Skip to main content
Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases 10/2010

01.10.2010 | Brief Report

First outbreak of PVL-positive nonmultiresistant MRSA in a neonatal ICU in Australia: comparison of MALDI-TOF and SNP-plus-binary gene typing

verfasst von: S. Schlebusch, G. R. Price, S. Hinds, C. Nourse, J. M. Schooneveldt, M. H. Tilse, H. G. Liley, T. Wallis, F. Bowling, D. Venter, G. R. Nimmo

Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases | Ausgabe 10/2010

Einloggen, um Zugang zu erhalten

Abstract

The purpose of this brief report is to describe the first outbreak of a community-associated nonmultiresistant and PVL-positive MRSA strain (CC30) in a neonatal intensive care unit in Australia. The utility of matrix-assisted laser desorption/ionisation time-of-flight mass spectrometry (MALDI-TOF-MS) for microbial typing is compared with single nucleotide polymorphism (SNP) plus binary gene analysis. The composite correlation index analysis of the MALDI-TOF-MS data demonstrated the similar inter-strain relatedness found with the SNP-plus-binary gene typing used to confirm the outbreak. The evolving spread of MRSA emphasizes the importance of surveillance, infection control vigilance and the ongoing investigation of rapid typing methods for MRSA.
Literatur
1.
Zurück zum Zitat Isaacs D, Fraser S, Hogg G, Li HY (2004) Staphylococcus aureus infections in Australasian neonatal nurseries. Arch Dis Child 89(4):F331–F335 Isaacs D, Fraser S, Hogg G, Li HY (2004) Staphylococcus aureus infections in Australasian neonatal nurseries. Arch Dis Child 89(4):F331–F335
2.
Zurück zum Zitat O’Brien FG, Pearman JW, Gracey M, Riley TV, Grubb WB (1999) Community strain of methicillin-resistant Staphylococcus aureus involved in a hospital outbreak. J Clin Microbiol 37(9):2858–2862PubMed O’Brien FG, Pearman JW, Gracey M, Riley TV, Grubb WB (1999) Community strain of methicillin-resistant Staphylococcus aureus involved in a hospital outbreak. J Clin Microbiol 37(9):2858–2862PubMed
3.
Zurück zum Zitat Huygens F, Inman-Bamber J, Nimmo GR, Munckhof W, Schooneveldt J, Harrison B, McMahon JA, Giffard PM (2006) Staphylococcus aureus genotyping using novel real-time PCR formats. J Clin Microbiol 44(10):3712–3719CrossRefPubMed Huygens F, Inman-Bamber J, Nimmo GR, Munckhof W, Schooneveldt J, Harrison B, McMahon JA, Giffard PM (2006) Staphylococcus aureus genotyping using novel real-time PCR formats. J Clin Microbiol 44(10):3712–3719CrossRefPubMed
4.
Zurück zum Zitat Sauer S, Freiwald A, Maier T, Kube M, Reinhardt R, Kostrzewa M, Geider K (2008) Classification and identification of bacteria by mass spectrometry and computational analysis. PLoS ONE 3(7):e2843CrossRefPubMed Sauer S, Freiwald A, Maier T, Kube M, Reinhardt R, Kostrzewa M, Geider K (2008) Classification and identification of bacteria by mass spectrometry and computational analysis. PLoS ONE 3(7):e2843CrossRefPubMed
5.
Zurück zum Zitat Arnold RJ, Reilly JP (1998) Fingerprint matching of E. coli strains with matrix-assisted laser desorption/ionization time-of-flight mass spectrometry of whole cells using a modified correlation approach. Rapid Commun Mass Spectrom 12(10):630–636CrossRefPubMed Arnold RJ, Reilly JP (1998) Fingerprint matching of E. coli strains with matrix-assisted laser desorption/ionization time-of-flight mass spectrometry of whole cells using a modified correlation approach. Rapid Commun Mass Spectrom 12(10):630–636CrossRefPubMed
6.
