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Published in: European Journal of Clinical Microbiology & Infectious Diseases 10/2010

01-10-2010 | Brief Report

First outbreak of PVL-positive nonmultiresistant MRSA in a neonatal ICU in Australia: comparison of MALDI-TOF and SNP-plus-binary gene typing

Authors: S. Schlebusch, G. R. Price, S. Hinds, C. Nourse, J. M. Schooneveldt, M. H. Tilse, H. G. Liley, T. Wallis, F. Bowling, D. Venter, G. R. Nimmo

Published in: European Journal of Clinical Microbiology & Infectious Diseases | Issue 10/2010

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Abstract

The purpose of this brief report is to describe the first outbreak of a community-associated nonmultiresistant and PVL-positive MRSA strain (CC30) in a neonatal intensive care unit in Australia. The utility of matrix-assisted laser desorption/ionisation time-of-flight mass spectrometry (MALDI-TOF-MS) for microbial typing is compared with single nucleotide polymorphism (SNP) plus binary gene analysis. The composite correlation index analysis of the MALDI-TOF-MS data demonstrated the similar inter-strain relatedness found with the SNP-plus-binary gene typing used to confirm the outbreak. The evolving spread of MRSA emphasizes the importance of surveillance, infection control vigilance and the ongoing investigation of rapid typing methods for MRSA.
Literature
1.
go back to reference Isaacs D, Fraser S, Hogg G, Li HY (2004) Staphylococcus aureus infections in Australasian neonatal nurseries. Arch Dis Child 89(4):F331–F335 Isaacs D, Fraser S, Hogg G, Li HY (2004) Staphylococcus aureus infections in Australasian neonatal nurseries. Arch Dis Child 89(4):F331–F335
2.
go back to reference O’Brien FG, Pearman JW, Gracey M, Riley TV, Grubb WB (1999) Community strain of methicillin-resistant Staphylococcus aureus involved in a hospital outbreak. J Clin Microbiol 37(9):2858–2862PubMed O’Brien FG, Pearman JW, Gracey M, Riley TV, Grubb WB (1999) Community strain of methicillin-resistant Staphylococcus aureus involved in a hospital outbreak. J Clin Microbiol 37(9):2858–2862PubMed
3.
go back to reference Huygens F, Inman-Bamber J, Nimmo GR, Munckhof W, Schooneveldt J, Harrison B, McMahon JA, Giffard PM (2006) Staphylococcus aureus genotyping using novel real-time PCR formats. J Clin Microbiol 44(10):3712–3719CrossRefPubMed Huygens F, Inman-Bamber J, Nimmo GR, Munckhof W, Schooneveldt J, Harrison B, McMahon JA, Giffard PM (2006) Staphylococcus aureus genotyping using novel real-time PCR formats. J Clin Microbiol 44(10):3712–3719CrossRefPubMed
4.
go back to reference Sauer S, Freiwald A, Maier T, Kube M, Reinhardt R, Kostrzewa M, Geider K (2008) Classification and identification of bacteria by mass spectrometry and computational analysis. PLoS ONE 3(7):e2843CrossRefPubMed Sauer S, Freiwald A, Maier T, Kube M, Reinhardt R, Kostrzewa M, Geider K (2008) Classification and identification of bacteria by mass spectrometry and computational analysis. PLoS ONE 3(7):e2843CrossRefPubMed
5.
go back to reference Arnold RJ, Reilly JP (1998) Fingerprint matching of E. coli strains with matrix-assisted laser desorption/ionization time-of-flight mass spectrometry of whole cells using a modified correlation approach. Rapid Commun Mass Spectrom 12(10):630–636CrossRefPubMed Arnold RJ, Reilly JP (1998) Fingerprint matching of E. coli strains with matrix-assisted laser desorption/ionization time-of-flight mass spectrometry of whole cells using a modified correlation approach. Rapid Commun Mass Spectrom 12(10):630–636CrossRefPubMed
6.
go back to reference Taneike I, Otsuka T, Dohmae S, Saito K, Ozaki K, Takano M, Higuchi W, Takano T, Yamamoto T (2006) Molecular nature of methicillin-resistant Staphylococcus aureus derived from explosive nosocomial outbreaks of the 1980s in Japan. FEBS Lett 580(9):2323–2334CrossRefPubMed Taneike I, Otsuka T, Dohmae S, Saito K, Ozaki K, Takano M, Higuchi W, Takano T, Yamamoto T (2006) Molecular nature of methicillin-resistant Staphylococcus aureus derived from explosive nosocomial outbreaks of the 1980s in Japan. FEBS Lett 580(9):2323–2334CrossRefPubMed
7.
