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