Zurück zum Zitat Taneike I, Otsuka T, Dohmae S, Saito K, Ozaki K, Takano M, Higuchi W, Takano T, Yamamoto T (2006) Molecular nature of methicillin-resistant Staphylococcus aureus derived from explosive nosocomial outbreaks of the 1980s in Japan. FEBS Lett 580(9):2323–2334CrossRefPubMed Taneike I, Otsuka T, Dohmae S, Saito K, Ozaki K, Takano M, Higuchi W, Takano T, Yamamoto T (2006) Molecular nature of methicillin-resistant Staphylococcus aureus derived from explosive nosocomial outbreaks of the 1980s in Japan. FEBS Lett 580(9):2323–2334CrossRefPubMed
7.
Zurück zum Zitat Centers for Disease Control and Prevention (1999) Four pediatric deaths from community-acquired methicillin-resistant Staphylococcus aureus—Minnesota and North Dakota, 1997–1999. JAMA 282(12):1123–1125 Centers for Disease Control and Prevention (1999) Four pediatric deaths from community-acquired methicillin-resistant Staphylococcus aureus—Minnesota and North Dakota, 1997–1999. JAMA 282(12):1123–1125
8.
Zurück zum Zitat Vandenesch F, Naimi T, Enright MC, Lina G, Nimmo GR, Heffernan H, Liassine N, Bes M, Greenland T, Reverdy ME, Etienne J (2003) Community-acquired methicillin-resistant Staphylococcus aureus carrying Panton-Valentine leukocidin genes: worldwide emergence. Emerg Infect Dis 9(8):978–984PubMed Vandenesch F, Naimi T, Enright MC, Lina G, Nimmo GR, Heffernan H, Liassine N, Bes M, Greenland T, Reverdy ME, Etienne J (2003) Community-acquired methicillin-resistant Staphylococcus aureus carrying Panton-Valentine leukocidin genes: worldwide emergence. Emerg Infect Dis 9(8):978–984PubMed
9.
Zurück zum Zitat Zetola N, Francis JS, Nuermberger EL, Bishai WR (2005) Community-acquired methicillin-resistant Staphylococcus aureus: an emerging threat. Lancet Infect Dis 5(5):275–286CrossRefPubMed Zetola N, Francis JS, Nuermberger EL, Bishai WR (2005) Community-acquired methicillin-resistant Staphylococcus aureus: an emerging threat. Lancet Infect Dis 5(5):275–286CrossRefPubMed
10.
Zurück zum Zitat Andersen BM, Bergh K, Steinbakk M, Syversen G, Magnaes B, Dalen H, Bruun JN (1999) A Norwegian nosocomial outbreak of methicillin-resistant Staphylococcus aureus resistant to fusidic acid and susceptible to other antistaphylococcal agents. J Hosp Infect 41(2):123–132CrossRefPubMed Andersen BM, Bergh K, Steinbakk M, Syversen G, Magnaes B, Dalen H, Bruun JN (1999) A Norwegian nosocomial outbreak of methicillin-resistant Staphylococcus aureus resistant to fusidic acid and susceptible to other antistaphylococcal agents. J Hosp Infect 41(2):123–132CrossRefPubMed
11.
Zurück zum Zitat Saiman L, O’Keefe M, Graham PL 3rd, Wu F, Said-Salim B, Kreiswirth B, LaSala A, Schlievert PM, Della-Latta P (2003) Hospital transmission of community-acquired methicillin-resistant Staphylococcus aureus among postpartum women. Clin Infect Dis 37(10):1313–1319CrossRefPubMed Saiman L, O’Keefe M, Graham PL 3rd, Wu F, Said-Salim B, Kreiswirth B, LaSala A, Schlievert PM, Della-Latta P (2003) Hospital transmission of community-acquired methicillin-resistant Staphylococcus aureus among postpartum women. Clin Infect Dis 37(10):1313–1319CrossRefPubMed
12.
Zurück zum Zitat O’Brien FG, Lim TT, Chong FN, Coombs GW, Enright MC, Robinson DA, Monk A, Said-Salim B, Kreiswirth BN, Grubb WB (2004) Diversity among community isolates of methicillin-resistant Staphylococcus aureus in Australia. J Clin Microbiol 42(7):3185–3190CrossRefPubMed O’Brien FG, Lim TT, Chong FN, Coombs GW, Enright MC, Robinson DA, Monk A, Said-Salim B, Kreiswirth BN, Grubb WB (2004) Diversity among community isolates of methicillin-resistant Staphylococcus aureus in Australia. J Clin Microbiol 42(7):3185–3190CrossRefPubMed
13.
