Investigation of eta, etb and etd Exfoliative Toxin Genes in Staphylococcus aureus Strains Isolated from Nursing Students, University Students and Hospital Surfaces
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https://doi.org/10.5281/zenodo.7472613Keywords:
Nursing students, University Students, Hospital surfaces, S. aureus, Exfoliative toxin geneAbstract
The aim of this study was to investigate the presence of exfoliative toxin genes (eta, etb, etd) in S. aureus strains isolated from nursing students, university students and hospital surfaces. A total of 50 S. aureus strains isolated from 20 nursing students, 17 university students and 13 hospital surfaces were used in this study. The presence of exfoliative toxin (ET) genes (eta, etb and etd) was investigated by PCR. PFGE was used to investigate the clonal relationship of ET gene detected isolates. While etd gene was detected in 6% (3/50) in our study, eta and etb genes could not be detected. Two of the isolates with the etd gene were nursing students and one was a university student isolate. No ET gene was detected in any of the hospital surface isolates. It was determined that the isolates with etd gene detected were clonal related. Since S. aureus strains carrying exfoliative genes cause both community and healthcare-associated infections, comprehensive studies are needed to prevent infections that may arise from such strains.
References
Abimanyu, N., Murugesan, S., Krishnan, P. 2013. High prevalence of exfoliative toxins among carrier isolates of Staphylococcus aureus from healthy individuals from various communities in Chennai, South India. Indian journal of microbiology, 53(3): 288-290.
Akpınar, R.B., Celebıoglu, A., Uslu, H., Uyanık, H.M. 2009. An evaluation of the hand and nasal flora of Turkish nursing students after clinical practice. Journal of Clinical Nursing, 18(3): 426-430.
Amagai, M., Matsuyoshi, N., Wang, Z., Andl, C., Stanley, J. 2000. Toxin in bullous impetigo and staphylococcal scalded-skin syndrome targets desmoglein 1. Nature medicine, 6(11): 1275-1277.
Bell, F., Fenton, P. 1993. Early hospital discharge and cross-infection. The Lancet, 342: 120.
Champion, A.E., Goodwin, T.A., Brolinson, P.G., Werre, S. R., Prater, M.R., Inzana, T.J. 2014. Prevalence and characterization of methicillin-resistant Staphylococcus aureus isolates from healthy university student athletes. Annals of clinical microbiology and antimicrobials, 13(1): 1-11.
Collery, M.M., Smyth, D.S., Twohig, J.M., Shore, A.C., Coleman, D.C., Smyth, C.J. 2008. Molecular typing of nasal carriage isolates of Staphylococcus aureus from an Irish university student population based on toxin gene PCR, agr locus types and multiple locus, variable number tandem repeat analysis. Journal of Medical Microbiology, 57(3): 348-358.
El Helali, N., Carbonne, A., Naas, T., Kerneis, S., Fresco, O., Giovangrandi, Y., . . . Astagneau, P. 2005. Nosocomial outbreak of staphylococcal scalded skin syndrome in neonates: epidemiological investigation and control. Journal of Hospital Infection, 61(2): 130-138.
Fascia, P., Martin, I., Mallaval, F., Grattard, F., Pozzetto, B., Lucht, F., Berthelot, P. 2003. Possible implication of student nurses in the transmission of methicillin-resistant Staphylococcus aureus during a nosocomial outbreak. Pathologie-biologie, 51(8-9): 479-482.
Geller, N.F., Bakken, S., Currie, L.M., Schnall, R., Larson, E.L. 2010. Infection control hazards and near misses reported by nursing students. American journal of infection control, 38(10): 811-816.
Hsu, B.M., Chen, J.S., Lin, I.C., Hsu, G.J., Koner, S., Hussain, B., . . . Tsai, H.C. 2021. Molecular and Anti-Microbial Resistance (AMR) Profiling of Methicillin-Resistant Staphylococcus aureus (MRSA) from Hospital and Long-Term Care Facilities (LTCF) Environment. Antibiotics, 10(6): 748.
