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Juanita Escobar Martínez
Rodrigo Herrera Caro
III Semestre
PATRÓN DE RESISTENCIA
ANTIBIÓTICA -
STAPHYLOCOCCUS AUREUS
INTRODUCTION
Staphylococcus:
• Bacteria  Gram-positive cocci formed in grape-like clusters.
• Facultative anaerobes.
• Resistant to hostile conditions.
• Rapid development.
• Ferments carbohydrates and produce pigments (white
• to yellow).
• Catalase positive.
• At least 40 species  S. epidermidis, S. saprophyticus, S.
aureus.
• Commensal  nostrils, skin and mucous membranes.
INTRODUCTION
S. aureus:
• "Golden staph" or Oro staphira.
• Stationary and non-spore.
• Capsule  slime or mucoid (polysaccharid).
• Coagulase positive.
• Pathogen  polymorphic mucocutaneous infections, shock toxic syndromes,
toxic food-borne infections, nosocomial infections.
INTRODUCTION
Product Effect
Capsule Inhibits phagocytosis
Coagulase May prevent the progression of
leukocytes in the infected area produce
clots in neighboring capillaries
Exfoliatin Separates the layers of the epidermis,
causing Scalded skin Syndrome
Hyaluronidase Decomposes hyaluronic acid of
tissues and promotes spread of
infection
Leukocidin Destroys leukocytes producing holes in
the cytoplasmic membrane
Lipase Descomposes fats hydrolyzing the
bond between glycerol and fatty acids
Proteases Degrades collagen and other tissue
proteins
INTRODUCTION
Product Effect
A Protein Binds to the Fc portion of the antibody
inhibiting phagocytosis
Septic shock
Syndrome Toxin
Causes rash, diarrhea and shock
Clumping factor Binds bacteria to fibrin, fibrinogen and
plastic elements
Fibronectin
binding protein
Binds bacteria to the acellular tissue
substance, epithelium, endothelium, blood
clots, plastic elements to stay.
α, β, γ and δ toxins Dermonecrotic effect
Leukocidin Destroys neutrophils or cause release of
their enzymes
Enterotoxins Superantigens. Cause food poisoning if
they are ingested
TSST-1 Superantigen. If they are systemic causes
toxic shock
INTRODUCTION
MRSA resistance:
•Methicillin-resistant Staphylococcus aureus.
•SCCmec  mecA, psm-mec, ccrA and ccrB genes.
•Strains, ACME, mecA.
•mecA  encodes PBP2a.
•HA-MRSA and CA-MRSA.
•Any strain of S. aureus that has developed resistance to beta-
lactam antibiotics   (penicillins and cephalosporins).
OBJECTIVE
“To detect antibiotic
resistance pattern,
MRSA, SCCmec types
and accessory gene
regulator (agr)
groups among
isolates of S. aureus.”
MÉTODOS
Aislamiento de bacterias :
• Funda
Prueba Fundamento Objetivo Imagen
Catalasa Descomposición del 
peróxido de hidrógeno
Distinguir de especies de 
Streptococcus, 
Enterococcus y 
Lactococcus.
Coagulasa Reacciona con 
protrombina  fibrinógeno 
se convierte en fibrina
Diferenciar de 
Staphylococcus 
coagulasa- negativa
MSA Alta concentración 
de NaCl, manitol y rojo de 
fenol (pH)
Identificar 
Staphylococcus
coagulasa-positivos
Test
Dnasa
Agar
Detección de enzimas 
desoxirribonucleasas.
Diferenciación entre 
especies de 
Staphylococcus
MÉTODOS
Prueba de susceptibilidad antibiótica
• AST  Método de Kirby Bauer.
• Fundamento  determina la sensibilidad de 
un agente microbiano frente a un antibiótico 
o quimioterápico. 
• Antibiograma o prueba de susceptibilidad 
bacteriana frente a drogas específicas.
• Objetivo  determinar a cuál de los 
antibióticos es resistente la bacteria.
• Sensible (S), Intermedio o Moderadamente
sensible (I) y Resistente (R).
MÉTODOS
Extracción de DNA genómico
1. Lisis de bacterias Gram-positivas  lisostafina.
2. Degradación del RNA  opcional.
3. Precipitación de proteínas  ácido acético.
4. Precipitación de DNA  isopropanol.
5. Almacenamiento en TE  buffer ácido etilendiaminotetraacético (EDTA).
6. Marcación con FISH  hibridación fluorescente in situ.

MÉTODOS
PCR
• Obtención  de  muchas  copias  de  una  fragmento  de  DNA  particular   
amplificación de un fragmento de DNA.
