MRSA ST398

Last updated
Staphylococcus aureus ST398
Scientific classification OOjs UI icon edit-ltr.svg
Domain: Bacteria
Phylum: Bacillota
Class: Bacilli
Order: Bacillales
Family: Staphylococcaceae
Genus: Staphylococcus
Species: S. aureus
Strain:S. a.  ST398
Trionomial name
Staphylococcus aureus ST398

MRSA ST398 (Methicillin-resistant Staphylococcus aureus ST398) is a specific strain of Methicillin-resistant Staphylococcus aureus (MRSA). Staphylococcus aureus is a gram-positive, spherical bacterium that can cause a range of infections in humans and animals. And Methicillin-resistant Staphylococcus aureus (MRSA) is a bacterium that is resistant to many antibiotics. The abbreviation "ST" in MRSA ST398 refers to the sequence type of the bacterium. MRSA ST398 is a clonal complex 398 (CC398). This means that the strain had emerged in a human clinic, without any obvious or understandable causes. MRSA ST398, a specific strain of MRSA, is commonly found in livestock, and can cause infections in humans who come into contact with infected animals. [1]

Contents

Taxonomy

Staphylococcus aureus Staphylococcus aureus VISA 2.jpg
Staphylococcus aureus

MRSA ST398 is a strain of the gram-positive bacterium Staphylococcus aureus , which belongs to the genus Staphylococcus. This genus covers a large group of gram-positive bacteria that are classified taxonomically in the family Staphylococcaceae, order Bacillales, class Bacilli, and phylum Firmicutes. [2]

Discovery

MRSA ST398, a new strain of MRSA, was first found in 2003, in Dutch hospitals. The bacteria was found specifically in people who were frequently in contact with livestock, particularly pigs and veal calves. A study from a Dutch farm found that most of the MRSA strains found in livestock and humans were of the CC398 isolate. The study also found that the closer people lived to a livestock farm, the more cases of MRSA ST398 were found. Since then, the strain has also been detected in many other regions of the world. [3]

Transmission

The primary method of transmission of MRSA ST398 is through contact with infected animals, which classifies it as a zoonotic agent. People who work with livestock or live in close proximity to them are the most vulnerable to the infection. In healthcare settings, people with open wounds are most susceptible to the infection. Therefore, to prevent transmission, wounds should stay covered and infected patients should not be near each other. [4] As a zoonotic agent, MRSA ST398 can be transmitted from animal to human, human to animals, and human to human, [5] which is an important factor when considering mitigation protocol. Transmission of MRSA ST398 is similar to that of MRSA. MRSA ST398 has an enhanced biofilm formation ability, which increases the survivability of the bacteria and increases its virulence. This increases the fitness of MRSA ST398 in the community and even in the healthcare settings, which poses a severe threat to public health. [6]

Infection

Symptoms and signs

MRSA ST398 infection symptoms are similar to those of other MRSA infections. This includes skin infections, abscesses, sores, and pneumonia. In severe cases, MRSA ST98 can lead to sepsis and death. [7]

Prevention

Patient education is a critical component of treatment and prevention. Clinicians are encouraged to educate patients, caregivers, and household members on methods to limit further spread of MRSA in the community. This includes maintaining adequate hygiene and keeping wounds covered with clean, dry bandages. Infected persons should also be excluded from activities that involve close contact with others. Before treatment, prevention is incredibly important to prevent the spread of the MRSA strain. This involves practicing good hygiene and infection control measures, particularly in healthcare settings and for those who work closely with livestock. [4] An increased study of MRSA ST398, especially in livestock, is important to reduce the burden of the pathogen in hospital settings. This also included closer observation of people who are in close contact with livestock, as early diagnoses can allow for earlier treatment. [6] This is especially important, as antibiotics cannot be successful in antibiotic resistant bacteria. And an increased use of antibiotics further promotes the evolution of antibiotic resistant bacteria. And specifically in MRSA ST398, the link between antibiotic use in livestock and the emergence of MRSA ST398 is not yet fully understood. Furthermore, a OneHeath approach should be implemented, which brings together multiple disciplines in policy; advocacy; animal, human, and environmental health, and more to tackle a public health issue.[ citation needed ]

Treatment

MRSA ST398 is resistant to many antimicrobial agents; therefore, treatment options for this strain are limited. [8] However, hospitalization and aggressive treatment to treat the symptoms of MRSA ST398 can be employed. And until more information about antimicrobial susceptibilities are known, the ST398 strain should be treated as MRSA is. [9]  