Huang, H., Flynn, N.M., King, J.H., Monchaud, C., Morita, M., Cohen, S. H. 2006. Comparisons of community-associated methicillin-resistant Staphylococcus aureus (MRSA) and hospital-associated MSRA infections in Sacramento, California. Journal of Clinical Microbiology, 44(7): 2423-2427.
Kaplan, M., Chmel, H., Hsieh, H., Stephens, A., Brinsko, V. 1986. Importance of exfoliatin toxin A production by Staphylococcus aureus strains isolated from clustered epidemics of neonatal pustulosis. Journal of Clinical Microbiology, 23(1): 83-91.
Khairalla, A.S., Wasfi, R., Ashour, H.M. 2017. Carriage frequency, phenotypic, and genotypic characteristics of methicillin-resistant Staphylococcus aureus isolated from dental health-care personnel, patients, and environment. Scientific reports, 7(1): 1-16.
Körkoca, H., Gökçeoğlu, E., Dicle, Y., Özçelik, Z., Yurtdaş, D., Dinler, Ö. 2013. Investıgatıon Of Antımıcrobıal Sensıtıvıty Of Hospıtal Acquıred Nonclınıcal Staphylococcus Aureus Straıns. Muş Alparslan University Journal of Science, 1(1): 7-16.
Krishnamurthy, V., Saha, A., Renushri, B.V., Nagaraj, E.R. 2014. Methicillin resistant Staphylococcus aureus carriage, antibiotic resistance and molecular pathogenicity among healthy individuals exposed and not exposed to hospital environment. Journal of Clinical and Diagnostic Research: JCDR, 8(7): 4-8.
Ladhani, S., Joannou, C.L., Lochrie, D.P., Evans, R.W., Poston, S.M. 1999. Clinical, microbial, and biochemical aspects of the exfoliative toxins causing staphylococcal scalded-skin syndrome. Clinical microbiology reviews, 12(2): 224-242.
Lam, S.C., Fung, E.S.S., Hon, L.K.Y., Ip, M.P.Y., Chan, J. H. T. 2010. Nursing students’ compliance with universal precautions in Hong Kong. Journal of Clinical Nursing, 19(21‐22): 3247-3250.
Lamanna, O., Bongiorno, D., Bertoncello, L., Grandesso, S., Mazzucato, S., Pozzan, G.B., . . . Brugnaro, P. 2017. Rapid containment of nosocomial transmission of a rare community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) clone, responsible for the Staphylococcal Scalded Skin Syndrome (SSSS). Italian journal of pediatrics, 43(1): 1-6.
Lee, CY,, Schmidt, JJ., Johnnson-Winegar, AD., Spero, L., Iandolo JJ. 1987. Sequence determination and comparison of exfoliative toxin A and toxin B genes from Staphylococcus aureus. Journal of Bacteriology, 169(9): 3904-3909.
Lim, K.T., Hanifah, Y.A., Yusof, M.Y.M., Thong, K.L. 2012. Characterisation of the virulence factors and genetic types of methicillin susceptible Staphylococcus aureus from patients and healthy individuals. Indian journal of microbiology, 52(4): 593-600.
Lozano, C., Gómez-Sanz, E., Benito, D., Aspiroz, C., Zarazaga, M., Torres, C. 2011. Staphylococcus aureus nasal carriage, virulence traits, antibiotic resistance mechanisms, and genetic lineages in healthy humans in Spain, with detection of CC398 and CC97 strains. International Journal of Medical Microbiology, 301(6): 500-505.
Mahmoudi, H., Alikhani, M.Y., Fooladi, A.A.I. 2020. Synergistic antimicrobial activity of melittin with clindamycin on the expression of encoding exfoliative toxin in Staphylococcus aureus. Toxicon, 183: 11-19.
Mulvey, M., Chui, L., Ismail, J., Louie, L., Murphy, C., Chang, N., . . . Methods†, C. C. f. t. S. o. M. 2001. Development of a Canadian standardized protocol for subtyping methicillin-resistant Staphylococcus aureus using pulsed-field gel electrophoresis. Journal of Clinical Microbiology, 39(10): 3481-3485.
