzed in order to establish its possible clinical implications as well as to determine the infection types associated with this resistance mechanism, the characteristics of these mecC-carrying isolates, their possible relation with animals and the presence of other risk factors. Until now, most human mecC-MRSA infections have been reported in Europe and mecC-MRSA isolates have been identified belonging to a small number of clonal complexes. Although the prevalence of mecC-MRSA human infections is very low and isolates usually contain few resistance (except for beta-lactams) and virulence genes, first isolates harboring important virulence genes or that are resistant to non-beta lactams have already been described. Moreover, severe and even fatal human infection cases have been detected. mecC-carrying MRSA should be taken into consideration in hospital, veterinary and food safety laboratories and in prevention strategies in order to avoid possible emerging health problems.

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Section: Detection Of Mecc -Mrsa Isolates In Humentioning

confidence: 99%

Section: Detection Of Mecc -Mrsa Isolates In Humentioning

confidence: 99%

Human mecC-Carrying MRSA: Clinical Implications and Risk Factors

et al. 2020

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“…A study by Basset et al [7] in Switzerland reported only one isolate (0.06%) carrying this gene, whereas a study conducted in the USA [21] detected no mecC-positive strains. Notably, only few studies are available regarding mecC in Turkey, and no MRSA strains were reported to carry this gene [22,23] . In a seven-year retrospective study by Kılıc et al [22] , overall, 1700 S. aureus isolates comprising 1177 MSSA and 523 MRSA strains were screened for mecC, while no mecCpositive strains were found.…”

Section: Discussionmentioning

confidence: 99%

“…They suggested that considering the regional epidemiological data in Turkey can rapidly change, multicenter studies should be conducted. In a recent multicenter study conducted by Cikman et al [23] , 494 MRSA strains isolated from seven geographical regions in Turkey were investigated, and no mecC-positive strains were detected. Similarly, we did not observe any mecC-positive isolates among the 179 S. aureus strains, of which 91 were MRSA and 88 were MSSA.…”

Section: Discussionmentioning

confidence: 99%

“…Paterson [20] Ganesan [21] Basset [7] Kılıc [22] Cıkman [23] England though automated systems are frequently used in routine laboratories for AST owing to their ease of use, there is negligible evidence regarding their ability to classify mecC-positive MRSA accurately [29] . A study by Kolenda et al [29] compared three automated AST systems regarding their ability to detect a large number of mecC-MRSA isolates (n=111) and observed that the phenotypic detection rate for mecC-MRSA by using the Phoenix system was low at 75%, while they concluded that this automated system might fail to detect mecC-encoded methicillin resistance.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Cefoxitin Disc Diffusion and Phoenix Automated System with mecA/mecC PCR for Determination of Methicillin Resistance in Staphylococcus aureus Isolates and Investigation the Presence of PVL Gene