Zurück zum Zitat Lina G, Piemont Y, Godail-Gamot F, Bes M, Peter MO, Gauduchon V, Vandenesch F, Etienne J (1999) Involvement of Panton-Valentine leukocidin-producing Staphylococcus aureus in primary skin infections and pneumonia. Clin Infect Dis 29(5):1128–1132CrossRefPubMed Lina G, Piemont Y, Godail-Gamot F, Bes M, Peter MO, Gauduchon V, Vandenesch F, Etienne J (1999) Involvement of Panton-Valentine leukocidin-producing Staphylococcus aureus in primary skin infections and pneumonia. Clin Infect Dis 29(5):1128–1132CrossRefPubMed
14.
Zurück zum Zitat Nourse C, Starr M, Munckhof W (2007) Community-acquired methicillin-resistant Staphylococcus aureus causes severe disseminated infection and deep venous thrombosis in children: literature review and recommendations for management. J Paediatr Child Health 43(10):656–661CrossRefPubMed Nourse C, Starr M, Munckhof W (2007) Community-acquired methicillin-resistant Staphylococcus aureus causes severe disseminated infection and deep venous thrombosis in children: literature review and recommendations for management. J Paediatr Child Health 43(10):656–661CrossRefPubMed
15.
Zurück zum Zitat David MD, Kearns AM, Gossain S, Ganner M, Holmes A (2006) Community-associated methicillin-resistant Staphylococcus aureus: nosocomial transmission in a neonatal unit. J Hosp Infect 64(3):244–250CrossRefPubMed David MD, Kearns AM, Gossain S, Ganner M, Holmes A (2006) Community-associated methicillin-resistant Staphylococcus aureus: nosocomial transmission in a neonatal unit. J Hosp Infect 64(3):244–250CrossRefPubMed
16.
Zurück zum Zitat Nguyen DM, Bancroft E, Mascola L, Guevara R, Yasuda L (2007) Risk factors for neonatal methicillin-resistant Staphylococcus aureus infection in a well-infant nursery. Infect Control Hosp Epidemiol 28(4):406–411CrossRefPubMed Nguyen DM, Bancroft E, Mascola L, Guevara R, Yasuda L (2007) Risk factors for neonatal methicillin-resistant Staphylococcus aureus infection in a well-infant nursery. Infect Control Hosp Epidemiol 28(4):406–411CrossRefPubMed
17.
Zurück zum Zitat Saunders A, Panaro L, McGeer A, Rosenthal A, White D, Willey BM, Gravel D, Bontovics E, Yaffe B, Katz K (2007) A nosocomial outbreak of community-associated methicillin-resistant Staphylococcus aureus among healthy newborns and postpartum mothers. Can J Infect Dis Med Microbiol 18(2):128–132PubMed Saunders A, Panaro L, McGeer A, Rosenthal A, White D, Willey BM, Gravel D, Bontovics E, Yaffe B, Katz K (2007) A nosocomial outbreak of community-associated methicillin-resistant Staphylococcus aureus among healthy newborns and postpartum mothers. Can J Infect Dis Med Microbiol 18(2):128–132PubMed
18.
Zurück zum Zitat Sax H, Posfay-Barbe K, Harbarth S, Francois P, Touveneau S, Pessoa-Silva CL, Schrenzel J, Dharan S, Gervaix A, Pittet D (2006) Control of a cluster of community-associated, methicillin-resistant Staphylococcus aureus in neonatology. J Hosp Infect 63(1):93–100CrossRefPubMed Sax H, Posfay-Barbe K, Harbarth S, Francois P, Touveneau S, Pessoa-Silva CL, Schrenzel J, Dharan S, Gervaix A, Pittet D (2006) Control of a cluster of community-associated, methicillin-resistant Staphylococcus aureus in neonatology. J Hosp Infect 63(1):93–100CrossRefPubMed
19.
Zurück zum Zitat Gould IM, Girvan EK, Browning RA, Mackenzie FM, Edwards GF (2009) Report of a hospital neonatal unit outbreak of community-associated methicillin-resistant Staphylococcus aureus. Epidemiol Infect 137:1242–1248 Gould IM, Girvan EK, Browning RA, Mackenzie FM, Edwards GF (2009) Report of a hospital neonatal unit outbreak of community-associated methicillin-resistant Staphylococcus aureus. Epidemiol Infect 137:1242–1248
20.
Zurück zum Zitat Bratu S, Eramo A, Kopec R, Coughlin E, Ghitan M, Yost R, Chapnick EK, Landman D, Quale J (2005) Community-associated methicillin-resistant Staphylococcus aureus in hospital nursery and maternity units. Emerg Infect Dis 11(6):808–813PubMed Bratu S, Eramo A, Kopec R, Coughlin E, Ghitan M, Yost R, Chapnick EK, Landman D, Quale J (2005) Community-associated methicillin-resistant Staphylococcus aureus in hospital nursery and maternity units. Emerg Infect Dis 11(6):808–813PubMed
