Staphylococci Antimicrobial Tolerance, Persistent Infection and Antimicrobial Strategies

A special issue of Antibiotics (ISSN 2079-6382). This special issue belongs to the section "Antibiotic Therapy in Infectious Diseases".

Deadline for manuscript submissions: closed (30 October 2023) | Viewed by 3170

Special Issue Editors


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Guest Editor
Department of Laboratory Medicine, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China
Interests: Staphylococcus aureus; persistent infection; biofilm; evolution

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Guest Editor
Department of Microbiology, College of Basic Medical Sciences, Army Medical University, 30 Gaotanyan Street, Shapingba District, Chongqing 400038, China
Interests: Staphylococcus aureus; drug resistance; small colony formation

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Guest Editor
Department of Infectious Diseases, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang 310016, China
Interests: Staphylococcus; resistance mechanism; molecular epidemiology; infectious endocarditis

Special Issue Information

Dear Colleagues,

Staphylococci are pathogens causing a vast array of infections with significant mortality in humans. These organisms can infect virtually any tissue of the body. Moreover, they readily grow on artificial surfaces of implanted devices such as prosthetic heart valves and intravascular and urinary catheters. They were designated as a “persistent pathogen” due to their unusual recalcitrance towards antibiotic treatment, which to date has remained a major clinical challenge. Current antibiotics present a reduced capacity to eradicate staphylococci in abscesses or implant infections without surgical support . Physicians choose antibiotics according to a strain’s MIC as determined with susceptibility tests in vitro. However, antimicrobial therapy frequently fails despite susceptibility in standard microbiological assays. Emerging evidence indicates that the ability of staphylococci to become antibiotic-tolerant through versatile physiological changes within their host represents a major microbiological reason for the high rate of treatment failure. The application of “omics” technology to investigate staphylococcal physiological change mechanisms during infections helps us to understand the triggers of increased antibiotic survival in the context of various types of infection and life forms of the staphylococci. Due to a growing awareness of increased antibiotic survival, a great deal of research has turned its focus to new ways of treating and eradicating tolerant staphylococci. However, more studies are needed to better understand the dynamics, mechanisms and relevance of tolerant staphylococci at the site of infection and advance the fight against one of mankind’s enduring foes. This Special Issue seeks manuscript submissions that further our understanding of advanced Staphylococci antimicrobial tolerance, persistent infection and antimicrobial strategies.

Prof. Dr. Lei He
Prof. Dr. Xiancai Rao
Prof. Dr. Yan Chen
Guest Editors

Manuscript Submission Information

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Keywords

  • staphylococcal infection
  • persistent pathogen
  • implant infection
  • biofilm
  • antibiotic tolerance
  • SCV
  • phenotypic tolerance
  • persister
  • antimicrobial strategies
  • genomics
  • within-host evolution

Published Papers (1 paper)

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Research

13 pages, 1134 KiB  
Article
Virulence Determinants and Methicillin Resistance in Biofilm-Forming Staphylococcus aureus from Various Food Sources in Bangladesh
by Fatimah Muhammad Ballah, Md. Saiful Islam, Md. Liton Rana, Md. Ashek Ullah, Farhana Binte Ferdous, Fahim Haque Neloy, Samina Ievy, Md. Abdus Sobur, AMM Taufiquer Rahman, Mst. Minara Khatun, Marzia Rahman and Md. Tanvir Rahman
Antibiotics 2022, 11(11), 1666; https://doi.org/10.3390/antibiotics11111666 - 20 Nov 2022
Cited by 8 | Viewed by 2791
Abstract
The eradication of staphylococcal infections has become more difficult due to the development of antibiotic resistance and virulence in biofilm-forming Staphylococcus aureus. The presence of the life-threatening zoonotic pathogen, methicillin-resistant S. aureus (MRSA), in foods indicates a public health issue. This study, [...] Read more.
The eradication of staphylococcal infections has become more difficult due to the development of antibiotic resistance and virulence in biofilm-forming Staphylococcus aureus. The presence of the life-threatening zoonotic pathogen, methicillin-resistant S. aureus (MRSA), in foods indicates a public health issue. This study, therefore, aimed to determine virulence factors and methicillin resistance in biofilm-forming S. aureus isolates from different foods and food handlers. A total of 100 PCR-positive S. aureus isolates (97 biofilm formers and three non-biofilm formers) were screened using the disk diffusion method and PCR assay. By PCR, genes encoding virulence factors, e.g., enterotoxin (sea, 30%, 95% CI: 21.90–39.59%), toxic shock syndrome toxin (tst, 20%, 95% CI: 13.34–28.88%), and Panton–Valentine leukocidin toxin (PVL, 15%, 95% CI: 9.31–23.28%), were detected in the S. aureus isolates. By the disk diffusion method, 100% (95% CI: 96.30–100.00%) of S. aureus isolates were phenotypically MRSA in nature, showing 100% resistance to oxacillin and cefoxitin. Moreover, the methicillin-resistant gene mecA was found in 61 (61%, 95% CI: 51.20–69.98%) MRSA isolates. Furthermore, all the S. aureus isolates were phenotypically resistant to ampicillin and penicillin, 30% to erythromycin, and 11% to gentamycin. Among them, 51% (95% CI: 41.35–60.58%) of S. aureus isolates were phenotypically multidrug-resistant in nature, and the multiple antibiotic resistance index varied from 0.33 to 0.55. Genes encoding resistance to beta-lactams (blaZ, 100%, 95% CI: 96.30–100.00%) and tetracyclines (tetA and tetC, 3%, 95% CI: 0.82–8.45%) were found positive in the S. aureus isolates. Genes encoding virulence determinants and MRSA were significantly (p < 0.05) higher in strong biofilm-forming S. aureus than in moderate and non-biofilm-forming isolates. To our knowledge, this is the first study in Bangladesh to incorporate preliminary data on the occurrence of virulence determinants and methicillin resistance, including resistance to clinically important antibiotics, in biofilm-forming S. aureus isolates from different foods and food handlers in Bangladesh, emphasizing a potential threat to human health. Full article
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