COAGULASE-NEGATIVE Staphylococci AND THEIR PATHOGENIC ROLE: A FOCUS ON NOSOCOMIAL INFECTIONS

Authors

  • Malik Asif Hussain University of Hail, Al Qaitah Road, Hail, 55476 (Kingdom of Saudi Arabia)
  • Hassan Shaukat Services Hospital Lahore, - 54000, Punjab (Pakistan)
  • Umar Farooq Gohar Government College University, Lahore, 54000, Punjab (Pakistan)

DOI:

https://doi.org/10.48165/

Keywords:

Biofilm, coagulase-negative staphylococci, nosocomial infections, S. epidermidis

Abstract

Staphylococci, involved in many human diseases, are present on human  and animal body surfaces as well as in air, food and water. The general  classification of staphylococci divides them in two major groups; coagulase  positive and negative staphylococci. Coagulase-negative staphylococci  (CoNS) are present as a part of normal skin andmucous membrane flora  in humans. CoNS have long been considered as non-pathogenic organism  but now they are considered pathogenic involved in infections related to  prosthetic materials particularly in surgicalwounds. Virulence factors in  CoNS are not very clearly established. Staphylococcus epidermidis is  evolving as a resistant and powerful microbe related to nosocomial  infections. Characteristics like biofilm formation, drug resistance and  evolution of genetic variables contribute to its pathogenicity. This review  elaborates the evidence of involvement of CoNS in various clinically  important infections from recent and past literature. 

Downloads

Download data is not yet available.

References

Banerjee, S.N., Emori, T.G., Culver, D.H., Gaynes, R.P., Jarvis, W.R., Horan, T. and Martone, W.J. 1991. Secular trends in nosocomial primary bloodstream infections in the United States, 1980- 1989. National nosocomial infections surveillance system. The American Journal of Medicine, 91(3B): 86S-89S.

Becker, K., Heilmann, C. and Peters, G. 2014. Coagulase-negative staphylococci. Clinical Microbiology Reviews, 27(4): 870-926.

Benzies, K.M. 2008. Advanced maternal age: Are decisions about the timing of child-bearing a failure to understand the risks? Canadian Medical Association Journal, 178(2): 183-184. Bizzarro, M.J., Shabanova, V., Baltimore, R.S., Dembry, L.M., Ehrenkranz, R.A. and Gallagher, P.G. 2015. Neonatal sepsis 2004-2013: The rise and fall of coagulase-negative staphylococci. The Journal of Pediatrics, 166(5): 1193-1199.

Boyce, J.M., Havill, N.L., Kohan, C., Dumigan, D.G. and Ligi, C.E. 2004. Do infection control measures work for methicillin-resistant Staphylococcus aureus?.Infection Control & Hospital Epidemiology, 25(5): 395-401.

Chen, L. and Wen, Y.M. 2011. The role of bacterial biofilm in persistent infections and control strategies. International Journal of Oral Science, 3(2): 66-73.

Conlon, K.M., Humphreys, H. and O'Gara, J.P. 2002. icaR encodes a transcriptional repressor involved in environmental regulation of ica operon expression and biofilm formation in Staphylococcus epidermidis. Journal of Bacteriology, 184(16): 4400-4408.

De Paulis, A.N., Predari, S.C., Chazarreta, C.D. and Santoianni, J.E. 2003b. Five-test simple scheme for species-level identification of clinically significant coagulase-negative staphylococci. Journal of Clinical Microbiology, 41(3): 1219-1224.

De Vecchi, E., George, D.A., Romanò, C.L., Pregliasco, F.E., Mattina, R. and Drago, L. 2018. Antibiotic sensitivities of coagulase-negative staphylococci and Staphylococcus aureus in hip and knee periprosthetic joint infections: Does this differ if patients meet the international consensus meeting criteria? Infection and Drug Resistance, 11: 539.