• Fundamento  propiedad natural de los ADN polimerasas para replicar 
hebras  de  ADN    ciclos  de  altas  y  bajas temperaturas alternadas   
separar hebras de ADN recién formadas  dejar que las hebras de ADN 
vuelvan a unirse para poder duplicarlas nuevamente.
• Sensibilidad, Especificidad, Eficiencia, 
     Fidelidad.
• Desnaturalización, alineamiento, 
     extensión, elongación final, conservación.
SCCmec III
325 pb
280pb94,2%
SCCmec V
5,8%
RESULTADOS
RESULTADOS
Tetraciclina Eritromicina
ClindamicinaTrimetoprim
Gentamicina
Ciprofloxacina
Amoxicilina
RESULTADOS
Author Conclusion Yes or not
Shittu All of the isolates were susceptible to vancomycin and
linezolid.
YES
Sharma All clinical isolates were susceptible to vancomycin YES
Japoni 74.3% of isolates in south of Iran were SCCmec type
III
YES
Ho 91.6% of clinical isolates belonged to arg group I YES
DISCUSSION
• Staphylococcus aureus has particular ways of
manifestations and resistances that could complicate a
infection´s treatment.
• Strain type is determinant in the expression of resistant
genes that are a challenge when a treatment will be
developed.
CONCLUSIONS
• Although there are two antibiotics which can treat the
infection by S. aureus could cause a resistance because
of chronic use.
• The knowledge of the kind of Strain that cause the
infection is important to guide a treatment plan, avoiding
the use of ineffective antibiotics.
CONCLUSIONS
• COSSART, Pascale; BOQUET, Patrice; NORMARK,
Staffan; RAPPUOLI, Rino. Cellular Microbiology. 2nd
edition. ASM Press. Washington, DC. 2005. Pags 22-
23.
• NESTER, Eugene; ANDERSON, Denise; ROBERTS,
C. Evans Jr; NESTER, Martha. Microbiología humana.
5ta edición (traducción). Manual Moderno. México.
2007. Pags 317-318, 562-563, 582-585, 613-614, 912-
913.
BIBLIOGRAFÍA
Staphylococcus aureus

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Staphylococcus aureus

  • 1. Juanita Escobar Martínez Rodrigo Herrera Caro III Semestre PATRÓN DE RESISTENCIA ANTIBIÓTICA - STAPHYLOCOCCUS AUREUS
  • 2.
  • 3. INTRODUCTION Staphylococcus: • Bacteria  Gram-positive cocci formed in grape-like clusters. • Facultative anaerobes. • Resistant to hostile conditions. • Rapid development. • Ferments carbohydrates and produce pigments (white • to yellow). • Catalase positive. • At least 40 species  S. epidermidis, S. saprophyticus, S. aureus. • Commensal  nostrils, skin and mucous membranes.
  • 4. INTRODUCTION S. aureus: • "Golden staph" or Oro staphira. • Stationary and non-spore. • Capsule  slime or mucoid (polysaccharid). • Coagulase positive. • Pathogen  polymorphic mucocutaneous infections, shock toxic syndromes, toxic food-borne infections, nosocomial infections.
  • 5. INTRODUCTION Product Effect Capsule Inhibits phagocytosis Coagulase May prevent the progression of leukocytes in the infected area produce clots in neighboring capillaries Exfoliatin Separates the layers of the epidermis, causing Scalded skin Syndrome Hyaluronidase Decomposes hyaluronic acid of tissues and promotes spread of infection Leukocidin Destroys leukocytes producing holes in the cytoplasmic membrane Lipase Descomposes fats hydrolyzing the bond between glycerol and fatty acids Proteases Degrades collagen and other tissue proteins
  • 6. INTRODUCTION Product Effect A Protein Binds to the Fc portion of the antibody inhibiting phagocytosis Septic shock Syndrome Toxin Causes rash, diarrhea and shock Clumping factor Binds bacteria to fibrin, fibrinogen and plastic elements Fibronectin binding protein Binds bacteria to the acellular tissue substance, epithelium, endothelium, blood clots, plastic elements to stay. α, β, γ and δ toxins Dermonecrotic effect Leukocidin Destroys neutrophils or cause release of their enzymes Enterotoxins Superantigens. Cause food poisoning if they are ingested TSST-1 Superantigen. If they are systemic causes toxic shock
  • 7. INTRODUCTION MRSA resistance: •Methicillin-resistant Staphylococcus aureus. •SCCmec  mecA, psm-mec, ccrA and ccrB genes. •Strains, ACME, mecA. •mecA  encodes PBP2a. •HA-MRSA and CA-MRSA. •Any strain of S. aureus that has developed resistance to beta- lactam antibiotics   (penicillins and cephalosporins).