go back to reference Centers for Disease Control and Prevention (1999) Four pediatric deaths from community-acquired methicillin-resistant Staphylococcus aureus—Minnesota and North Dakota, 1997–1999. JAMA 282(12):1123–1125 Centers for Disease Control and Prevention (1999) Four pediatric deaths from community-acquired methicillin-resistant Staphylococcus aureus—Minnesota and North Dakota, 1997–1999. JAMA 282(12):1123–1125
8.
go back to reference Vandenesch F, Naimi T, Enright MC, Lina G, Nimmo GR, Heffernan H, Liassine N, Bes M, Greenland T, Reverdy ME, Etienne J (2003) Community-acquired methicillin-resistant Staphylococcus aureus carrying Panton-Valentine leukocidin genes: worldwide emergence. Emerg Infect Dis 9(8):978–984PubMed Vandenesch F, Naimi T, Enright MC, Lina G, Nimmo GR, Heffernan H, Liassine N, Bes M, Greenland T, Reverdy ME, Etienne J (2003) Community-acquired methicillin-resistant Staphylococcus aureus carrying Panton-Valentine leukocidin genes: worldwide emergence. Emerg Infect Dis 9(8):978–984PubMed
9.
go back to reference Zetola N, Francis JS, Nuermberger EL, Bishai WR (2005) Community-acquired methicillin-resistant Staphylococcus aureus: an emerging threat. Lancet Infect Dis 5(5):275–286CrossRefPubMed Zetola N, Francis JS, Nuermberger EL, Bishai WR (2005) Community-acquired methicillin-resistant Staphylococcus aureus: an emerging threat. Lancet Infect Dis 5(5):275–286CrossRefPubMed
10.
go back to reference Andersen BM, Bergh K, Steinbakk M, Syversen G, Magnaes B, Dalen H, Bruun JN (1999) A Norwegian nosocomial outbreak of methicillin-resistant Staphylococcus aureus resistant to fusidic acid and susceptible to other antistaphylococcal agents. J Hosp Infect 41(2):123–132CrossRefPubMed Andersen BM, Bergh K, Steinbakk M, Syversen G, Magnaes B, Dalen H, Bruun JN (1999) A Norwegian nosocomial outbreak of methicillin-resistant Staphylococcus aureus resistant to fusidic acid and susceptible to other antistaphylococcal agents. J Hosp Infect 41(2):123–132CrossRefPubMed
11.
go back to reference Saiman L, O’Keefe M, Graham PL 3rd, Wu F, Said-Salim B, Kreiswirth B, LaSala A, Schlievert PM, Della-Latta P (2003) Hospital transmission of community-acquired methicillin-resistant Staphylococcus aureus among postpartum women. Clin Infect Dis 37(10):1313–1319CrossRefPubMed Saiman L, O’Keefe M, Graham PL 3rd, Wu F, Said-Salim B, Kreiswirth B, LaSala A, Schlievert PM, Della-Latta P (2003) Hospital transmission of community-acquired methicillin-resistant Staphylococcus aureus among postpartum women. Clin Infect Dis 37(10):1313–1319CrossRefPubMed
12.
go back to reference O’Brien FG, Lim TT, Chong FN, Coombs GW, Enright MC, Robinson DA, Monk A, Said-Salim B, Kreiswirth BN, Grubb WB (2004) Diversity among community isolates of methicillin-resistant Staphylococcus aureus in Australia. J Clin Microbiol 42(7):3185–3190CrossRefPubMed O’Brien FG, Lim TT, Chong FN, Coombs GW, Enright MC, Robinson DA, Monk A, Said-Salim B, Kreiswirth BN, Grubb WB (2004) Diversity among community isolates of methicillin-resistant Staphylococcus aureus in Australia. J Clin Microbiol 42(7):3185–3190CrossRefPubMed
13.