Related Research Articles

<i>Staphylococcus aureus</i> Species of Gram-positive bacterium

Staphylococcus aureus is a Gram-positive spherically shaped bacterium, a member of the Bacillota, and is a usual member of the microbiota of the body, frequently found in the upper respiratory tract and on the skin. It is often positive for catalase and nitrate reduction and is a facultative anaerobe that can grow without the need for oxygen. Although S. aureus usually acts as a commensal of the human microbiota, it can also become an opportunistic pathogen, being a common cause of skin infections including abscesses, respiratory infections such as sinusitis, and food poisoning. Pathogenic strains often promote infections by producing virulence factors such as potent protein toxins, and the expression of a cell-surface protein that binds and inactivates antibodies. S. aureus is one of the leading pathogens for deaths associated with antimicrobial resistance and the emergence of antibiotic-resistant strains, such as methicillin-resistant S. aureus (MRSA), is a worldwide problem in clinical medicine. Despite much research and development, no vaccine for S. aureus has been approved.

Methicillin-resistant <i>Staphylococcus aureus</i> Bacterium responsible for difficult-to-treat infections in humans

Methicillin-resistant Staphylococcus aureus (MRSA) is a group of gram-positive bacteria that are genetically distinct from other strains of Staphylococcus aureus. MRSA is responsible for several difficult-to-treat infections in humans. It caused more than 100,000 deaths attributable to antimicrobial resistance in 2019.

Vancomycin-resistant <i>Staphylococcus aureus</i> Antibiotica resistant bacteria

Vancomycin-resistant Staphylococcus aureus (VRSA) are strains of Staphylococcus aureus that have acquired resistance to the glycopeptide antibiotic vancomycin. Resistance in VRSA is conferred by the plasmid mediated vanA gene and operon. Although VRSA infections are limited, VRSA is still a potential threat to public health because treatment options are limited since the bacteria is resistant to many of the standard drugs used to treat S. aureus infections. Furthermore, resistance can be transferred from one bacteria to another.

Vancomycin-resistant <i>Enterococcus</i> Bacterial strains of Enterococcus that are resistant to the antibiotic vancomycin

Vancomycin-resistant Enterococcus, or vancomycin-resistant enterococci (VRE), are bacterial strains of the genus Enterococcus that are resistant to the antibiotic vancomycin.

<span class="mw-page-title-main">Panton–Valentine leukocidin</span>

Panton–Valentine leukocidin (PVL) is a cytotoxin—one of the β-pore-forming toxins. The presence of PVL is associated with increased virulence of certain strains (isolates) of Staphylococcus aureus. It is present in the majority of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) isolates studied and is the cause of necrotic lesions involving the skin or mucosa, including necrotic hemorrhagic pneumonia. PVL creates pores in the membranes of infected cells. PVL is produced from the genetic material of a bacteriophage that infects Staphylococcus aureus, making it more virulent.

<span class="mw-page-title-main">Cefoxitin</span> Chemical compound

Cefoxitin is a second-generation cephamycin antibiotic developed by Merck & Co., Inc. from Cephamycin C in the year following its discovery, 1972. It was synthesized in order to create an antibiotic with a broader spectrum. It is often grouped with the second-generation cephalosporins. Cefoxitin requires a prescription and as of 2010 is sold under the brand name Mefoxin by Bioniche Pharma, LLC. The generic version of cefoxitin is known as cefoxitin sodium.

Lysostaphin is a Staphylococcus simulans metalloendopeptidase. It can function as a bacteriocin (antimicrobial) against Staphylococcus aureus.

<span class="mw-page-title-main">Dalbavancin</span> Antibiotic used to treat MRSA

Dalbavancin, sold under the brand names Dalvance in the US and Xydalba in the EU among others, is a second-generation lipoglycopeptide antibiotic medication. It belongs to the same class as vancomycin, the most widely used and one of the treatments available to people infected with methicillin-resistant Staphylococcus aureus (MRSA).

