Detection of Vancomycin Resistance among Methicillin-Resistant Staphylococcus aureus Strains Recovered from Children with Invasive Diseases in a Reference Pediatric Hospital

Vancomycin is the cornerstone in treating methicillin-resistant Staphylococcus aureus (MRSA) infections. However, therapeutic failures can occur when MRSA strains with decreased susceptibility to glycopeptides (DSG) are involved. The aim of this study was to detect and characterize DSG in MRSArecove...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Pardo, Lorena (author)
مؤلفون آخرون: Mota, María Inés (author), Parnizari, Andrés (author), Varela, Adriana (author), Algorta, Gabriela (author), Varela, Gustavo (author)
التنسيق: article
اللغة:الإنجليزية
منشور في: 2024
الموضوعات:
الوصول للمادة أونلاين:https://hdl.handle.net/20.500.12008/52464
الوسوم: إضافة وسم
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author Pardo, Lorena
author2 Mota, María Inés
Parnizari, Andrés
Varela, Adriana
Algorta, Gabriela
Varela, Gustavo
author2_role author
author
author
author
author
author_browse Algorta, Gabriela
Mota, María Inés
Pardo, Lorena
Parnizari, Andrés
Varela, Adriana
Varela, Gustavo
author_facet Pardo, Lorena
Mota, María Inés
Parnizari, Andrés
Varela, Adriana
Algorta, Gabriela
Varela, Gustavo
author_role author
collection COLIBRI
dc.contributor.none.fl_str_mv Pardo Lorena, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y Virología
Mota María Inés, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y Virología
Parnizari Andrés, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y Virología
Varela Adriana, Administración de los Servicios de Salud del Estado (ASSE) (Uruguay). Centro Hospitalario Pereira Rossell. Laboratorio Bacteriología
Algorta Gabriela, Administración de los Servicios de Salud del Estado (ASSE) (Uruguay). Centro Hospitalario Pereira Rossell. Laboratorio Bacteriología
Varela Gustavo, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y Virología
dc.creator.none.fl_str_mv Pardo, Lorena
Mota, María Inés
Parnizari, Andrés
Varela, Adriana
Algorta, Gabriela
Varela, Gustavo
dc.date.none.fl_str_mv 2024
2025-11-14T15:41:32Z
2025-11-14T15:41:32Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv PARDO, L., MOTA, MI., PARNIZARI, A., y otros. Detection of Vancomycin Resistance among Methicillin-Resistant Staphylococcus aureus Strains Recovered from Children with Invasive Diseases in a Reference Pediatric Hospital. Antibiotics [en línea] 2024, 13. DOI: 10.3390/antibiotics13040298
https://hdl.handle.net/20.500.12008/52464
10.3390/antibiotics13040298
dc.language.none.fl_str_mv en
eng
dc.relation.none.fl_str_mv Antibiotics. 13, 2024
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
Licencia Creative Commons Atribución (CC - By 4.0)
dc.source.none.fl_str_mv reponame:COLIBRI
instname:Universidad de la República
instacron:Universidad de la República
dc.subject.none.fl_str_mv S. aureus
vancomycin resistance
methicillin-resistant Staphylococcus aureus
hVISA
dc.title.none.fl_str_mv Detection of Vancomycin Resistance among Methicillin-Resistant Staphylococcus aureus Strains Recovered from Children with Invasive Diseases in a Reference Pediatric Hospital
dc.type.none.fl_str_mv Artículo
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
description Vancomycin is the cornerstone in treating methicillin-resistant Staphylococcus aureus (MRSA) infections. However, therapeutic failures can occur when MRSA strains with decreased susceptibility to glycopeptides (DSG) are involved. The aim of this study was to detect and characterize DSG in MRSArecovered from children with invasive diseases at a reference pediatric hospital between 2009 and2019. Fifty-two MRSAstrains werescreenedusingagarplates with vancomycin3 and 4 mg/L (BHI-3 and BHI-4); the VITEK2 system; and standard and macro E-tests. Suspicious hVISA were studied by population analysis profiling–area under the curve (PAP-AUC), and wall thickness was analyzed by transmission electron microscopy. Neither VRSA nor VISA were detected in this set. As only three strains met the hVISA criteria, the PAP-AUC study included 12 additional MRSA strains that grew one colony on BHI-4 plates or showed minimum inhibitory concentrations of vancomycin and/or teicoplanin 1.5 mg/L. One strain was confirmed as hVISA by PAP-AUC. The wall thickness was greater than the vancomycin-susceptible control strain; it belonged to ST30 and carried SCCmec IV. As expected, a low frequency of hVISA was found (1.9%). The only hVISA confirmed by PAP-AUC wasnot detected by the screening methods, highlighting the challenge that its detection represents for microbiology laboratories.
