During a 3-year study period, 32,741 urine samples were analyzed for the presence of members of the Staphylococcus sciuri group (S. sciuri, S. lentus, and S. vitulinus), and 13 isolates were identified. They presented 0.79% of the total number of coagulase-negative staphylococci isolated. One case of symptomatic urinary tract infection and five possible cases of asymptomatic bacteriuria caused by these bacteria were established. It is noteworthy, however, that over 50% of the isolates originated from hospitalized patients.Coagulase-negative staphylococci (CoNS), with the exception of Staphylococcus saprophyticus, are generally considered to be bacteria of doubtful pathogenicity in the urinary tract (1,14). However, a few recent studies proposed that significance of some CoNS species as uropathogens may have been somewhat underestimated (6, 7).Members of the Staphylococcus sciuri group, S. sciuri, S. lentus, S. vitulinus, and S. pulvereri (15), are principally animal species (3,11,17,21), but they may colonize humans, and their isolation from various human clinical specimens has been reported (2,11,13,16,17,22). Moreover, S. sciuri has been associated with serious infections in humans, such as endocarditis (8), peritonitis (24), septic shock (10), and wound infections (20). Several investigators have reported isolation of S. sciuri (4, 6, 16) and S. lentus (6) from urine. However, they did not specify whether the strains isolated were recovered in pure or mixed culture, the colony counts were not reported, and the relationship between the isolates obtained from urine and urinary tract infections (UTIs) was not discussed. The objectives of the present study were to determine the frequency of isolation of the members of S. sciuri group from urine and to evaluate the significance of these isolates as potential ethiological agents of UTIs.Study population. Urine samples were collected from 32,741 hospitalized patients as well as outpatients examined at three hospitals in the region of Příbram The medical records of patients with urine cultures positive for the members of the S. sciuri group were reviewed for symptoms and signs of UTI (dysuria, urinary frequency, urinary urgency, and costovertebral tenderness), underlying medical disorders, and antimicrobial treatment.
S. sciuri group isolation and identification.Approximately 95% of samples were cultured on a Uricult dipslide (Orion Diagnostica, Helsinki, Finland), and the remaining specimens were inoculated on Columbia agar supplemented with 5% sheep blood and MacConkey agar. The plates were examined after overnight incubation at 35°C. Any colony that resembled staphylococci was subcultured and further tested. Preliminary identification of an isolate as a member of the S. sciuri group was based upon microscopical characteristics, positive catalase reaction, positive oxidase test, and resistance to novobiocin. Identification to the species level was done with a STAPHYtest 16 kit (Pliva-Lachema, Brno, Czech Republic) and additional biochemical characterization accordi...