go back to reference Lina G, Piemont Y, Godail-Gamot F, Bes M, Peter MO, Gauduchon V, Vandenesch F, Etienne J (1999) Involvement of Panton-Valentine leukocidin-producing Staphylococcus aureus in primary skin infections and pneumonia. Clin Infect Dis 29(5):1128–1132CrossRefPubMed Lina G, Piemont Y, Godail-Gamot F, Bes M, Peter MO, Gauduchon V, Vandenesch F, Etienne J (1999) Involvement of Panton-Valentine leukocidin-producing Staphylococcus aureus in primary skin infections and pneumonia. Clin Infect Dis 29(5):1128–1132CrossRefPubMed
14.
go back to reference Nourse C, Starr M, Munckhof W (2007) Community-acquired methicillin-resistant Staphylococcus aureus causes severe disseminated infection and deep venous thrombosis in children: literature review and recommendations for management. J Paediatr Child Health 43(10):656–661CrossRefPubMed Nourse C, Starr M, Munckhof W (2007) Community-acquired methicillin-resistant Staphylococcus aureus causes severe disseminated infection and deep venous thrombosis in children: literature review and recommendations for management. J Paediatr Child Health 43(10):656–661CrossRefPubMed
15.
go back to reference David MD, Kearns AM, Gossain S, Ganner M, Holmes A (2006) Community-associated methicillin-resistant Staphylococcus aureus: nosocomial transmission in a neonatal unit. J Hosp Infect 64(3):244–250CrossRefPubMed David MD, Kearns AM, Gossain S, Ganner M, Holmes A (2006) Community-associated methicillin-resistant Staphylococcus aureus: nosocomial transmission in a neonatal unit. J Hosp Infect 64(3):244–250CrossRefPubMed
16.
go back to reference Nguyen DM, Bancroft E, Mascola L, Guevara R, Yasuda L (2007) Risk factors for neonatal methicillin-resistant Staphylococcus aureus infection in a well-infant nursery. Infect Control Hosp Epidemiol 28(4):406–411CrossRefPubMed Nguyen DM, Bancroft E, Mascola L, Guevara R, Yasuda L (2007) Risk factors for neonatal methicillin-resistant Staphylococcus aureus infection in a well-infant nursery. Infect Control Hosp Epidemiol 28(4):406–411CrossRefPubMed
17.
go back to reference Saunders A, Panaro L, McGeer A, Rosenthal A, White D, Willey BM, Gravel D, Bontovics E, Yaffe B, Katz K (2007) A nosocomial outbreak of community-associated methicillin-resistant Staphylococcus aureus among healthy newborns and postpartum mothers. Can J Infect Dis Med Microbiol 18(2):128–132PubMed Saunders A, Panaro L, McGeer A, Rosenthal A, White D, Willey BM, Gravel D, Bontovics E, Yaffe B, Katz K (2007) A nosocomial outbreak of community-associated methicillin-resistant Staphylococcus aureus among healthy newborns and postpartum mothers. Can J Infect Dis Med Microbiol 18(2):128–132PubMed
18.
go back to reference Sax H, Posfay-Barbe K, Harbarth S, Francois P, Touveneau S, Pessoa-Silva CL, Schrenzel J, Dharan S, Gervaix A, Pittet D (2006) Control of a cluster of community-associated, methicillin-resistant Staphylococcus aureus in neonatology. J Hosp Infect 63(1):93–100CrossRefPubMed Sax H, Posfay-Barbe K, Harbarth S, Francois P, Touveneau S, Pessoa-Silva CL, Schrenzel J, Dharan S, Gervaix A, Pittet D (2006) Control of a cluster of community-associated, methicillin-resistant Staphylococcus aureus in neonatology. J Hosp Infect 63(1):93–100CrossRefPubMed
19.
go back to reference Gould IM, Girvan EK, Browning RA, Mackenzie FM, Edwards GF (2009) Report of a hospital neonatal unit outbreak of community-associated methicillin-resistant Staphylococcus aureus. Epidemiol Infect 137:1242–1248 Gould IM, Girvan EK, Browning RA, Mackenzie FM, Edwards GF (2009) Report of a hospital neonatal unit outbreak of community-associated methicillin-resistant Staphylococcus aureus. Epidemiol Infect 137:1242–1248
20.
