Abstract
Biofilm production was assessed in 52 Staphylococcus epidermidis isolates from the catheters of 52 patients with catheter-related bloodstream infections (CR-BSI) and compared with 14 isolates from the skin of healthy volunteers by spectrophotometry. The isolates were classified as non- (G1), weak- (G2) or strong- (G3) slime producers based on optical density, and as producers and non-producers based on the results of the Congo red agar test. Differences (p = 0.012) in the proportion of G1, G2 and G3 among the isolates were found between catheter and healthy skin strains: there was a higher percentage of G1 types among the healthy skin strains (35.7 vs. 11.5%; p = 0.046) and a higher percentage of G3 types among the catheter isolates (44.2 vs. 0%; p = 0.001). No significant differences were found with the Congo red agar test. G3 is a phenotypic marker for CR-BSI.
Similar content being viewed by others
References
O’Gara JP, Humphreys H (2001) Staphylococcus epidermidis biofilms: importance and implications. J Med Microbiol 50:582–587
Petrelli D, Zampaloni C, D’Ercole S, Prenna M, Ballarini P, Ripa S, Vitali LA (2006) Analysis of different genetic traits and their association with biofilm formation in Staphylococcus epidermidis isolates from central venous catheter infections. Eur J Clin Microbiol Infect Dis 25:773–781
Cafiso V, Bertuccio T, Santagati M, Campanile F, Amicosante G, Perilli MG, Selan L, Artini M, Nicoletti G, Stefani S (2004) Presence of the ica operon in clinical isolates of Staphylococcus epidermidis and its role in biofilm production. Clin Microbiol Infect 10:1081–1088
de Silva GD, Kantzanou M, Justice A, Massey RC, Wilkinson AR, Day NP, Peacock SJ (2002) The ica operon and biofilm production in coagulase-negative Staphylococci associated with carriage and disease in a neonatal intensive care unit. J Clin Microbiol 40:382–388
Vandecasteele SJ, Peetermans WE, R Merckx R, Rijnders BJ, Van Eldere J (2003) Reliability of the ica, aap and atlE genes in the discrimination between invasive, colonizing and contaminant Staphylococcus epidermidis isolates in the diagnosis of catheter-related infections. Clin Microbiol Infect 9:114–119
Frebourg NB, Lefebvre S, Baert S, Lemeland JF (2000) PCR-Based assay for discrimination between invasive and contaminating Staphylococcus epidermidis strains. J Clin Microbiol 38:877–880
Maki DG, Weise CE, Sarafin HW (1977) A semiquantitative culture method for identifying intravenous-catheter-related infection. N Engl J Med 296:1305–1309
Baddour LM, Christensen GD, Hester MG, Bisno AL (1984) Production of experimental endocarditis by coagulase-negative staphylococci: variability in species virulence. J Infect Dis 150:721–727
Christensen GD, Simpson WA, Younger JJ, Baddour LM, Barrett FF, Melton DM, Beachey EH (1985) Adherence of coagulase-negative staphylococci to plastic tissue culture plates: a quantitative model for the adherence of staphylococci to medical devices. J Clin Microbiol 22:996–1006
Freeman DJ, Falkiner FR, Keane CT (1989) New method for detecting slime production by coagulase-negative staphylococci. J Clin Pathol 42:872–874
Kozitskaya S, Olson ME, Fey PD, Witte W, Ohlsen K, Ziebuhr W (2005) Clonal analysis of Staphylococcus epidermidis isolates carrying or lacking biofilm-mediating genes by multilocus sequence typing. J Clin Microbiol 43:4751–4757
Garcia P, Benitez R, Lam M, Salinas AM, Wirth H, Espinoza C, Garay T, Depix MS, Labarca J, Guzman AM (2004) Coagulase-negative staphylococci: clinical, microbiological and molecular features to predict true bacteraemia. J Med Microbiol 53:67–72
Acknowledgements
Part of this study was presented at the IDSA Annual Meeting (San Diego, October 4–7, 2007).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mateo, M., Maestre, J.R., Aguilar, L. et al. Strong slime production is a marker of clinical significance in Staphylococcus epidermidis isolated from intravascular catheters. Eur J Clin Microbiol Infect Dis 27, 311–314 (2008). https://doi.org/10.1007/s10096-007-0433-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10096-007-0433-y