Survey of methicillin-resistant coagulase-negative staphylococci in the hospitals of central Greece

Int J Antimicrob Agents. 2001 Dec;18(6):563-6. doi: 10.1016/s0924-8579(01)00454-x.

Abstract

A sample of 450 consecutive, non-replicated coagulase-negative staphylococci (CoNS), collected from clinical specimens during the period 2000-2001 from the five major hospitals of Thessaly district (Central Greece) were investigated for resistance to methicillin. Most of the isolates had been collected in a sporadic fashion from the intensive care units and the surgical wards of the participating hospitals. The majority of the isolates (76%) were Staphylococcus epidermidis (50%), Staphylococcus haemolyticus (14.8%) and Staphylococcus hominis (11.1%). All 316 isolates (70%) were classified as resistant according to NCCLS breakpoints (MIC > or =0.5 mg/l); 268 (59.5%) of them were mecA-positive in a PCR-based assay. All isolates with MIC > or =8 mg/l carried the gene, while, only 23.8% of isolates with MIC, 0.5-4 mg/l were carriers. Only 9% of the mecA-positive isolates were found to be sensitive to various non-beta-lactams, while 41.8% of the isolates were resistant to more than three antimicrobial groups apart from beta-lactams. Molecular typing by PFGE showed apparent heterogeneity among isolates of each species and the absence of predominant clones.

Publication types

  • Comparative Study

MeSH terms

  • Coagulase / analysis
  • Coagulase / genetics
  • Cross Infection / epidemiology
  • Cross Infection / microbiology*
  • Genotype
  • Greece / epidemiology
  • Hospitals
  • Humans
  • Intensive Care Units
  • Methicillin / pharmacology*
  • Methicillin Resistance / genetics
  • Microbial Sensitivity Tests
  • Penicillins / pharmacology*
  • Staphylococcal Infections / epidemiology
  • Staphylococcal Infections / microbiology*
  • Staphylococcus / drug effects*
  • Staphylococcus / enzymology
  • Staphylococcus / genetics

Substances

  • Coagulase
  • Penicillins
  • Methicillin