Netsvyetayeva, I., Fraczek, M., Piskorska, K., Golas, M., Sikora, M., Mlynarczyk, A., . . . Iannitti, T. 2014. Staphylococcus aureus nasal carriage in Ukraine: antibacterial resistance and virulence factor encoding genes. BMC Infectious Diseases, 14(1): 1-9.
Neylon, O., O’Connell, N.H., Slevin, B., Powell, J., Monahan, R., Boyle, L., . . . Kearns, A.M. 2010. Neonatal staphylococcal scalded skin syndrome: clinical and outbreak containment review. European journal of pediatrics, 169(12): 1503-1509.
Ömeroğlu, Ö. 2013. Investigation of bacteria in nursing students nasal Staphylococcus aureus. (Master Thesis). Muş Alpraslan Üniversitesi, Muş. (350313)
Paul, S.K., Ghosh, S., Kawaguchiya, M., Urushibara, N., Hossain, M.A., Ahmed, S., . . . Ahmed, A.A. 2014. Detection and genetic characterization of PVL-positive ST8-MRSA-IVa and exfoliative toxin D-positive European CA-MRSA-Like ST1931 (CC80) MRSA-IVa strains in Bangladesh. Microbial Drug Resistance, 20(4): 325-336.
Piechowicz, L., Garbacz, K., Wiśniewska, K., Dąbrowska-Szponar, M. 2011. Screening of Staphylococcus aureus nasal strains isolated from medical students for toxin genes. Folia microbiologica, 56(3): 225-229.
Santosaningsih, D., Santoso, S., Setijowati, N., Rasyid, H.A., Budayanti, N.S., Suata, K., Damayanti, D. 2018. Prevalence and characterisation of Staphylococcus aureus causing community‐acquired skin and soft tissue infections on Java and Bali, Indonesia. Tropical Medicine International Health, 23(1): 34-44.
Schaumburg, F., Köck, R., Friedrich, A.W., Soulanoudjingar, S., Ngoa, U.A., von Eiff, C., Peters, G. 2011. Population structure of Staphylococcus aureus from remote African Babongo Pygmies. PLoS neglected tropical diseases, 5(5): e1150.
Tasneem, U., Mehmood, K., Majid, M., Ullah, S. R., Andleeb, S. 2022. Methicillin resistant Staphylococcus aureus: A brief review of virulence and resistance. JPMA. The Journal of the Pakistan Medical Association, 72(3): 509-515.
Tenover, F.C., Arbeit, R.D., Goering, R.V., Mickelsen, P.A., Murray, B.E., Persing, D.H., Swaminathan, B. 1995. Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. Journal of Clinical Microbiology, 33(9): 2233-2239.
Toshkova, K., Annemüller, C., Akineden, Ö., Lämmler, C. 2001. The significance of nasal carriage of Staphylococcus aureus as risk factor for human skin infections. FEMS microbiology letters, 202(1): 17-24.
Ward, D.J. 2010. Infection control in clinical placements: experiences of nursing and midwifery students. Journal of advanced nursing, 66(7): 1533-1542.
Weber, D. J., Anderson, D., Rutala, W.A. 2013. The role of the surface environment in healthcare-associated infections. Current opinion in infectious diseases, 26(4): 338-344.
Yamaguchi, T., Nishifuji, K., Sasaki, M., Fudaba, Y., Aepfelbacher, M., Takata, T., . . . Sugai, M. 2002. Identification of the Staphylococcus aureus etd pathogenicity island which encodes a novel exfoliative toxin, ETD, and EDIN-B. Infection and immunity, 70(10): 5835-5845.
Yamasaki, O., Tristan, A., Yamaguchi, T., Sugai, M., Lina, G., Bes, M., . . . Etienne, J. 2006. Distribution of the exfoliative toxin D gene in clinical Staphylococcus aureus isolates in France. Clinical microbiology and infection, 12(6): 585-588.
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