<span class="mw-page-title-main">ST8:USA300</span> Strain of bacteria

ST8:USA300 is a strain of community-associated methicillin-resistant Staphylococcus aureus (MRSA) that has emerged as a particularly antibiotic resistant epidemic that is responsible for rapidly progressive, fatal diseases including necrotizing pneumonia, severe sepsis and necrotizing fasciitis. The epidemiology of infections caused by MRSA is rapidly changing: in the past 10 years, infections caused by this organism have emerged in the community. The 2 MRSA clones in the United States most closely associated with community outbreaks, USA400 and USA300, often contain Panton-Valentine leukocidin (PVL) genes and, more frequently, have been associated with skin and soft tissue infections. Outbreaks of community-associated (CA)-MRSA infections have been reported in correctional facilities, among athletic teams, among military recruits, in newborn nurseries, and among sexually active men who have sex with men, CA-MRSA infections now appear to be endemic in many urban regions and cause most MRSA infections.

<span class="mw-page-title-main">Staphylococcal infection</span> Medical condition

A staphylococcal infection or staph infection is an infection caused by members of the Staphylococcus genus of bacteria.

mecA is a gene found in bacterial cells which allows them to be resistant to antibiotics such as methicillin, penicillin and other penicillin-like antibiotics.

<span class="mw-page-title-main">Arbekacin</span> Antibiotic

Arbekacin (INN) is a semisynthetic aminoglycoside antibiotic which was derived from kanamycin. It is primarily used for the treatment of infections caused by multi-resistant bacteria including methicillin-resistant Staphylococcus aureus (MRSA). Arbekacin was originally synthesized from dibekacin in 1973 by Hamao Umezawa and collaborators. It has been registered and marketed in Japan since 1990 under the trade name Habekacin. Arbekacin is no longer covered by patent and generic versions of the drug are also available under such trade names as Decontasin and Blubatosine.

<span class="mw-page-title-main">Sophoraflavanone G</span> Chemical compound

Sophoraflavanone G is a volatile phytoncide, released into the atmosphere, soil and ground water, by members of the Sophora genus. Due to an increase in the rates of antibiotic-resistant bacteria, scientific efforts have focused on finding either naturally-made or genetically modified compounds that can treat and or prevent these harmful and sometimes deadly bacteria. Sophoraflavanone G, due to its use as a phytoncide, has been found to impact the growth of antibiotic-resistant bacteria and enhance the effect of currently used antibiotics.

Staphylococcus delphini is a Gram-positive, coagulase-positive member of the bacterial genus Staphylococcus consisting of single, paired, and clustered cocci. Strains of this species were originally isolated from aquarium-raised dolphins suffering from skin lesions.

Staphylococcus pseudintermedius is a gram positive coccus bacteria of the genus Staphylococcus found worldwide. It is primarily a pathogen for domestic animals, but has been known to affect humans as well. S. pseudintermedius is an opportunistic pathogen that secretes immune modulating virulence factors, has many adhesion factors, and the potential to create biofilms, all of which help to determine the pathogenicity of the bacterium. Diagnoses of Staphylococcus pseudintermedius have traditionally been made using cytology, plating, and biochemical tests. More recently, molecular technologies like MALDI-TOF, DNA hybridization and PCR have become preferred over biochemical tests for their more rapid and accurate identifications. This includes the identification and diagnosis of antibiotic resistant strains.

CC398 or MRSA CC398 is a new variant of MRSA that has emerged in animals and is found in intensively reared production animals, where it can be transmitted to humans as LA-MRSA. A 2009 study shows, however, that dissemination of CC398 from exposed humans to other, non-exposed humans is infrequent. Though dangerous to humans, CC398 is often asymptomatic in food-producing animals. In a single study conducted in Denmark, MRSA was shown to originate in livestock and spread to humans, though the MRSA strain may have originated in humans and was transmitted to livestock.

ESKAPE is an acronym comprising the scientific names of six highly virulent and antibiotic resistant bacterial pathogens including: Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter spp. The acronym is sometimes extended to ESKAPEE to include Escherichia coli. This group of Gram-positive and Gram-negative bacteria can evade or 'escape' commonly used antibiotics due to their increasing multi-drug resistance (MDR). As a result, throughout the world, they are the major cause of life-threatening nosocomial or hospital-acquired infections in immunocompromised and critically ill patients who are most at risk. P. aeruginosa and S. aureus are some of the most ubiquitous pathogens in biofilms found in healthcare. P. aeruginosa is a Gram-negative, rod-shaped bacterium, commonly found in the gut flora, soil, and water that can be spread directly or indirectly to patients in healthcare settings. The pathogen can also be spread in other locations through contamination, including surfaces, equipment, and hands. The opportunistic pathogen can cause hospitalized patients to have infections in the lungs, blood, urinary tract, and in other body regions after surgery. S. aureus is a Gram-positive, cocci-shaped bacterium, residing in the environment and on the skin and nose of many healthy individuals. The bacterium can cause skin and bone infections, pneumonia, and other types of potentially serious infections if it enters the body. S. aureus has also gained resistance to many antibiotic treatments, making healing difficult. Because of natural and unnatural selective pressures and factors, antibiotic resistance in bacteria usually emerges through genetic mutation or acquires antibiotic-resistant genes (ARGs) through horizontal gene transfer - a genetic exchange process by which antibiotic resistance can spread.

