Antimicrobial Resistance Profiles and mupA Gene Characterization of Staphylococcus epidermidis Recovered from Facial Skin of Healthy Females in Shanghai, China.

IF 1.9 4区 医学 Q3 DERMATOLOGY Clinical, Cosmetic and Investigational Dermatology Pub Date : 2024-12-09 eCollection Date: 2024-01-01 DOI:10.2147/CCID.S481517
Bingqing Chen, Lingyun Yao, Rongjuan Cai, Wei Chen, Yue Wang
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Abstract

Purpose: To explore antimicrobial resistance profiles and mupA gene characterization of Staphylococcus epidermidis recovered from facial skin of healthy females in Shanghai, China.

Patients and methods: In this study, we collected facial skin samples from 107 healthy females in Shanghai, China, and S. epidermidis isolation was performed. The minimal inhibitory concentrations of 10 antibiotics were determined for the S. epidermidis isolates using the agar dilution method. High-level mupirocin-resistant isolates were subjected to whole-genome sequencing and bioinformatics analysis. A total of 94 un-duplicated S. epidermidis isolates were obtained from 107 facial skin samples.

Results: Antimicrobial susceptibility tests revealed that 23.4% of the 94 S. epidermidis isolates were resistant to oxacillin and positive for the mecA gene, which could be cauterized as methicillin-resistant S. epidermidis (MRSE). Resistance rates for erythromycin, clindamycin, tetracycline, ciprofloxacin, and gentamicin were 8.5%, 11.7%, 10.6%, 12.8%, and 1.1%, respectively. For mupirocin, the rates of low- and high-level resistance were 3.2% (3/94) and 11.7% (11/94), respectively. Resistance to vancomycin or linezolid was not observed. High-level mupirocin resistance in facial skin isolates is mediated by mupA. WGS and SNP-based phylogenetic analyses revealed diverse phylogenies among the 11 mupA-positive S. epidermidis isolates. Additionally, various resistance and virulence genes were identified in mupA-positive isolates. A new hybrid plasmid carrying mupA genes was found in two S. epidermidis isolates.

Conclusion: We observed a considerable level of antimicrobial resistance to several antibiotics and the prevalence of abundant and diverse resistance and virulence genes in the facial skin-origin S. epidermidis isolates. This may pose a potential risk for both public health and S. epidermidis infection.

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中国上海健康女性面部皮肤表皮葡萄球菌的抗菌谱和 mupA 基因特征。
目的:探讨从中国上海健康女性面部皮肤中检出的表皮葡萄球菌的抗菌谱和 mupA 基因特征:本研究收集了中国上海 107 名健康女性的面部皮肤样本,并进行了表皮葡萄球菌分离。采用琼脂稀释法测定了 10 种抗生素对表皮葡萄球菌分离株的最小抑菌浓度。对高水平的莫匹罗星耐药分离株进行了全基因组测序和生物信息学分析。从 107 份面部皮肤样本中共获得 94 个未重复的表皮真菌分离株:结果:抗菌药敏感性测试显示,94 个表皮葡萄球菌分离株中有 23.4% 对奥沙西林耐药,且 mecA 基因阳性,可被烧灼为耐甲氧西林表皮葡萄球菌(MRSE)。红霉素、林可霉素、四环素、环丙沙星和庆大霉素的耐药率分别为 8.5%、11.7%、10.6%、12.8% 和 1.1%。莫匹罗星的低水平和高水平耐药率分别为 3.2%(3/94)和 11.7%(11/94)。未观察到对万古霉素或利奈唑胺的耐药性。面部皮肤分离株对莫匹罗星的高水平耐药性是由 mupA 介导的。基于 WGS 和 SNP 的系统发育分析表明,11 株 mupA 阳性的表皮葡萄球菌分离株之间存在不同的系统发育。此外,在 mupA 阳性的分离株中还发现了各种抗性基因和毒力基因。在两个表皮葡萄球菌分离物中发现了携带 mupA 基因的新杂交质粒:结论:我们观察到面部皮肤源表皮葡萄球菌分离株对多种抗生素具有相当程度的耐药性,并普遍存在丰富多样的耐药基因和毒力基因。这可能会对公共卫生和表皮葡萄球菌感染构成潜在风险。
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来源期刊
CiteScore
2.80
自引率
4.30%
发文量
353
审稿时长
16 weeks
期刊介绍: Clinical, Cosmetic and Investigational Dermatology is an international, peer-reviewed, open access journal that focuses on the latest clinical and experimental research in all aspects of skin disease and cosmetic interventions. Normal and pathological processes in skin development and aging, their modification and treatment, as well as basic research into histology of dermal and dermal structures that provide clinical insights and potential treatment options are key topics for the journal. Patient satisfaction, preference, quality of life, compliance, persistence and their role in developing new management options to optimize outcomes for target conditions constitute major areas of interest. The journal is characterized by the rapid reporting of clinical studies, reviews and original research in skin research and skin care. All areas of dermatology will be covered; contributions will be welcomed from all clinicians and basic science researchers globally.
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