Deguchi, H., Kitazawa, K., Kayukawa, K., Kondoh, E., Fukumoto, A., Yamasaki, T. and Sotozono, C. 2018. The trend of resistance to antibiotics for ocular infection of Staphylococcus aureus, coagulase-negative staphylococci, and Corynebacterium compared with 10-years previous: A retrospective observational study. PloS One, 13(9): e0203705.

Delgado, S., Arroyo, R., Jimenez, E., Marin, M.L., del Campo, R., Fernandez, L. and Rodriguez, J.M. 2009. Staphylococcus epidermidis strains isolated from breast milk of women suffering infectious mastitis: Potential virulence traits and resistance to antibiotics. BMC Microbiology, 9: 82.

Donlan, R.M. 2000. Role of biofilms in antimicrobial resistance. American Society for Artificial Internal Organs Journal, 46(6): S47-52.

Foster, T. 1996. Staphylococcus. In: Medical Microbiology (ed. S. Baron) 4th edn. University of Texas, Medical Branch, Galveston, Taxas, USA. [https://www.ncbi.nlm.nih.gov/books/NBK8448/].

Hanna, R. and Raad, II. 2005. Diagnosis of catheter-related bloodstream infection. Current Infectious Disease Reports, 7(6): 413-419.

Hanssen, A.M., Kjeldsen, G. and Sollid, J.U. 2004. Local variants of Staphylococcal cassette chromosome mec in sporadic methicillin-resistant Staphylococcus aureus and methicillin resistant coagulase-negative Staphylococci: Evidence of horizontal gene transfer? Antimicrobial Agents and Chemotherapy, 48(1), 285-296.

Heilmann, C., Ziebuhr, W. and Becker, K. 2019. Are coagulase-negative staphylococci virulent? Clinical Microbiology and Infection, 25(9): 1071-1080.

Hellmark, B., Unemo, M., Nilsdotter-Augustinsson, A. and Soderquist, B. 2009. Antibiotic susceptibility among Staphylococcus epidermidis isolated from prosthetic joint infections with special focus on rifampicin and variability of the rpoB gene. Clinical Microbiology and Infection, 15(3): 238-244.

Hitzenbichler, F., Simon, M., Salzberger, B. and Hanses, F. 2017. Clinical significance of coagulase negative staphylococci other than S. epidermidis blood stream isolates at a tertiary care hospital. Infection, 45(2): 179-186.

Hoiby, N., Ciofu, O., Johansen, H.K., Song, Z.J., Moser, C., Jensen, P.O. and Bjarnsholt, T. 2011. The clinical impact of bacterial biofilms. International Journal of Oral Science, 3(2): 55-65. Hussain, M.A. 2020. Importance and concept of resistance versus tolerance in biofilm mode of bacterial proliferation. Biologia (Pakistan), 66(1): 61-65.

Hussain, M.A., Rathnayake, I. and Huygens, F. 2017. Prevalence of biofilm controlling ica genes of Staphylococcus epidermidis detected in healthy skin, blood samples from septicaemia patients and chronic wounds. International Journal of Basic & Clinical Pharmacology, 6(4): 726-733.

Malik Asif Hussain et al.

Klingenberg, C., Ronnestad, A., Anderson, A.S., Abrahamsen, T.G., Zorman, J., Villaruz, A. and Sollid, J.E. 2007. Persistent strains of coagulase-negative staphylococci in a neonatal intensive care unit: Virulence factors and invasiveness. Clinical Microbiology and Infection, 13(11): 1100-1111.

Kloos, W.E. and Bannerman, T.L. 1994. Update on clinical significance of coagulase-negative staphylococci. Clinical Microbiology Reviews, 7(1): 117-140.

Kozitskaya, S., Olson, M.E., Fey, P.D., Witte, W., Ohlsen, K. and Ziebuhr, W. 2005. Clonal analysis of Staphylococcus epidermidis isolates carrying or lacking biofilm-mediating genes by multilocus sequence typing. Journal of Clinical Microbiology, 43(9): 4751-4757.