go back to reference Bratu S, Eramo A, Kopec R, Coughlin E, Ghitan M, Yost R, Chapnick EK, Landman D, Quale J (2005) Community-associated methicillin-resistant Staphylococcus aureus in hospital nursery and maternity units. Emerg Infect Dis 11(6):808–813PubMed Bratu S, Eramo A, Kopec R, Coughlin E, Ghitan M, Yost R, Chapnick EK, Landman D, Quale J (2005) Community-associated methicillin-resistant Staphylococcus aureus in hospital nursery and maternity units. Emerg Infect Dis 11(6):808–813PubMed
21.
go back to reference Regev-Yochay G, Rubinstein E, Barzilai A, Carmeli Y, Kuint J, Etienne J, Blech M, Smollen G, Maayan-Metzger A, Leavitt A, Rahav G, Keller N (2005) Methicillin-resistant Staphylococcus aureus in neonatal intensive care unit. Emerg Infect Dis 11(3):453–456PubMed Regev-Yochay G, Rubinstein E, Barzilai A, Carmeli Y, Kuint J, Etienne J, Blech M, Smollen G, Maayan-Metzger A, Leavitt A, Rahav G, Keller N (2005) Methicillin-resistant Staphylococcus aureus in neonatal intensive care unit. Emerg Infect Dis 11(3):453–456PubMed
22.
go back to reference Zingg W, Posfay-Barbe KM, Pittet D (2008) Healthcare-associated infections in neonates. Curr Opin Infect Dis 21(3):228–234CrossRefPubMed Zingg W, Posfay-Barbe KM, Pittet D (2008) Healthcare-associated infections in neonates. Curr Opin Infect Dis 21(3):228–234CrossRefPubMed
23.
go back to reference Behari P, Englund J, Alcasid G, Garcia-Houchins S, Weber SG (2004) Transmission of methicillin-resistant Staphylococcus aureus to preterm infants through breast milk. Infect Control Hosp Epidemiol 25(9):778–780CrossRefPubMed Behari P, Englund J, Alcasid G, Garcia-Houchins S, Weber SG (2004) Transmission of methicillin-resistant Staphylococcus aureus to preterm infants through breast milk. Infect Control Hosp Epidemiol 25(9):778–780CrossRefPubMed
24.
go back to reference CDC (2006) Community-associated methicillin-resistant Staphylococcus aureus infection among healthy newborns—Chicago and Los Angeles County, 2004. MMWR 55(12):329–332 CDC (2006) Community-associated methicillin-resistant Staphylococcus aureus infection among healthy newborns—Chicago and Los Angeles County, 2004. MMWR 55(12):329–332
25.
go back to reference Denniston S, Riordan FA (2006) Staphylococcus aureus bacteraemia in children and neonates: a 10 year retrospective review. J Infect 53(6):387–393CrossRefPubMed Denniston S, Riordan FA (2006) Staphylococcus aureus bacteraemia in children and neonates: a 10 year retrospective review. J Infect 53(6):387–393CrossRefPubMed
26.
go back to reference Fortunov RM, Hulten KG, Hammerman WA, Mason EO Jr, Kaplan SL (2007) Evaluation and treatment of community-acquired Staphylococcus aureus infections in term and late-preterm previously healthy neonates. Pediatrics 120(5):937–945CrossRefPubMed Fortunov RM, Hulten KG, Hammerman WA, Mason EO Jr, Kaplan SL (2007) Evaluation and treatment of community-acquired Staphylococcus aureus infections in term and late-preterm previously healthy neonates. Pediatrics 120(5):937–945CrossRefPubMed
27.
go back to reference Robinson DA, Kearns AM, Holmes A, Morrison D, Grundmann H, Edwards G, O’Brien FG, Tenover FC, McDougal LK, Monk AB, Enright MC (2005) Re-emergence of early pandemic Staphylococcus aureus as a community-acquired methicillin-resistant clone. Lancet 365(9466):1256–1258CrossRefPubMed Robinson DA, Kearns AM, Holmes A, Morrison D, Grundmann H, Edwards G, O’Brien FG, Tenover FC, McDougal LK, Monk AB, Enright MC (2005) Re-emergence of early pandemic Staphylococcus aureus as a community-acquired methicillin-resistant clone. Lancet 365(9466):1256–1258CrossRefPubMed
28.
