Abstract
Staphylococcus aureus is an important pathogen associated to dental infection. Many antiseptic agents are used in hygienic handwash to prevent nosocomial infections by methicillin-resistant staphylococci. In this study, 22 Staphylococcus aureus strains isolated from the oral cavity of Tunisian children were investigated for their susceptibility to benzalkonium chloride (0.5–512 μg/ml) and antibiotics. The β-lactams resistance gene blaZ, the erythromycin resistance methylase genes (ermA, ermB and ermC), the macrolide efflux gene (msrA) and the disinfectant resistance genes (qacH, qacA, qacB and qacC) were also investigated. Determination of the minimal inhibitory concentration values revealed that 54.5, 54.5, 68, and 82% of isolates were resistant to benzalkonium chloride, oxacillin, tetracycline and erythromycin respectively. The frequency of strains positive for the antibiotic resistance genes tested was 100 (blaZ), 50 (ermA), 36.4 (ermB), 22.7 (ermC) and 13.6% (mrsA). The qacH and the qacA genes were found in 22.7% of isolates and qacB and qacC in 13.6%. Two strains harboured three qac (qacH, qacA and qacB or qacC) genes. These data highlight the importance of determining the susceptibility to antibiotics and disinfectants of strains isolated in dental medicine in order to monitor the epidemiology and spread of multi-drug resistant staphylococci.
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Ardic N, Ozyurt M, Sareyyupoglu B, Haznedaroglu T (2005) Investigation of erythromycin and tetracycline resistance genes in methicillin-resistant staphylococci. Int J Antimicrob Agents 26:213–218
Barrau K, Boulamery A, Imbert G, Casalta JP, Habib G, Messana T, Bonnet JL, Rubinstein E, Raoult D (2004) Causative organisms of infective endocarditis according to host status. Clin Microbiol Infect 10:302–308
Comite de l’antibiogramme de la société française de microbiologie. Recommendations 2010 (Edition de Janvier 2010). Available at: http://www.sfm.asso.fr/
Eady EA, Ross JI, Tipper JL, Walters CE, Cove JH, Noble WC (1993) Distribution of genes encoding erythromycin ribosomal methylases and an erythromycin efflux pump in epidemiologically distinct groups of staphylococci. J Antimicrob Chemother 31:211–217
Fluit AC, Visser MR, Schmitz FJ (2001) Molecular detection of antimicrobial resistance. Clin Microbiol Rev 14:836–871
Gristina AG (1987) Biomaterial-centered infection: microbial adhesion versus tissue integration. Science 237:1588–1595
Harris LG, Richards RG (2004) Staphylococcus aureus adhesion to different treated titanium surfaces. J Mater Sci Mater Med 15:311–314
Leelaporn A, Firth N, Paulsen IT, Hettiaratchi A, Skurray RA (1995) Multidrug resistance plasmid pSK108 from coagulase-negative staphylococci; relationships to Staphylococcus aureus qacC plasmids. Plasmid 34:62–67
Leonhardt A, Renvert S, Dahlen G (1999) Microbial findings at failing implants. Clin Oral Implants Res 10:339–345
Lim JA, Kwon AR, Kim SK, Chong Y, Lee K, Choi EC (2002) Prevalence of resistance to macrolide, lincosamide and streptogramin antibiotics in Gram-positive cocci isolated in a Korean hospital. J Antimicrob Chemother 49:489–495
Littlejohn TG, DiBerardino D, Messerotti LJ, Spiers SJ, Skurray RA (1991) Structure and evolution of a family of genes encoding antiseptic and disinfectant resistance in Staphylococcus aureus. Gene 101:59–66
Littlejohn TG, Paulsen IT, Gillespie MT, Tennent JM, Midgley M, Jones IG, Purewal AS, Skurray RA (1992) Substrate specificity and energetics of antiseptic and disinfectant resistance in Staphylococcus aureus. FEMS Microbiol Lett 74:259–265
Marshall NJ, Piddock LJ (1997) Antibacterial efflux systems. Microbiologia 13:285–300
Martineau F, Picard FJ, Roy PH, Ouellette M, Bergeron MG (1998) Species-specific and ubiquitous-DNA-based assays for rapid identification of Staphylococcus aureus. J Clin Microbiol 36:618–623
Martineau F, Picard FJ, Lansac N, Menard C, Roy PH, Ouellette M, Bergeron MG (2000) Correlation between the resistance genotype determined by multiplex PCR assays and the antibiotic susceptibility patterns of Staphylococcus aureus and Staphylococcus epidermidis. Antimicrob Agents Chemother 44:231–238