21.
Zurück zum Zitat Regev-Yochay G, Rubinstein E, Barzilai A, Carmeli Y, Kuint J, Etienne J, Blech M, Smollen G, Maayan-Metzger A, Leavitt A, Rahav G, Keller N (2005) Methicillin-resistant Staphylococcus aureus in neonatal intensive care unit. Emerg Infect Dis 11(3):453–456PubMed Regev-Yochay G, Rubinstein E, Barzilai A, Carmeli Y, Kuint J, Etienne J, Blech M, Smollen G, Maayan-Metzger A, Leavitt A, Rahav G, Keller N (2005) Methicillin-resistant Staphylococcus aureus in neonatal intensive care unit. Emerg Infect Dis 11(3):453–456PubMed
22.
Zurück zum Zitat Zingg W, Posfay-Barbe KM, Pittet D (2008) Healthcare-associated infections in neonates. Curr Opin Infect Dis 21(3):228–234CrossRefPubMed Zingg W, Posfay-Barbe KM, Pittet D (2008) Healthcare-associated infections in neonates. Curr Opin Infect Dis 21(3):228–234CrossRefPubMed
23.
Zurück zum Zitat Behari P, Englund J, Alcasid G, Garcia-Houchins S, Weber SG (2004) Transmission of methicillin-resistant Staphylococcus aureus to preterm infants through breast milk. Infect Control Hosp Epidemiol 25(9):778–780CrossRefPubMed Behari P, Englund J, Alcasid G, Garcia-Houchins S, Weber SG (2004) Transmission of methicillin-resistant Staphylococcus aureus to preterm infants through breast milk. Infect Control Hosp Epidemiol 25(9):778–780CrossRefPubMed
24.
Zurück zum Zitat CDC (2006) Community-associated methicillin-resistant Staphylococcus aureus infection among healthy newborns—Chicago and Los Angeles County, 2004. MMWR 55(12):329–332 CDC (2006) Community-associated methicillin-resistant Staphylococcus aureus infection among healthy newborns—Chicago and Los Angeles County, 2004. MMWR 55(12):329–332
25.
Zurück zum Zitat Denniston S, Riordan FA (2006) Staphylococcus aureus bacteraemia in children and neonates: a 10 year retrospective review. J Infect 53(6):387–393CrossRefPubMed Denniston S, Riordan FA (2006) Staphylococcus aureus bacteraemia in children and neonates: a 10 year retrospective review. J Infect 53(6):387–393CrossRefPubMed
26.
Zurück zum Zitat Fortunov RM, Hulten KG, Hammerman WA, Mason EO Jr, Kaplan SL (2007) Evaluation and treatment of community-acquired Staphylococcus aureus infections in term and late-preterm previously healthy neonates. Pediatrics 120(5):937–945CrossRefPubMed Fortunov RM, Hulten KG, Hammerman WA, Mason EO Jr, Kaplan SL (2007) Evaluation and treatment of community-acquired Staphylococcus aureus infections in term and late-preterm previously healthy neonates. Pediatrics 120(5):937–945CrossRefPubMed
27.
Zurück zum Zitat Robinson DA, Kearns AM, Holmes A, Morrison D, Grundmann H, Edwards G, O’Brien FG, Tenover FC, McDougal LK, Monk AB, Enright MC (2005) Re-emergence of early pandemic Staphylococcus aureus as a community-acquired methicillin-resistant clone. Lancet 365(9466):1256–1258CrossRefPubMed Robinson DA, Kearns AM, Holmes A, Morrison D, Grundmann H, Edwards G, O’Brien FG, Tenover FC, McDougal LK, Monk AB, Enright MC (2005) Re-emergence of early pandemic Staphylococcus aureus as a community-acquired methicillin-resistant clone. Lancet 365(9466):1256–1258CrossRefPubMed
28.
Zurück zum Zitat Berglund C, Soderquist B (2008) The origin of a methicillin-resistant Staphylococcus aureus isolate at a neonatal ward in Sweden-possible horizontal transfer of a staphylococcal cassette chromosome mec between methicillin-resistant Staphylococcus haemolyticus and Staphylococcus aureus. Clin Microbiol Infect 14(11):1048–1056CrossRefPubMed Berglund C, Soderquist B (2008) The origin of a methicillin-resistant Staphylococcus aureus isolate at a neonatal ward in Sweden-possible horizontal transfer of a staphylococcal cassette chromosome mec between methicillin-resistant Staphylococcus haemolyticus and Staphylococcus aureus. Clin Microbiol Infect 14(11):1048–1056CrossRefPubMed
