Heterogeneous resistance to vancomycin in Staphylococcus epidermidis, Staphylococcus haemolyticus and Staphylococcus warneri clinical strains: characterisation of glycopeptide susceptibility profiles and cell wall thickening

The population analysis profile (PAP) method as well as analysis of autolytic activity and cellular ultrastructure by transmission electron microscopy (TEM) were used to characterise Staphylococcus epidermidis, Staphylococcus haemolyticus and Staphylococcus warneri clinical strains with reduced susc...

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Veröffentlicht in:International journal of antimicrobial agents 2006-04, Vol.27 (4), p.307-315
Hauptverfasser: Nunes, Ana Paula Ferreira, Teixeira, Lúcia Martins, Iorio, Natália Lopes Pontes, Bastos, Carla Callegário Reis, Fonseca, Leila de Sousa, Souto-Padrón, Thaís, dos Santos, Kátia Regina Netto
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container_issue 4
container_start_page 307
container_title International journal of antimicrobial agents
container_volume 27
creator Nunes, Ana Paula Ferreira
Teixeira, Lúcia Martins
Iorio, Natália Lopes Pontes
Bastos, Carla Callegário Reis
Fonseca, Leila de Sousa
Souto-Padrón, Thaís
dos Santos, Kátia Regina Netto
description The population analysis profile (PAP) method as well as analysis of autolytic activity and cellular ultrastructure by transmission electron microscopy (TEM) were used to characterise Staphylococcus epidermidis, Staphylococcus haemolyticus and Staphylococcus warneri clinical strains with reduced susceptibility to glycopeptides. All strains showed heterogeneous profiles to vancomycin and teicoplanin by the PAP method. Subpopulations that grew in the presence of high concentrations of each drug were selected from the PAP as derivative strains. Their glycopeptide minimal inhibitory concentrations (MICs) were determined and subsequently all parental and derivative strains were grown in one-half of the MIC of vancomycin or teicoplanin. An increase in cell wall thickness of all derivative strains was seen by TEM, with statistically significant values ( P < 0.01) compared with their respective parental strains. In general, variable rates of autolysis among the strains were observed. Cell wall thickness is an important factor involved in glycopeptide resistance and, in association with PAP results, confirmed the Brazilian coagulase-negative staphylococci clinical isolates as being heteroresistant to glycopeptides. Detection of these heteroresistant organisms is important in order to achieve more judicious use of vancomycin and teicoplanin in hospitals.
doi_str_mv 10.1016/j.ijantimicag.2005.11.013
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subjects Anti-Bacterial Agents - pharmacology
Antibiotics. Antiinfectious agents. Antiparasitic agents
Bacteriolysis
Biological and medical sciences
Brazil
Cell Wall - ultrastructure
Colony Count, Microbial
Heteroresistance
Humans
Medical sciences
Microbial Sensitivity Tests
Microscopy, Electron, Transmission
Pharmacology. Drug treatments
Population analysis profile
Staphylococcal Infections - microbiology
Staphylococci
Staphylococcus - drug effects
Staphylococcus - isolation & purification
Staphylococcus - ultrastructure
Staphylococcus epidermidis
Staphylococcus epidermidis - drug effects
Staphylococcus epidermidis - isolation & purification
Staphylococcus epidermidis - ultrastructure
Staphylococcus haemolyticus
Staphylococcus haemolyticus - drug effects
Staphylococcus haemolyticus - isolation & purification
Staphylococcus warneri
Teicoplanin
Teicoplanin - pharmacology
Transmission electron microscopy
Vancomycin
Vancomycin Resistance
title Heterogeneous resistance to vancomycin in Staphylococcus epidermidis, Staphylococcus haemolyticus and Staphylococcus warneri clinical strains: characterisation of glycopeptide susceptibility profiles and cell wall thickening
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