Infection

, Volume 45, Issue 4, pp 533–537 | Cite as

Influence of molecular characteristics in the prognosis of methicillin-resistant Staphylococcus aureus prosthetic joint infections: beyond the species and the antibiogram

  • Irene Muñoz-Gallego
  • Jaime Lora-Tamayo
  • Dafne Pérez-Montarelo
  • Patricia Brañas
  • Esther Viedma
  • Fernando Chaves
Brief Report

Abstract

We have explored the relationship of phenotypic (antibiogram, β-haemolysis, agr functionality, biofilm formation) and genotypic characteristics on the prognosis of 18 cases of methicillin-resistant S. aureus prosthetic joint infection (2005–2015). All isolates belonged to CC5, and had agr type II. This pilot study suggests that phage-borne genes belonging to the immune evasion cluster (chp, sak and scn) were more frequent among episodes with treatment failure (80.0 vs. 37.5%).

Keywords

Biofilms Bone infections Joint infections DAIR MRSA 

Notes

Compliance with ethical standards

Funding

J.L-T holds a clinical research contract “Sara Borrell” (CD14/00176) from the Instituto de Salud Carlos III, Spanish Ministry of Economy and Competitiveness. This work was supported by the Fondo de Investigaciones Sanitarias (PI12/01205), Instituto de Salud Carlos III, Spain.

Conflict of interest

The authors declare no conflicts of interest.

References

  1. 1.
    Zimmerli W, Trampuz A, Ochsner PE. Prosthetic-joint infections. N Engl J Med. 2004;351:1645–54.CrossRefPubMedGoogle Scholar
  2. 2.
    Post V, Wahl P, Uçkay I, Ochsner P, Zimmerli W, Corvec S, et al. Phenotypic and genotypic characterisation of Staphylococcus aureus causing musculoskeletal infections. Int J Med Microbiol. 2014;304:565–76.CrossRefPubMedGoogle Scholar
  3. 3.
    Salgado CD, Dash S, Cantey JR, Marculescu CE. Higher risk of failure of methicillin-resistant Staphylococcus aureus prosthetic joint infections. Clin Orthop Relat Res. 2007;461:48–53.PubMedGoogle Scholar
  4. 4.
    Lora-Tamayo J, Murillo O, Iribarren JA, Soriano A, Sánchez-Somolinos MA, Baraia-Etxaburu JM, et al. A large multicenter study of methicillin-susceptible and methicillin-resistant Staphylococcus aureus prosthetic joint infections managed with implant retention. Clin Infect Dis. 2013;56:182–94.CrossRefPubMedGoogle Scholar
  5. 5.
    Ferry T, Uçkay I, Vaudaux P, François P, Schrenzel J, Harbarth S, et al. Risk factors for treatment failure in orthopedic device-related methicillin-resistant Staphylococcus aureus infection. Eur J Clin Microbiol Infect Dis. 2010;29:171–80.CrossRefPubMedGoogle Scholar
  6. 6.
    Luedicke C, Slickers P, Ehricht R, Monecke S. Molecular fingerprinting of Staphylococcus aureus from bone and joint infections. Eur J Clin Microbiol Infect Dis. 2010;29:457–63.CrossRefPubMedGoogle Scholar
  7. 7.
    Kim CK, Karau MJ, Greenwood-Quaintance KE, Tilahun AY, David CS, Mandrekar JN, et al. Superantigens in Staphylococcus aureus isolated from prosthetic joint infection. Diagn Microbiol Infect Dis. 2015;81:201–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Aubin GG, Lavigne JP, Guyomarch B, Dina C, Gouin F, Lepelletier D, et al. Staphylokinase and ABO group phenotype: new players in Staphylococcus aureus implant-associated infections development. Future Microbiol. 2015;10:1929–38.CrossRefPubMedGoogle Scholar
  9. 9.
    Osmon DR, Berbari EF, Berendt AR, Lew D, Zimmerli W, Steckelberg JM, et al. Diagnosis and management of prosthetic joint infection: clinical practice guidelines by the infectious diseases society of America. Clin Infect Dis. 2013;56:e1–25.CrossRefPubMedGoogle Scholar
  10. 10.
    Painter KL, Krishna A, Wigneshweraraj S, Edwards AM. What role does the quorum-sensing accessory gene regulator system play during the Staphylococcus aureus bacteremia? Trends Microbiol. 2014;22:676–85.CrossRefPubMedGoogle Scholar
  11. 11.
    Blomfeldt A, Aamot HV, Eskesen AN, Monecke S, White RA, Leegaard TM, et al. DNA microarray analysis of Staphylococcus aureus causing bloodstream infection: bacterial genes associated with mortality? Eur J Clin Microbiol Infect Dis. 2016;35:1285–95.CrossRefPubMedGoogle Scholar
  12. 12.
    Jin T, Bokarewa M, Mclntyre L, Tarkowsky A, Corey GR, Reller LB, et al. Fatal outcome of bacteraemic patients caused by infection with staphylokinase-deficient Staphylococcus aureus strains. J Med Microbiol. 2003;52:919–23.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Irene Muñoz-Gallego
    • 1
  • Jaime Lora-Tamayo
    • 2
  • Dafne Pérez-Montarelo
    • 1
  • Patricia Brañas
    • 1
  • Esther Viedma
    • 1
  • Fernando Chaves
    • 1
  1. 1.Servicio de Microbiología, Instituto de Investigación Biomédica Hospital 12 de OctubreHospital Universitario 12 de OctubreMadridSpain
  2. 2.Unidad de Enfermedades Infecciosas, Instituto de Investigación Biomédica Hospital 12 de OctubreHospital Universitario 12 de OctubreMadridSpain

Personalised recommendations