Prevalence of Methicillin-Resistant Staphylococcus aureus Carrying Panton-Valentine Leukocidin Gene in Cutaneous Infections in the City of Isfahan
Abstract
Background: Methicillin-Resistant Staphylococcus aureus (MRSA) is a major cause of Nosocomial and community infections that are becoming increasingly difficult to combat, because of emerging resistance to all classes of antibiotics. Moreover Panton-Valentine leukocidin (PVL) is an important virulence factor in S. aureus and causes white blood cell destruction, necrosis and accelerated apoptosis. The aim of this study was to determine the frequency of PVL-positive MRSA in cutaneous infections, for epidemiological purposes and also to determine antibiotic resistance of the isolates.
Methods: Collectively, 56 isolates of S. aureus were obtained from Isfahan University of Medical sciences affiliated hospitals and confirmed with biochemical tests (coagulase, mannitol fermentation, and DNase). Then polymerase chain reaction (PCR) was used to detect pvl gene. Coagulase gene was used as internal control. The antibiotic susceptibility of all isolates to methicillin was determined using disk diffusion method.
Results: Out of 56 isolates 14.3% were PVL positive that 37.5% were from abscess and 62.5% were from wound. Among all of these isolates 67.8% were MRSA and also 75% of PVL-positive isolates were MRSA.
Conclusion: The prevalence of PVL positive MRSA in cutaneous isolates is high. Future works are necessary for a more complete understanding of distribution of these virulent isolates in nasal carriers to decrease the risk of infections
Holmes A, Ganner M, Mc Guane S, et al. Staphylococcus aureus isolates carrying Panton-Valentine leukocidin genes in England and Wales: frequency, characterization and association with clinical disease. J Clin Microbiol 2005; 43 (5): 2384-90.
Supersac G, Prevost G, Piemont Y. Sequencing of leukocidin R from Staphylococcus aureus P83 suggests that staphylococcal leukocidins and Gamma-hemolysin are members of a single, two component family of toxins. Infect Immune 1993; 61 (2): 580-7.
Gladstone GP, Reilly M, Phonimdaeng P, Cooney J et al. Molecular genetic analysis of gamma toxin. J Clin Microbiol 1990; 22: 404-408.
Panton PN, Camp FC, Valentine MR, et a l . Staphylococcal toxin. Lancet 1932; 1: 506-8.
Woodin AM. Purification of the two components of leukocidin from Staphylococcus aureus. Biochem J 1960; 75: 158-65.
Taylor A, Bernheimer AW. Further characterization of staphylococcal gammahemolysin. Infect Immune 1974; 10 (1): 54-9.
Morinaga N , Kainhou Y, Noda M. Purification cloning and characterization of variant LukE-LukD with strong leukocidal activity of staphylococcal bi-component leukotoxins family. Microbiol Immunol 2003; 47 (1): 81-90.
Genestier AL, Michallet MC, Prevost G et al. Staphylococcus aureus Panton-Valentine Leukocidin directly targets mitochondria and induces Bax-independent apoptosis of human neutrophil. J Clin Invest 2005; 115 (11): 3117-27.
Narita S, Kaneko J, Chiba J, et al. Phage conversion of Panton-Valentine Leukocidin in Staphylococcus aureus: molecular analysis of a PVL-Converting phage, SLT. Gene 2001; 268 (1-2): 195-206.
Enright MC, Robinson DA, Randle G, et al. The evolutionary history of methicillin-resistant Staphylococcus aureus (MRSA). PNAS 2002; 99 (11): 7687-92.
Moneckel S, Slickers P, Hotzel H, et al. Microarray-based characterization of a Panton-Valentine leukocidin-positive community-acquired strain of Methicillin-resistant Staphylococcus aureus Clin Microbiol Infect . 2006; 12 (8): 718-28.
Shannon M, Heller L,Arbuckle J, et al. Staphylococcal cassette chromosome mec and of Panton-Valentine Leukocidin characterization of methicillin- resistant Staphylococcus aureus clones. J Clin Microbiol 2007; 45 (3): 1019-21.
Nolte O, Haag H, Zimmerman A, et al. Staphylococcus aureus positive for Panton- Valentine Leukocidin genes but susceptible to methicillin in patients with furuncles. Eur J Clin Microbiol Infect Dis 2005; 24 (7): 477-9.
Boussaud V, Parrot A, Mayaud C, et al. Life threatening hemoptysis in adults with community- acquired pneumonia due to Panton-Valentine Leukocidin-Secreting Staphylococcus aureus. Intensive Care Med 2003; 29 (10): 1840-3.
Miklasevics E, Haeggman S, Balode A, et al. Report on the first PVL-Positive community acquired MRSA strain in Latvia. Euro surveill 2004; 9 (11): 29-30.
Naimi TS, LeDell KH, Boxrud DJ, et al. Epidemiology and cllonality of community acquired methicillin-resistant Staphylococcus aureus in Minnesota, 1996-1998. Clin Infect Dis 2001; 33 (7): 990-6.
