High Prevalence of Biocide Resistance Determinants in Staphylococcus aureus Isolates from Three African Countries

Antimicrob Agents Chemother. 2015 Nov 9;60(1):678-81. doi: 10.1128/AAC.02140-15. Print 2016 Jan.

Abstract

We assessed the prevalence of six biocide resistance genes among 82 methicillin-resistant Staphylococcus aureus (MRSA) and 219 methicillin-susceptible S. aureus (MSSA) isolates from three African countries; the prevalence was very high for sepA (95.3%), mepA (89.4%), and norA (86.4%), intermediate for lmrS (60.8%) and qacAB (40.5%), and low for smr (3.7%). A significant association between biocide resistance genes and antibiotic resistance was observed, and a new cutoff MIC of ≥1 mg/liter for chlorhexidine nonsusceptibility was defined.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angola / epidemiology
  • Anti-Infective Agents, Local / pharmacology*
  • Atlantic Islands / epidemiology
  • Bacterial Proteins / genetics*
  • Bacterial Proteins / metabolism
  • Cabo Verde / epidemiology
  • Chlorhexidine / pharmacology*
  • Gene Expression
  • Humans
  • Methicillin-Resistant Staphylococcus aureus / drug effects*
  • Methicillin-Resistant Staphylococcus aureus / genetics
  • Methicillin-Resistant Staphylococcus aureus / growth & development
  • Microbial Sensitivity Tests
  • Multidrug Resistance-Associated Proteins / genetics*
  • Multidrug Resistance-Associated Proteins / metabolism
  • Prevalence
  • Staphylococcal Infections / epidemiology*
  • Staphylococcal Infections / microbiology

Substances

  • Anti-Infective Agents, Local
  • Bacterial Proteins
  • Multidrug Resistance-Associated Proteins
  • NorA protein, Staphylococcus
  • Chlorhexidine