Mayer S, Boos M, Beyer A, Fluit AC, Schmitz FJ (2001) Distribution of the antiseptic resistance genes qacA, qacB and qacC in 497 methicillin-resistant and -susceptible European isolates of Staphylococcus aureus. J Antimicrob Chemother 47:896–897
McDonnell G, Russell AD (1999) Antiseptics and disinfectants: activity, action, and resistance. Clin Microbiol Rev 12:147–179
Meyer DH, Fives-Taylor PM (1998) Oral pathogens: from dental plaque to cardiac disease. Curr Opin Microbiol 1:88–95
Mojon P, Bourbeau J (2003) Respiratory infection: how important is oral health? Curr Opin Pulm Med 9:166–170
Noguchi N, Hase M, Kitta M, Sasatsu M, Deguchi K, Kono M (1999) Antiseptic susceptibility and distribution of antiseptic-resistance genes in methicillin-resistant Staphylococcus aureus. FEMS Microbiol Lett 172:247–253
Paster BJ, Boches SK, Galvin JL, Ericson RE, Lau CN, Levanos VA, Sahasrabudhe A, Dewhirst FE (2001) Bacterial diversity in human subgingival plaque. J Bacteriol 183:3770–3783
Paulsen IT, Brown MH, Skurray RA (1996) Proton-dependent multidrug efflux systems. Microbiol Rev 60:575–608
Paulsen IT, Brown MH, Skurray RA (1998) Characterization of the earliest known Staphylococcus aureus plasmid encoding a multidrug efflux system. J Bacteriol 180:3477–3479
Petinaki E, Miriagou V, Tzouvelekis LS, Pournaras S, Hatzi F, Kontos F, Maniati M, Maniatis AN (2001) Methicillin-resistant Staphylococcus aureus in the hospitals of central Greece. Int J Antimicrob Agents 18:61–65
Putman M, Van Veen HW, Degener JE, Konings WN (2000) Antibiotic resistance: era of the multidrug pump. Mol Microbiol 36:772–773
Reverdy ME, Bes M, Brun Y, Fleurette J (1993) Evolution of resistance to antibiotics and antiseptics of hospital Staphylococcus aureus strains isolated from 1980 to 1991. Pathol Biol (Paris) 41:897–904
Rouch DA, Cram DS, DiBerardino D, Littlejohn TG, Skurray RA (1990) Efflux-mediated antiseptic resistance gene qacA from Staphylococcus aureus: common ancestry with tetracycline- and sugar-transport proteins. Mol Microbiol 4:2051–2062
Russell AD (2000) Do biocides select for antibiotic resistance? J Pharm Pharmacol 52:227–233
Salvi GE, Furst MM, Lang NP, Persson GR (2008) One-year bacterial colonization patterns of Staphylococcus aureus and other bacteria at implants and adjacent teeth. Clin Oral Implants Res 19:242–248
Sekiguchi J, Hama T, Fujino T, Araake M, Irie A, Saruta K, Konosaki H, Nishimura H, Kawano A, Kudo K, Kondo T, Sasazuki T, Kuratsuji T, Yoshikura H, Kirikae T (2004) Detection of the antiseptic- and disinfectant-resistance genes qacA, qacB, and qacC in methicillin-resistant Staphylococcus aureus isolated in a Tokyo hospital. Jpn J Infect Dis 57:288–291
Sidhu S, Heir E, Leegaard T, Wiger K, Holck A (2002) Frequency of disinfectant resistance genes and genetic linkage with beta-lactamase transposon Tn552 among clinical staphylococci. Antimicrob Agents Chemother 46:2797–2803
Sweeney LC, Dave J, Chambers PA, Heritage J (2004) Antibiotic resistance in general dental practicea cause for concern? J Antimicrob Chemother 53:567–576
Trzcinski K, Cooper BS, Hryniewicz W, Dowson CG (2000) Expression of resistance to tetracyclines in strains of methicillin-resistant Staphylococcus aureus. J Antimicrob Chemother 45:763–770
Weisblum B (1995) Erythromycin resistance by ribosome modification. Antimicrob Agents Chemother 39:577–585
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Tarek Zmantar and Bochra Kouidhi contributed equally to this work.
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Zmantar, T., Kouidhi, B., Hentati, H. et al. Detection of disinfectant and antibiotic resistance genes in Staphylococcus aureus isolated from the oral cavity of Tunisian children. Ann Microbiol 62, 123–128 (2012). https://doi.org/10.1007/s13213-011-0236-3
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DOI: https://doi.org/10.1007/s13213-011-0236-3