1887

Abstract

Many antiseptic agents are used in hygienic handwashes in the prevention of nosocomial infections by methicillin-resistant (MRSA). The plasmid-borne genes / and confer resistance to cationic antiseptic agents in . In this study, the susceptibilities for dyes and antiseptic agents (e.g. acriflavine, acrinol, benzalkonium chloride, benzethonium chloride, chlorhexidine digluconate and alkyldiaminoethylglycine hydrochloride) of 894 isolates of MRSA collected from 11 Asian countries (South Korea, China, the Philippines, Singapore, Vietnam, Thailand, Indonesia, India, Sri Lanka, Saudi Arabia and Japan) between 1998 and 1999 were examined. In addition, the distributions of the antiseptic-resistance genes / and were studied by PCR. Among the Asian MRSA isolates 57.7 % (516/894) were acriflavine-resistant. The gene was detected in 31.6 % (12/38) of MRSA isolates from India but only in 1.9 % (16/856) of all the isolates from other Asian countries. MRSA with / comprised 41.6 % (372/894) of the isolates across Asia. In addition, PFGE was performed to type the MRSA and grouped the tested 30 MRSA isolates with / into 21 PFGE types. The results indicated that / is functionally the most important gene mediating antiseptic resistance in the MRSA strains of Asia and that a specific MRSA with / was not prevalent in Asia but / were widely spread among MRSA of Asia, while the geographical distribution of is more limited.

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2005-06-01
2024-04-24
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References