29.
Zurück zum Zitat Jackson KA, Edwards-Jones V, Sutton CW, Fox AJ (2005) Optimisation of intact cell MALDI method for fingerprinting of methicillin-resistant Staphylococcus aureus. J Microbiol Meth 62(3):273–284CrossRef Jackson KA, Edwards-Jones V, Sutton CW, Fox AJ (2005) Optimisation of intact cell MALDI method for fingerprinting of methicillin-resistant Staphylococcus aureus. J Microbiol Meth 62(3):273–284CrossRef
30.
Zurück zum Zitat Walker J, Fox AJ, Edwards-Jones V, Gordon DB (2002) Intact cell mass spectrometry (ICMS) used to type methicillin-resistant Staphylococcus aureus: media effects and inter-laboratory reproducibility. J Microbiol Meth 48(2–3):117–126CrossRef Walker J, Fox AJ, Edwards-Jones V, Gordon DB (2002) Intact cell mass spectrometry (ICMS) used to type methicillin-resistant Staphylococcus aureus: media effects and inter-laboratory reproducibility. J Microbiol Meth 48(2–3):117–126CrossRef
31.
Zurück zum Zitat Bernardo K, Pakulat N, Macht M, Krut O, Seifert H, Fleer S, Hunger F, Kronke M (2002) Identification and discrimination of Staphylococcus aureus strains using matrix-assisted laser desorption/ionization-time of flight mass spectrometry. Proteomics 2(6):747–753CrossRefPubMed Bernardo K, Pakulat N, Macht M, Krut O, Seifert H, Fleer S, Hunger F, Kronke M (2002) Identification and discrimination of Staphylococcus aureus strains using matrix-assisted laser desorption/ionization-time of flight mass spectrometry. Proteomics 2(6):747–753CrossRefPubMed
32.
Zurück zum Zitat Laing IA, Gibb AP, McCallum A (2009) Controlling an outbreak of MRSA in the neonatal unit: a steep learning curve. Arch Dis Child 94(4):F307–F310 Laing IA, Gibb AP, McCallum A (2009) Controlling an outbreak of MRSA in the neonatal unit: a steep learning curve. Arch Dis Child 94(4):F307–F310
33.
Zurück zum Zitat Lepelletier D, Corvec S, Caillon J, Reynaud A, Roze JC, Gras-Leguen C (2009) Eradication of methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit: which measures for which success? Am J Infect Control 37(3):195–200CrossRefPubMed Lepelletier D, Corvec S, Caillon J, Reynaud A, Roze JC, Gras-Leguen C (2009) Eradication of methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit: which measures for which success? Am J Infect Control 37(3):195–200CrossRefPubMed
34.
Zurück zum Zitat Coombs GW, Van Gessel H, Pearson JC, Godsell MR, O’Brien FG, Christiansen KJ (2007) Controlling a multicenter outbreak involving the New York/Japan methicillin-resistant Staphylococcus aureus clone. Infect Control Hosp Epidemiol 28(7):845–852CrossRefPubMed Coombs GW, Van Gessel H, Pearson JC, Godsell MR, O’Brien FG, Christiansen KJ (2007) Controlling a multicenter outbreak involving the New York/Japan methicillin-resistant Staphylococcus aureus clone. Infect Control Hosp Epidemiol 28(7):845–852CrossRefPubMed
Metadaten
Titel
First outbreak of PVL-positive nonmultiresistant MRSA in a neonatal ICU in Australia: comparison of MALDI-TOF and SNP-plus-binary gene typing
verfasst von
S. Schlebusch
G. R. Price
S. Hinds
C. Nourse
J. M. Schooneveldt
M. H. Tilse
H. G. Liley
T. Wallis
F. Bowling
D. Venter
G. R. Nimmo
Publikationsdatum
01.10.2010
Verlag
Springer-Verlag
Erschienen in
European Journal of Clinical Microbiology & Infectious Diseases / Ausgabe 10/2010
Print ISSN: 0934-9723
Elektronische ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-010-0995-y