Leroy, O., Meybeck, A., Sarraz-Bournet, B., d'Elia, P. and Legout, L. 2012. Vascular graft infections. Current Opinion in Infectious Diseases, 25(2): 154-158.

Lourtet-Hascoët, J., Felice, M., Bicart-See, A., Bouige, A., Giordano, G. and Bonnet, E. 2018. Species and antimicrobial susceptibility testing of coagulase-negative staphylococci in periprosthetic joint infections. Epidemiology and Infection, 146(14): 1771-1776.

Mack, D., Sabottke, A., Dobinsky, S., Rohde, H., Horstkotte, M.A. and Knobloch, J.K.M. 2002. Differential expression of methicillin resistance by different biofilm-negative Staphylococcus epidermidis transposon mutant classes. Antimicrobial Agents & Chemotherapy, 46(1): 178-183.

Malachowa, N. and DeLeo, F.R. 2010. Mobile genetic elements of Staphylococcus aureus. Cellular and Molecular Life Sciences, 67(18), 3057-3071.

Marchant, E.A., Boyce, G.K., Sadarangani, M. and Lavoie, P.M. 2013. Neonatal sepsis due to coagulase-negative staphylococci: Clinical and developmental immunology, vol. 2013, article ID 586076, 10 pages [https://doi.org/10.1155/2013/586076].

McCann, M.T., Gilmore, B.F. and Gorman, S.P. 2008. Staphylococcus epidermidis device-related infections: Pathogenesis and clinical management. Journal of Pharmacy and Pharmacology, 60(12): 1551-1571.

Mediano, P., Fernández, L., Jiménez, E., Arroyo, R., Espinosa-Martos, I., Rodríguez, J.M. and Marín, M. 2017. Microbial diversity in milk of women with mastitis: Potential role of coagulase negative staphylococci, viridans group streptococci, and corynebacteria. Journal of Human Lactation, 33(2): 309-318.

Morad Asaad, A., Ansar Qureshi, M. and Mujeeb Hasan, S. 2016. Clinical significance of coagulase negative staphylococci isolates from nosocomial bloodstream infections. Infectious Diseases, 48(5): 356-360.

Natsis, N.E. and Cohen, P.R. 2018. Coagulase-negative Staphylococcus skin and soft tissue infections. American Journal of Clinical Dermatology, 19(5): 671-677.

Otto, M. 2009. Staphylococcus epidermidis - The 'accidental' pathogen. Nature Reviews Microbiology, 7(8), 555-567.

Paul, R., Das, N.K., Dutta, R., Bandyopadhyay, R. and Banerjee, A.K. 2011. Bacterial contamination of the hands of doctors: A study in the medicine and dermatology wards. Indian Journal of Dermatology, Venereology and Leprology, 77(3): 307-313.

Pedroso, S.H., Sandes, S.H., Filho, R.A., Nunes, A.C., Serufo, J.C., Farias, L.M. and Santos, S.G. 2018. Coagulase-negative Staphylococci isolated from human bloodstream infections showed multidrug resistance profile. Microbial Drug Resistance, 24(5), 635-647.

Peel, T.N., Cheng, A.C., Buising, K.L. and Choong, P.F. 2012. Microbiological aetiology, epidemiology, and clinical profile of prosthetic joint infections: are current antibiotic prophylaxis guidelines effective? Antimicrobial Agents and Chemotherapy, 56(5), 2386-2391.

Persson, L., Strid, H., Tidefelt, U. and Soderquist, B. 2006. Phenotypic and genotypic characterization of coagulase-negative staphylococci isolated in blood cultures from patients with haematological malignancies. European Journal of Clinical Microbiology and Infectious Diseases, 25(5): 299-309.

