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Revista Médica del Uruguay

Print version ISSN 0303-3295On-line version ISSN 1688-0390

Abstract

GIUDICE BARBAGELATA, María Guillermina et al. Staphylococcus aureus carrier of oxacillin-sensitive mecA gene (OS-MRSA): another challenge for microbiology laboratories. Rev. Méd. Urug. [online]. 2018, vol.34, n.4, pp.142-153. ISSN 0303-3295.  http://dx.doi.org/10.29193/rmu.34.4.8.

Staphylococcus aureusis a common human pathogen that is able to acquire resistance mechanisms for different antibiotics. Oxaxicillin resistance mainly results from mecA or mecC genes which determine an oxacillin minimum inhibitory concentration (MIC) ³4 mg/L. Expression of these genes is variable and the isolation of mecA gen with oxacillin MIC ³2 mg/L (phenotypically susceptible) have been described carriers has been described, having been named OS-MRSA. S. aureus bacteria was isolated from the synovial fluid and blood culture in a girl with a joint infection. Isolation of the blood culture was classified as methicillin resistant (MRSA) while thet of the synovial fluid was methicillin sensitive (MSSA), by using the automatized Vitek 2 system. Both of them present oxacillin inhibition halos > 15 mm, and inhibition halos of 19 and 17 mm for cefoxitin, respectively. Both isolations proved mecA, sea, seb and type V SCCmec genes were present. Genetic comparison by SmaI-PFGE showed identical profiles for both cultures, suggesting it was the same strain. These report informs the identification of an OS-MRSA isolation in Uruguay and points out the limitation of a few laboratory procedures to correctly identify resistant phenotypes associated to mecA gene in clinical isolations of S. aureus.

Keywords : Staphylococcus aureus; Methicillin-Resistant Staphylococcus aureus.

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