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Proposal of epidemiological cutoff values for Apramycin 15 μg and Florfenicol 30 μg Disks Applicable to Staphylococcus aureus
Publication . Costa, Sofia Santos; Ferreira, Carolina; Ribeiro, Rute; Fessler, Andrea T.; Schink, Anne-Kathrin; Kadlec, Kristina; Kaspar, Heike; Amaro, Ana; Albuquerque, Teresa; Abrantes, Patricia; Morais, Catarina; Pomba, C.; Schwarz, Stefan; Couto, Isabel
Apramycin and florfenicol are two antimicrobial agents exclusively used in veterinary medicine. Resistance determinants to these antimicrobial agents have been described in several staphylococci, yet no inhibition zone-based epidemiological cutoff (ECOFF) values are available to detect populations harboring resistance mechanisms. In this study, we propose disk diffusion inhibition zone ECOFF values of Staphylococcus aureus for apramycin and florfenicol. The susceptibility to apramycin and florfenicol was evaluated by disk diffusion of five S. aureus collections, comprising 352 isolates of animal (n = 265) and human (n = 87) origin. The aggregated distributions of inhibition zone diameters were analyzed by the normalized resistance interpretation method to obtain normalized wild-type (WT) population distributions and corresponding ECOFF values. The putative WT populations of S. aureus were characterized by an inhibition zone ‡15 mm (ECOFF = 15 mm) for apramycin and ‡21 mm for florfenicol (ECOFF = 21 mm). Five nonwild-type (NWT) isolates were detected for apramycin, all without inhibition zone and harboring the apmA gene, whereas five NWT isolates were identified for florfenicol, all carrying the fexA gene. The proposed ECOFF values for apramycin and florfenicol may be a valuable tool in future antimicrobial resistance monitoring and surveillance studies to identify S. aureus NWT populations toward these antimicrobial agents.
Staphylococcus aureus causing skin and soft tissue infections in companion animals : antimicrobial resistance profiles and clonal lineages
Publication . Costa, Sofia Santos; Rute, Ribeiro; Serrano, Maria; Oliveira, Ketlyn; Ferreira, Carolina; Leal, Marta; Pomba, C.; Couto, Isabel
ABSTRACT - Staphylococcus aureus is a relevant agent of skin and soft tissue infections (SSTIs) in animals.
Fifty-five S. aureus comprising all SSTI-related isolates in companion animals, collected between
1999 and 2018 (Lab 1) or 2017 and 2018 (Lab 2), were characterized regarding susceptibility to
antibiotics and heavy metals and carriage of antimicrobial resistance determinants. Clonal lineages
were established by PFGE, MLST and agr typing. Over half of the isolates (56.4%, 31/55) were
methicillin-resistant S. aureus (MRSA), and 14.5% showed a multidrug resistance (MDR) phenotype.
Resistance was most frequently observed for beta-lactams (81.8%, related to blaZ and/or mecA),
fluoroquinolones (56.4%) and macrolides/lincosamides (14.5%, related to erm(A) or erm(C)). The
distributions of heavy-metal MICs allowed the detection of non-wild-type populations associated
with several resistance genes. The collection showed genetic diversity, with prevalence of clonal
lineage ST22-agrI (45.5%, 25/55), comprising only MRSA isolates, and several less frequently detected
clones, including ST5-agrII (14.6%, 8/55), ST398-agrI (9.1%, 5/55) and ST72-agrI (7.3%, 4/55). This
work highlights the high frequency of SSTI-related MRSA strains that reflect the clonal lineages
circulating both in companion animals and humans in Portugal, reinforcing the need for a One Health
approach when studying staphylococci causing infections in companion animals.
Virulence potential of biofilm-producing Staphylococcus pseudintermedius, Staphylococcus aureus and Staphylococcus coagulans causing skin infections in companion animals
Publication . Andrade, Mariana; Oliveira, Ketlyn; Morais, Catarina; Abrantes, Patrícia; Pomba, C.; Rosato, Adriana E.; Couto, Isabel; Costa, Sofia Santos
ABSTRACT . Coagulase-positive staphylococci (CoPS) account for most bacteria-related pyoderma in
companion animals. Emergence of methicillin-resistant strains of Staphylococcus pseudintermedius
(MRSP), Staphylococcus aureus (MRSA) or Staphylococcus coagulans (MRSC), often with multidrugresistant (MDR) phenotypes, is a public health concern. The study collection comprised 237 staphylococci (S. pseudintermedius (n = 155), S. aureus (n = 55) and S. coagulans (n = 27)) collected from companion animals, previously characterized regarding resistance patterns and clonal lineages. Biofilm production was detected for 51.0% (79/155), 94.6% (52/55) and 88.9% (24/27) of the
S. pseudintermedius, S. aureus and S. coagulans, respectively, and was a frequent trait of the predominant S. pseudintermedius and S. aureus clonal lineages. The production of biofilm varied with
NaCl supplementation of the growth media. All S. pseudintermedius and S. aureus strains carried
icaADB. Kaplan–Meier survival analysis of Galleria mellonella infected with different CoPS revealed a
higher virulence potential of S. aureus when compared with other CoPS. Our study highlights a high
frequency of biofilm production by prevalent antimicrobial-resistant clonal lineages of CoPS associated with animal pyoderma, potentially related with a higher virulence potential and persistent or
recurrent infections.
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Funding agency
Fundação para a Ciência e a Tecnologia
Funding programme
9471 - RIDTI
Funding Award Number
PTDC/CAL-EST/30713/2017