Arıcı¹,

Bayraktar²

2019

mjima

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Introduction:A fast and accurate determination of methicillin resistance in Staphylococcus aureus strains is vital. This study aimed to compare the sensitivity and specificity of the cefoxitin disc diffusion (CDD) test and BD Phoenix automated system considering mecA/mecC positivity as the gold standard and to investigate the presence of Panton-Valentine leukocidin (PVL) toxin gene, a crucial virulence factor of S. aureus strains. Materials and Methods: Overall, 179 Staphylococcus aureus strains from various clinical samples were included. Antibiotic sensitivity was tested using the Phoenix automated system and by applying the Kirby-Bauer disc diffusion method for cefoxitin (30 μg). The mecA, mecC, and PVL presence was determined using the conventional multiplex polymerase chain reaction method. mecA/mecC positivity was considered as the gold standard. Statistical analysis was performed using SPSS 15.0 for Windows (Chicago, IL, USA). Results: Overall, 91 strains (50.8%) were mecA positive and identified as methicillin resistant Staphylococcus aureus (MRSA). No isolates containing the mecC gene were detected. The Phoenix automated system falsely identified six methicillin-sensitive S. aureus (MSSA) isolates, which were mecA and mecC negative as MRSA. The sensitivity and specificity of the CDD test were found to be 100% in determining MRSA, and the sensitivity and specificity the Phoenix automated system were 100% and 93.2%, respectively. The PVL positivity rate in MRSA and MSSA strains was 6.5% and 7.4%, respectively. All PVL-positive strains were isolated from the skin and soft tissues. Conclusion:The CDD test is a reliable method for routine procedures. Methicillin-sensitive strains can be determined as MRSA via the Phoenix automated system. Nevertheless, mecC-controlled MRSA should not be excluded from methods used for determining methicillin resistance. Panton-Valentine leukocidin toxin gene should be determined to enable clinicians to understand the infection severity. Giriş: Staphylococcus aureus kökenlerinde metisilin direncinin hızlı ve doğru bir şekilde belirlenmesi hayati öneme sahiptir. Bu çalışmada, mecA/ mecC pozitifliği altın standart kabul edilerek, sefoksitin disk difüzyon (CDD) testinin ve BD Phoenix otomatize sisteminin duyarlılık ve özgüllüklerinin karşılaştırılması ve S. aureus kökenlerinin önemli bir virülans faktörü olan Panton-Valentine lökosidin (PVL) toksin geni varlığının araştırılması amaçlandı. Gereç ve Yöntem: Çeşitli klinik örneklerden elde edilmiş toplam 179 S. aureus suşu çalışmaya dahil edildi. Antibiyotik duyarlılığı, Phoenix otomatize sistemi ve sefoksitin (30 μg) için Kirby-Bauer disk difüzyon yöntemi uygulanarak test edildi. mecA, mecC ve PVL genlerinin varlığı konvansiyonel Staphylococcus aureus İzolatlarında Metisilin Direncinin Belirlenmesinde Sefoksitin Disk Difüzyon ve Phoenix Otomatize Sisteminin mecA/mecC PZR Yöntemi ile Karşılaştırılması ve PVL Gen Varlığının Araştırılması Abstract Öz

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Characterization and pathogenicity of multidrug-resistant coagulase-negative Staphylococci isolates in chickens

et al. 2023

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The pathogenic potential of vancomycin and methicillin-resistant coagulase-negative Staphylococci (VMRCoNS) on Egyptian poultry farms has received little attention. Therefore, this study aims to study the prevalence of CoNS in imported poultry flocks and commercial poultry farms, evaluate the presence of virulence and antibiotic resistance genes (sea, seb, sec, sed, see, and mecA), and assess their pathogenicity in broiler chicks. Seven species were identified among 25 isolates, such as 8 S. gallinarum, 5 S. saprophyticus, 5 S. chromogens, 3 S. warneri, 2 S. hominis, 1 S. caprae, and 1 S. epidermidis. All isolates were resistant to clindamycin, doxycycline, vancomycin, methicillin, rifampicin, and penicillin. The mecA gene was confirmed in 14 isolates, while the sed gene was revealed in seven isolates. Commercial 1-day-old Ross broiler chicks were divided into eight groups of three replicates (10 birds/group): group Ӏ was negative control; groups (П, Ш, IV, V, VI, VII, and VIII) were subcutaneously inoculated with 108 CFUml−1 of S. hominis, S. caprae, S. epidermidis, S. gallinarum, S. chromogens, S. warneri, and S. saprophyticus, respectively. Groups VIII and V had mortality rates of 100% and 20%, respectively, with no evidence of mortalities in the other groups. The highest re-isolation of CoNS species was recorded in groups VII, VIII, and V. Postmortem and histopathological examination revealed the common presence of polyserositis in the internal organs, and hepatic and myocardial necrosis in groups IV, V, and VI. These findings revealed the pathogenic potential of CoNS, so special attention must be directed toward their public health impact.

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Absence of the mecC gene in methicillin-resistant Staphylococcus aureus isolated from various clinical samples: The first multi-centered study in Turkey

Cited by 34 publications

References 36 publications

Human mecC-Carrying MRSA: Clinical Implications and Risk Factors

Human mecC-Carrying MRSA: Clinical Implications and Risk Factors

Comparison of Cefoxitin Disc Diffusion and Phoenix Automated System with mecA/mecC PCR for Determination of Methicillin Resistance in Staphylococcus aureus Isolates and Investigation the Presence of PVL Gene

Characterization and pathogenicity of multidrug-resistant coagulase-negative Staphylococci isolates in chickens

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