eu_rights_str_mv openAccess
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identifier_str_mv PARDO, L., MOTA, MI., PARNIZARI, A., y otros. Detection of Vancomycin Resistance among Methicillin-Resistant Staphylococcus aureus Strains Recovered from Children with Invasive Diseases in a Reference Pediatric Hospital. Antibiotics [en línea] 2024, 13. DOI: 10.3390/antibiotics13040298
10.3390/antibiotics13040298
instacron_str Universidad de la República
institution Universidad de la República
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publishDate 2024
publishDateSort 2024
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spelling Detection of Vancomycin Resistance among Methicillin-Resistant Staphylococcus aureus Strains Recovered from Children with Invasive Diseases in a Reference Pediatric HospitalPardo, LorenaMota, María InésParnizari, AndrésVarela, AdrianaAlgorta, GabrielaVarela, GustavoS. aureusvancomycin resistancemethicillin-resistant Staphylococcus aureushVISAVancomycin is the cornerstone in treating methicillin-resistant Staphylococcus aureus (MRSA) infections. However, therapeutic failures can occur when MRSA strains with decreased susceptibility to glycopeptides (DSG) are involved. The aim of this study was to detect and characterize DSG in MRSArecovered from children with invasive diseases at a reference pediatric hospital between 2009 and2019. Fifty-two MRSAstrains werescreenedusingagarplates with vancomycin3 and 4 mg/L (BHI-3 and BHI-4); the VITEK2 system; and standard and macro E-tests. Suspicious hVISA were studied by population analysis profiling–area under the curve (PAP-AUC), and wall thickness was analyzed by transmission electron microscopy. Neither VRSA nor VISA were detected in this set. As only three strains met the hVISA criteria, the PAP-AUC study included 12 additional MRSA strains that grew one colony on BHI-4 plates or showed minimum inhibitory concentrations of vancomycin and/or teicoplanin 1.5 mg/L. One strain was confirmed as hVISA by PAP-AUC. The wall thickness was greater than the vancomycin-susceptible control strain; it belonged to ST30 and carried SCCmec IV. As expected, a low frequency of hVISA was found (1.9%). The only hVISA confirmed by PAP-AUC wasnot detected by the screening methods, highlighting the challenge that its detection represents for microbiology laboratories.Comisión Sectorial de Investigación Científica (CSIC)Pardo Lorena, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y VirologíaMota María Inés, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y VirologíaParnizari Andrés, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y VirologíaVarela Adriana, Administración de los Servicios de Salud del Estado (ASSE) (Uruguay). Centro Hospitalario Pereira Rossell. Laboratorio BacteriologíaAlgorta Gabriela, Administración de los Servicios de Salud del Estado (ASSE) (Uruguay). Centro Hospitalario Pereira Rossell. Laboratorio BacteriologíaVarela Gustavo, Universidad de la República (Uruguay). Facultad de Medicina. Instituto de Higiene. Unidad Académica Bacteriología y Virología2025-11-14T15:41:32Z2025-11-14T15:41:32Z2024Artículoinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfPARDO, L., MOTA, MI., PARNIZARI, A., y otros. Detection of Vancomycin Resistance among Methicillin-Resistant Staphylococcus aureus Strains Recovered from Children with Invasive Diseases in a Reference Pediatric Hospital. Antibiotics [en línea] 2024, 13. DOI: 10.3390/antibiotics13040298https://hdl.handle.net/20.500.12008/5246410.3390/antibiotics13040298reponame:COLIBRIinstname:Universidad de la Repúblicainstacron:Universidad de la RepúblicaenengAntibiotics. 13, 2024Las obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)info:eu-repo/semantics/openAccessLicencia Creative Commons Atribución (CC - By 4.0)oai:colibri.udelar.edu.uy:20.500.12008/524642026-04-14T10:37:06Z
spellingShingle Detection of Vancomycin Resistance among Methicillin-Resistant Staphylococcus aureus Strains Recovered from Children with Invasive Diseases in a Reference Pediatric Hospital
Pardo, Lorena
S. aureus
vancomycin resistance
methicillin-resistant Staphylococcus aureus
hVISA
status_str publishedVersion
title Detection of Vancomycin Resistance among Methicillin-Resistant Staphylococcus aureus Strains Recovered from Children with Invasive Diseases in a Reference Pediatric Hospital
title_full Detection of Vancomycin Resistance among Methicillin-Resistant Staphylococcus aureus Strains Recovered from Children with Invasive Diseases in a Reference Pediatric Hospital
title_fullStr Detection of Vancomycin Resistance among Methicillin-Resistant Staphylococcus aureus Strains Recovered from Children with Invasive Diseases in a Reference Pediatric Hospital
title_full_unstemmed Detection of Vancomycin Resistance among Methicillin-Resistant Staphylococcus aureus Strains Recovered from Children with Invasive Diseases in a Reference Pediatric Hospital
title_short Detection of Vancomycin Resistance among Methicillin-Resistant Staphylococcus aureus Strains Recovered from Children with Invasive Diseases in a Reference Pediatric Hospital
title_sort Detection of Vancomycin Resistance among Methicillin-Resistant Staphylococcus aureus Strains Recovered from Children with Invasive Diseases in a Reference Pediatric Hospital
topic S. aureus
vancomycin resistance
methicillin-resistant Staphylococcus aureus
hVISA
url https://hdl.handle.net/20.500.12008/52464