Weitere Artikel der Ausgabe 10/2010

European Journal of Clinical Microbiology & Infectious Diseases 10/2010 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

„Jeder Fall von plötzlichem Tod muss obduziert werden!“

17.05.2024 Plötzlicher Herztod Nachrichten

Ein signifikanter Anteil der Fälle von plötzlichem Herztod ist genetisch bedingt. Um ihre Verwandten vor diesem Schicksal zu bewahren, sollten jüngere Personen, die plötzlich unerwartet versterben, ausnahmslos einer Autopsie unterzogen werden.

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Schlechtere Vorhofflimmern-Prognose bei kleinem linken Ventrikel

17.05.2024 Vorhofflimmern Nachrichten

Nicht nur ein vergrößerter, sondern auch ein kleiner linker Ventrikel ist bei Vorhofflimmern mit einer erhöhten Komplikationsrate assoziiert. Der Zusammenhang besteht nach Daten aus China unabhängig von anderen Risikofaktoren.

Semaglutid bei Herzinsuffizienz: Wie erklärt sich die Wirksamkeit?

17.05.2024 Herzinsuffizienz Nachrichten

Bei adipösen Patienten mit Herzinsuffizienz des HFpEF-Phänotyps ist Semaglutid von symptomatischem Nutzen. Resultiert dieser Benefit allein aus der Gewichtsreduktion oder auch aus spezifischen Effekten auf die Herzinsuffizienz-Pathogenese? Eine neue Analyse gibt Aufschluss.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.