  1. Alam M. M., Kobayashi N., Uehara N., Watanabe N. 2003; Analysis on distribution and genomic diversity of high-level antiseptic resistance genes qacA and qacB in human clinical isolates of Staphylococcus aureus . Microb Drug Resist 9:109–121 [CrossRef]
    [Google Scholar]
  2. Anthonisen I. L., Sunde M., Steinum T. M., Sidhu M. S., Sorum H. 2002; Organization of the antiseptic resistance gene qacA and Tn 552 -related beta-lactamase genes in multidrug-resistant Staphylococcus haemolyticus strains of animal and human origins. Antimicrob Agents Chemother 46:3606–3612 [CrossRef]
    [Google Scholar]
  3. Bjorland J., Steinum T., Sunde M., Waage S., Heir E. 2003; Novel plasmid-borne gene qacJ mediates resistance to quaternary ammonium compounds in equine Staphylococcus aureus, Staphylococcus simulans , and Staphylococcus intermedius . Antimicrob Agents Chemother 47:3046–3052 [CrossRef]
    [Google Scholar]
  4. Boyce J. M., Pittet D. 2002; Guideline for hand hygiene in health-care settings.Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. Morbid Mortal Wkly Rep Recomm Rep 511–45
    [Google Scholar]
  5. Grinius L., Dreguniene G., Goldberg E. B., Liao C.-H., Projan S. J. 1992; A staphylococcal multidrug resistance gene product is a member of a new protein family. Plasmid 27:119–129 [CrossRef]
    [Google Scholar]
  6. Heir E., Sundheim G., Holck A. L. 1998; The Staphylococcus qacH gene product: a new member of the SMR family encoding multidrug resistance. FEMS Microbiol Lett 163:49–56 [CrossRef]
    [Google Scholar]
  7. Heir E., Sundheim G., Holck A. L. 1999; The qacG gene on plasmid pST94 confers resistance to quaternary ammonium compounds in staphylococci isolated from the food industry. J Appl Microbiol 86:378–388 [CrossRef]
    [Google Scholar]
  8. Huang J., O'Toole P. W., Shen W. & 8 other authors; 2004; Novel chromosomally encoded multidrug efflux transporter MdeA in Staphylococcus aureus . Antimicrob Agents Chemother 48:909–917 [CrossRef]
    [Google Scholar]
  9. Kaatz G. W., Seo S. M., Ruble C. A. 1993; Efflux-mediated fluoroquinolone resistance in Staphylococcus aureus . Antimicrob Agents Chemother 37:1086–1094 [CrossRef]
    [Google Scholar]
  10. Kuroda M., Ohta T., Uchiyama I. & 34 other authors; 2001; Whole genome sequencing of methicillin-resistant Staphylococcus aureus . Lancet 357:1225–1240 [CrossRef]
    [Google Scholar]
  11. Littlejohn T. G., DiBerardino D., Messerotti L. J., Spiers S. J., Skurray R. A. 1991; Structure and evolution of a family of genes encoding antiseptic and disinfectant resistance in Staphylococcus aureus . Gene 101:59–66 [CrossRef]
    [Google Scholar]
  12. Littlejohn T. G., Paulsen I. T., Gillespie M. T., Tennent J. M., Midgley M., Jones I. G., Purewal A. S., Skurray R. A. 1992; Substrate specificity and energetics of antiseptic and disinfectant resistance in Staphylococcus aureus . FEMS Microbiol Lett 74:259–265
    [Google Scholar]
  13. Lyon B. R., Skurry R. 1987; Antimicrobial resistance of Staphylococcus aureus : genetic basis. Microbiol Rev 51:88–134
    [Google Scholar]
  14. Mayer S., Boos M., Beyer A., Fluit A. C., Schmitz F. J. 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 [CrossRef]
    [Google Scholar]
  15. McDonnell G., Russell A. D. 1999; Antiseptics and disinfectants: activity, action, and resistance. Clin Microbiol Rev 12:147–179
    [Google Scholar]
  16. Murchan S., Kaufmann M. E., Deplano A. & 21 other authors; 2003; Harmonization of pulsed-field gel electrophoresis protocols for epidemiological typing of strains of methicillin-resistant Staphylococcus aureus : a single approach developed by consensus in 10 European laboratories and its application for tracing the spread of related strains. J Clin Microbiol 41:1574–1585 [CrossRef]
    [Google Scholar]
  17. Narui K., Noguchi N., Wakasugi K., Sasatsu M. 2002; Cloning and characterization of a novel chromosomal drug efflux gene in Staphylococcus aureus . Biol Pharm Bull 25:1533–1536 [CrossRef]
    [Google Scholar]
  18. NCCLS 2000 Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria that Grow Aerobically , 5th edn. Wayne: National Committee for Clinical Laboratory Standards;
    [Google Scholar]
  19. Neyfakh A. A., Borsch C. M., Kaatz G. W. 1993; Fluoroquinolone resistance protein NorA of Staphylococcus aureus is a multidrug efflux transporter. Antimicrob Agents Chemother 37:128–129 [CrossRef]
    [Google Scholar]
  20. Ng E. Y. W., Trucksis M., Hooper D. C. 1994; Quinolone resistance mediated by norA : physiologic characterization and relationship to flqB , a quinolone resistance locus on the Staphylococcus aureus chromosome. Antimicrob Agents Chemother 38:1345–1355 [CrossRef]
    [Google Scholar]
  21. 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 [CrossRef]
    [Google Scholar]
  22. Noguchi N., Tamura M., Narui K., Wakasugi K., Sasatsu M. 2002; Frequency and genetic characterization of multidrug-resistant mutants of Staphylococcus aureus after selection with individual antiseptics and fluoroquinolones. Biol Pharm Bull 25:1129–1132 [CrossRef]
    [Google Scholar]
  23. Noguchi N., Okada H., Narui K., Sasatsu M. 2004; Comparison of the nucleotide sequence and expression of norA genes and microbial susceptibility in 21 strains of Staphylococcus aureus . Microb Drug Resist 10:197–203 [CrossRef]
    [Google Scholar]
  24. Nystrom B. 1994; Impact of handwashing on mortality in intensive care: examination of the evidence. Infect Control Hosp Epidemiol 15:435–436 [CrossRef]
    [Google Scholar]
  25. Oh W. S., Suh J. Y., Song J. H. & 14 other authors; 2004; Fluoroquinolone resistance in clinical isolates of Streptococcus pneumoniae from Asian countries: ANSORP study. Microb Drug Resist 10:37–42 [CrossRef]
    [Google Scholar]
  26. Okamoto K., Gotoh N., Nishino T. 2002; Extrusion of penem antibiotics by multicomponent efflux systems MexAB-OprM, MexCD-OprJ, and MexXY-OprM of Pseudomonas aeruginosa . Antimicrob Agents Chemother 46:2696–2699 [CrossRef]
    [Google Scholar]
  27. Paulsen T. I., Brown M. H., Littlejohn T. G., Mitchell B. A., Skurray R. A. 1996; Multidrug resistance protein QacA and QacB from Staphylococcus aureus : membrane topology and identification of residues involved in substrate specificity. Proc Natl Acad Sci U S A 93:3630–3635 [CrossRef]
    [Google Scholar]
  28. Putman M., Van Veen H. W., Degener J. E., Konings W. N. 2000; Antibiotic resistance: era of the multidrug pump. Mol Microbiol 36:772–773
    [Google Scholar]
  29. Putman M., van Veen H. W., Konings W. N. 2000; Molecular properties of bacterial multidrug transporters. Microbiol Mol Biol Rev 64:672–693 [CrossRef]
    [Google Scholar]
  30. Rouch D. A., Cram D. S., DiBerardino D., Littlejohn T. G., Skurray R. A. 1990; Efflux-mediated antiseptic gene qacA from Staphylococcus aureus : common ancestry with tetracycline- and sugar-transport proteins. Mol Microbiol 4:2051–2062 [CrossRef]
    [Google Scholar]
  31. Russell A. D. 2002; Mechanisms of antimicrobial action of antiseptics and disinfectants: an increasingly important area of investigation. J Antimicrob Chemother 49:597–599 [CrossRef]
    [Google Scholar]
  32. Sasatsu M., Shima K., Shibata Y., Kono M. 1989; Nucleotide sequence of a gene that encodes resistance to ethidium bromide from a transferable plasmid in Staphylococcus aureus . Nucleic Acids Res 17:10103 [CrossRef]
    [Google Scholar]
  33. Suller M. T., Russell A. D. 1999; Antibiotic and biocide resistance in methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus . J Hosp Infect 43:281–291 [CrossRef]
    [Google Scholar]
  34. Tennent J. M., Lyon B. R., Gillespie M. T., May J. W., Skurray R. A. 1985; Cloning and expression of Staphylococcus aureus plasmid-mediated quaternary ammonium resistance in Escherichia coli . Antimicrob Agents Chemother 27:79–83 [CrossRef]
    [Google Scholar]
  35. 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. J Clin Microbiol 33:2233–2239
    [Google Scholar]
  36. Tsuchizaki N., Ishikawa J., Hotta K. 2000; Colony PCR for rapid detection of antibiotic resistance genes in MRSA and enterococci. Jpn J Antibiot 53:422–429 [CrossRef]
    [Google Scholar]
  37. Yoshida H., Bogaki M., Nakamura S., Ubukata K., Konno M. 1990; Nucleotide sequence and characterization of the Staphylococcus aureus norA gene, which confers resistance to quinolones. J Bacteriol 172:6942–6949
    [Google Scholar]
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