Krziwanek K, Luger C, Sammer B, et al. PVL- positive MRSA in Austria. Eur J Clin Microbiol Infect Dis 2007; 26 (12): 931-5.
Havaei SA, Ohadian S, Pourmand MR, et al.Prevalence of Genes Encoding bi-component leukocidins among clinical isolates of methicillin- resistant Staphylococcus aureus. Iranian J Publ Health 2010; 39 (1): 8-14.
Boubaker K, Diebold P, Blanc DS et al. Panton- Valentine Leukocidin and staphylococcal skin infections in school children. Emerg Infect Dis 2004; 10 (1): 121-4.
Centers for disease control and prevention.Outbreaks of community-acquired methicillin resistant Staphylococcus aureus skin infections. Morb Mortal Wkly Rep 2003; 52: 88.
Sola C, Saka H, Vindel A, et al. High frequency of Panton-Valentine leukocidin genes in invasive methicillin-susceptible Staphylococcus aureus strains and the relationship with methicillin- resistant Staphylococcus aureus in Córdoba, Argentina. Eur J Clin Microbiol Infect Dis 2007;26 (4): 281-6.
Lina G, Piémont Y, Godail-Gamot F, et al.Involvement of Panton valentine leukocidin producing Staphylococcus aureus in primary skin infections and pneumonia. Clin Infect Dis 1999;29 (5): 1128-32.
Prévost G, Supersac G, Colin DA et al. The new family of leukocidins from Staphylococcus aureus: Structural and biological properties. Zentralbl Bakteriol Suppl 1994; 24: 284-93.
Couppie P, Cribier B, Prévost G, et al.Leukocidin from Staphylococcus aureus and cutaneus infections: an epidemiologic study. Arch Dermatol 1994; 130 (9): 1208-9.
Cribier B, Prévost G, Couppie P, et al.Staphylococcus aureus leukocidin: a new
virulence factor in cutaneus Infections? An epidemiological and experimental study. Dermatology 1992; 185 (3): 175-80.
Department of health. Interim guidance on diagnosis and management of PVL-associated staphylococcal infections in the UK. Clin Infect 2007; 22: 118-26.
Osterlund A, Kahlmeter G, Bieber L, et al.Interfamilial spread of highly virulent Staphylococcus aureus strains carrying the gene for Panton-Valentine leukocidin. Scand J Infect Dis 2002; 34 (10): 763-4.
Kuehnert MJ, Kruszon-Moran D, Hill H, et al.Prevalence of Staphylococcus aureus nasal colonization in the United States, 2001-2002. J Infect Dis 2006; 193 (2): 172-9.
Martinez-Aguilar G, Avalos-Mishaan A, Hulten K, et al. Community-acquired, methicillin- resistant and methicillin-susceptible Staphylococcus aureus infections in children. Pediatr Infect Dis J 2004; 23 (8): 701-6.
Wannet WJ, Spalburg E, Heck ME, et al.Emergence of virulent methicillin-resistant Staphylococcus aureus strains carrying Panton- Valentine Leukocidin genes in the Netherlands. J Clin Microbiol 2005; 43 (7): 3341-5.
Wannet WJ, Heck ME, Pluister GN, et al.Panton-Valentine leukocidin positive MRSA in 2003: the Dutch situation. Euro surveill 2004; 9(11): 28-29.
Miklasevics E, Haegman S, Balodel A, et al.Report on the first PVL-positive community acquired MRSA strain in Latvia. Euro surveill 2003; 9 (11): 29-30.
Fey P, Said-Salim B, Rupp M, et al. Comparative molecular analysis of community- or hospital- acquired methicillin-resistant Staphylococcus aureus. Antimicrob Agents Chemother 2003; 47 (1): 196-203.
Gravet A, Rondeau M, Harf-Monteil C, et al.Predominant Staphylococcus aureus isolated from antibiotic-associated diarrhea is clinically relevant and produces enterotoxin A and the bicomponent toxin LukE-LukD. J Clin Microbiol 1999; 37 (12): 4012-9.
O'Brien FG, Pearman JW, Gracey M, et al.Community strain of methicillin-resistant Staphylococcus aureus involved in a hospital outbreak. J Clin Microbiol 1999; 37 (9): 2858-62.
Ramdani-Bouguessa N, Bes M, Meugnier H, et al. Detection of methicillin-resistant Staphylococcus aureus strains resistant to multiple antibiotics and carrying the Panton- Valentine leukocidin genes in an Algiers hospital. Antimicrob Agents Chemother 2006; 50 (3):1083-5.
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Issue | Vol 1 No 1-2 (2012) | |
Section | Original Articles | |
Keywords | ||
Methicillin-Resistant Staphylococcus aureus Panton-Valentine leukocidin Polymerase Chain Reaction |
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