go back to reference Berglund C, Soderquist B (2008) The origin of a methicillin-resistant Staphylococcus aureus isolate at a neonatal ward in Sweden-possible horizontal transfer of a staphylococcal cassette chromosome mec between methicillin-resistant Staphylococcus haemolyticus and Staphylococcus aureus. Clin Microbiol Infect 14(11):1048–1056CrossRefPubMed Berglund C, Soderquist B (2008) The origin of a methicillin-resistant Staphylococcus aureus isolate at a neonatal ward in Sweden-possible horizontal transfer of a staphylococcal cassette chromosome mec between methicillin-resistant Staphylococcus haemolyticus and Staphylococcus aureus. Clin Microbiol Infect 14(11):1048–1056CrossRefPubMed
29.
go back to reference Jackson KA, Edwards-Jones V, Sutton CW, Fox AJ (2005) Optimisation of intact cell MALDI method for fingerprinting of methicillin-resistant Staphylococcus aureus. J Microbiol Meth 62(3):273–284CrossRef Jackson KA, Edwards-Jones V, Sutton CW, Fox AJ (2005) Optimisation of intact cell MALDI method for fingerprinting of methicillin-resistant Staphylococcus aureus. J Microbiol Meth 62(3):273–284CrossRef
30.
go back to reference Walker J, Fox AJ, Edwards-Jones V, Gordon DB (2002) Intact cell mass spectrometry (ICMS) used to type methicillin-resistant Staphylococcus aureus: media effects and inter-laboratory reproducibility. J Microbiol Meth 48(2–3):117–126CrossRef Walker J, Fox AJ, Edwards-Jones V, Gordon DB (2002) Intact cell mass spectrometry (ICMS) used to type methicillin-resistant Staphylococcus aureus: media effects and inter-laboratory reproducibility. J Microbiol Meth 48(2–3):117–126CrossRef
31.
go back to reference Bernardo K, Pakulat N, Macht M, Krut O, Seifert H, Fleer S, Hunger F, Kronke M (2002) Identification and discrimination of Staphylococcus aureus strains using matrix-assisted laser desorption/ionization-time of flight mass spectrometry. Proteomics 2(6):747–753CrossRefPubMed Bernardo K, Pakulat N, Macht M, Krut O, Seifert H, Fleer S, Hunger F, Kronke M (2002) Identification and discrimination of Staphylococcus aureus strains using matrix-assisted laser desorption/ionization-time of flight mass spectrometry. Proteomics 2(6):747–753CrossRefPubMed
32.
go back to reference Laing IA, Gibb AP, McCallum A (2009) Controlling an outbreak of MRSA in the neonatal unit: a steep learning curve. Arch Dis Child 94(4):F307–F310 Laing IA, Gibb AP, McCallum A (2009) Controlling an outbreak of MRSA in the neonatal unit: a steep learning curve. Arch Dis Child 94(4):F307–F310
33.
go back to reference Lepelletier D, Corvec S, Caillon J, Reynaud A, Roze JC, Gras-Leguen C (2009) Eradication of methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit: which measures for which success? Am J Infect Control 37(3):195–200CrossRefPubMed Lepelletier D, Corvec S, Caillon J, Reynaud A, Roze JC, Gras-Leguen C (2009) Eradication of methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit: which measures for which success? Am J Infect Control 37(3):195–200CrossRefPubMed
34.
go back to reference Coombs GW, Van Gessel H, Pearson JC, Godsell MR, O’Brien FG, Christiansen KJ (2007) Controlling a multicenter outbreak involving the New York/Japan methicillin-resistant Staphylococcus aureus clone. Infect Control Hosp Epidemiol 28(7):845–852CrossRefPubMed Coombs GW, Van Gessel H, Pearson JC, Godsell MR, O’Brien FG, Christiansen KJ (2007) Controlling a multicenter outbreak involving the New York/Japan methicillin-resistant Staphylococcus aureus clone. Infect Control Hosp Epidemiol 28(7):845–852CrossRefPubMed
Metadata
Title
First outbreak of PVL-positive nonmultiresistant MRSA in a neonatal ICU in Australia: comparison of MALDI-TOF and SNP-plus-binary gene typing
Authors
S. Schlebusch
G. R. Price
S. Hinds
C. Nourse
J. M. Schooneveldt
M. H. Tilse
H. G. Liley
T. Wallis
F. Bowling
D. Venter
G. R. Nimmo
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
European Journal of Clinical Microbiology & Infectious Diseases / Issue 10/2010
Print ISSN: 0934-9723
Electronic ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-010-0995-y

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