  • 8. OBJECTIVE “To detect antibiotic resistance pattern, MRSA, SCCmec types and accessory gene regulator (agr) groups among isolates of S. aureus.”
  • 9. MÉTODOS Aislamiento de bacterias : • Funda Prueba Fundamento Objetivo Imagen Catalasa Descomposición del  peróxido de hidrógeno Distinguir de especies de  Streptococcus,  Enterococcus y  Lactococcus. Coagulasa Reacciona con  protrombina  fibrinógeno  se convierte en fibrina Diferenciar de  Staphylococcus  coagulasa- negativa MSA Alta concentración  de NaCl, manitol y rojo de  fenol (pH) Identificar  Staphylococcus coagulasa-positivos Test Dnasa Agar Detección de enzimas  desoxirribonucleasas. Diferenciación entre  especies de  Staphylococcus
  • 10. MÉTODOS Prueba de susceptibilidad antibiótica • AST  Método de Kirby Bauer. • Fundamento  determina la sensibilidad de  un agente microbiano frente a un antibiótico  o quimioterápico.  • Antibiograma o prueba de susceptibilidad  bacteriana frente a drogas específicas. • Objetivo  determinar a cuál de los  antibióticos es resistente la bacteria. • Sensible (S), Intermedio o Moderadamente sensible (I) y Resistente (R).
  • 11. MÉTODOS Extracción de DNA genómico 1. Lisis de bacterias Gram-positivas  lisostafina. 2. Degradación del RNA  opcional. 3. Precipitación de proteínas  ácido acético. 4. Precipitación de DNA  isopropanol. 5. Almacenamiento en TE  buffer ácido etilendiaminotetraacético (EDTA). 6. Marcación con FISH  hibridación fluorescente in situ. 
  • 12. MÉTODOS PCR • Obtención  de  muchas  copias  de  una  fragmento  de  DNA  particular    amplificación de un fragmento de DNA. • Fundamento  propiedad natural de los ADN polimerasas para replicar  hebras  de  ADN    ciclos  de  altas  y  bajas temperaturas alternadas    separar hebras de ADN recién formadas  dejar que las hebras de ADN  vuelvan a unirse para poder duplicarlas nuevamente. • Sensibilidad, Especificidad, Eficiencia,       Fidelidad. • Desnaturalización, alineamiento,       extensión, elongación final, conservación.
  • 16. Author Conclusion Yes or not Shittu All of the isolates were susceptible to vancomycin and linezolid. YES Sharma All clinical isolates were susceptible to vancomycin YES Japoni 74.3% of isolates in south of Iran were SCCmec type III YES Ho 91.6% of clinical isolates belonged to arg group I YES DISCUSSION
  • 17. • Staphylococcus aureus has particular ways of manifestations and resistances that could complicate a infection´s treatment. • Strain type is determinant in the expression of resistant genes that are a challenge when a treatment will be developed. CONCLUSIONS
  • 18. • Although there are two antibiotics which can treat the infection by S. aureus could cause a resistance because of chronic use. • The knowledge of the kind of Strain that cause the infection is important to guide a treatment plan, avoiding the use of ineffective antibiotics. CONCLUSIONS
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  • 21. • COSSART, Pascale; BOQUET, Patrice; NORMARK, Staffan; RAPPUOLI, Rino. Cellular Microbiology. 2nd edition. ASM Press. Washington, DC. 2005. Pags 22- 23. • NESTER, Eugene; ANDERSON, Denise; ROBERTS, C. Evans Jr; NESTER, Martha. Microbiología humana. 5ta edición (traducción). Manual Moderno. México. 2007. Pags 317-318, 562-563, 582-585, 613-614, 912- 913. BIBLIOGRAFÍA