Decolonization, also bacterial decolonization, is a medical intervention that attempts to rid a patient of an antimicrobial resistant pathogen, such as methicillin-resistant Staphylococcus aureus (MRSA) or antifungal-resistant Candida.

An occupational infectious disease is an infectious disease that is contracted at the workplace. Biological hazards (biohazards) include infectious microorganisms such as viruses, bacteria and toxins produced by those organisms such as anthrax.

References

  1. Laumay, Floriane; Benchetrit, Hugo; Corvaglia, Anna-Rita; van der Mee-Marquet, Nathalie; François, Patrice (November 2021). "The Staphylococcus aureus CC398 Lineage: An Evolution Driven by the Acquisition of Prophages and Other Mobile Genetic Elements". Genes. 12 (11): 1752. doi: 10.3390/genes12111752 . ISSN   2073-4425. PMC   8623586 . PMID   34828356.
  2. "Staphylococcus Enterotoxin - an overview | ScienceDirect Topics". www.sciencedirect.com. Retrieved 2023-04-09.
  3. Geenen, P. L.; Graat, E. a. M.; Haenen, A.; Hengeveld, P. D.; Hoek, A. H. a. M. Van; Huijsdens, X. W.; Kappert, C. C.; Lammers, G. a. C.; Duijkeren, E. Van; Giessen, A. W. Van De (May 2013). "Prevalence of livestock-associated MRSA on Dutch broiler farms and in people living and/or working on these farms". Epidemiology & Infection. 141 (5): 1099–1108. doi:10.1017/S0950268812001616. ISSN   0950-2688. PMC   9151816 . PMID   22831886.
  4. 1 2 "Strategies for Clinical Management of MRSA in the Community: Summary of an Experts' Meeting Convened by the Centers for Disease Control and Prevention" (PDF). CDC. Retrieved 24 June 2023.
  5. Laumay, F.; Benchetrit, H.; Corvaglia, A. R.; Van Der Mee-Marquet, N.; François, P. (2021). "The Staphylococcus aureus CC398 Lineage: An Evolution Driven by the Acquisition of Prophages and Other Mobile Genetic Elements". Genes. 12 (11): 1752. doi: 10.3390/genes12111752 . PMC   8623586 . PMID   34828356.
  6. 1 2 Lu, H.; Zhao, L.; Si, Y.; Jian, Y.; Wang, Y.; Li, T.; Dai, Y.; Huang, Q.; Ma, X.; He, L.; Li, M. (2021). "The Surge of Hypervirulent ST398 MRSA Lineage With Higher Biofilm-Forming Ability Is a Critical Threat to Clinics". Frontiers in Microbiology. 12: 636788. doi: 10.3389/fmicb.2021.636788 . PMC   7969815 . PMID   33746929.
  7. "General Information | MRSA | CDC". www.cdc.gov. 26 June 2019. Retrieved 24 June 2023.
  8. Schnitt, A.; Lienen, T.; Wichmann-Schauer, H.; Cuny, C.; Tenhagen, B. A. (2020). "The occurrence and distribution of livestock-associated methicillin-resistant Staphylococcus aureus ST398 on German dairy farms". Journal of Dairy Science. 103 (12): 11806–11819. doi: 10.3168/jds.2020-18958 . PMID   33041041. S2CID   222301703.
  9. Soavi, Laura; Stellini, Roberto; Signorini, Liana; Antonini, Benvenuto; Pedroni, Palmino; Zanetti, Livio; Milanesi, Bruno; Pantosti, Annalisa; Matteelli, Alberto; Pan, Angelo; Carosi, Giampiero (2010). "Methicillin-Resistant Staphylococcus aureusST398, Italy". Emerging Infectious Diseases. 16 (2): 346–348. doi:10.3201/eid1602.091478. PMC   2958030 . PMID   20113580. S2CID   11030072.