Pourmand, M.R., Abdossamadi, Z., Salari, M.H. and Hosseini, M. 2011. Slime layer formation and the prevalence of mecA and aap genes in Staphylococcus epidermidis isolates. The Journal of Infection in Developing Countries, 5(1): 34-40.

Raad, I., Hanna, H. and Maki, D. 2007. Intravascular catheter-related infections: Advances in diagnosis, prevention, and management. The Lancet Infectious Diseases, 7(10): 645-657. Rohde, H., Mack, D., Christner, M., Burdelski, C., Franke, G. and Knobloch, J.K. 2006. Pathogenesis of staphylococcal device-related infections: From basic science to new diagnostic, therapeutic and prophylactic approaches. Reviews in Medical Microbiology, 17(2): 45-54. Rogers, K.L., Fey, P.D. and Rupp, M.E. 2009. Coagulase-negative staphylococcal infections. Infectious Disease Clinics of North America, 23(1), 73-98.

Saleem, B.R., Meerwaldt, R., Tielliu, I.F., Verhoeven, E.L., van den Dungen, J.J. and Zeebregts, C.J. 2010. Conservative treatment of vascular prosthetic graft infection is associated with high mortality. The American Journal of Surgery, 200(1), 47-52.

Selton-Suty, C., Celard, M., Le Moing, V., Doco-Lecompte, T., Chirouze, C., Iung, B. and Group, A.S. 2012. Preeminence of Staphylococcus aureus in infective endocarditis: a 1-year population-based survey. Clinical Infectious Diseases, 54(9): 1230-1239.

Shittu, A., Lin, J., Morrison, D. and Kolawole, D. 2006. Identification and molecular characterization of mannitol salt positive, coagulase-negative staphylococci from nasal samples of medical personnel and students. Journal of Medical Microbiology, 55(Pt 3): 317-324.

Stewart, P.S. 2002. Mechanisms of antibiotic resistance in bacterial biofilms. International Journal of Medical Microbiology, 292(2): 107-113.

Venkatesh, M.P., Placencia, F. and Weisman, L.E. 2006. Coagulase-negative staphylococcal infections in the neonate and child: An update. Seminars in Pediatric Infectious Diseases, 17(3): 120-127.

von Eiff, C., Jansen, B., Kohnen, W. and Becker, K. 2005. Infections associated with medical devices: Pathogenesis, management and prophylaxis. Drugs, 65(2): 179-214.

von Eiff, C., Peters, G. and Heilmann, C. 2002. Pathogenesis of infections due to coagulase-negative staphylococci. The Lancet Infectious Diseases, 2(11): 677-685.

Wang, Y., Kuo, S., Shu, M., Yu, J., Huang, S., Dai, A. and Huang, C.M. 2014. Staphylococcus epidermidis in the human skin microbiome mediates fermentation to inhibit the growth of Propionibacterium acnes: Implications of probiotics in Acne vulgaris. Applied Microbiology and Biotechnology, 98(1): 411-424.

Widerstrom, M., Wistrom, J., Sjostedt, A. and Monsen, T. 2012. Coagulase-negative staphylococci: update on the molecular epidemiology and clinical presentation, with a focus on Staphylococcus epidermidis and Staphylococcus saprophyticus. European Journal of Clinical Microbiology & Infectious Diseases, 31(1): 7-20.

Ziebuhr, W., Hennig, S., Eckart, M., Kranzler, H., Batzilla, C. and Kozitskaya, S. 2006. Nosocomial infections by Staphylococcus epidermidis: How a commensal bacterium turns into a pathogen? International Journal of Antimicrobial Agents, 28 (Suppl. 1): S14-20.

Published

2023-11-16

How to Cite

COAGULASE-NEGATIVE Staphylococci AND THEIR PATHOGENIC ROLE: A FOCUS ON NOSOCOMIAL INFECTIONS . (2023). Applied Biological Research, 23(2), 113–121. https://doi.org/10.48165/