Screening for Methicillin-Resistant Staphylococcus spp

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Screening for Methicillin-Resistant Staphylococcus spp Screening for Methicillin-Resistant Staphylococcus spp. Dog Isolates Capable of Transferring mecA. Courtney Schauer, Kaiya Showsh, Emily VerHaag and  Faculty Mentor Dr. Sasha Showsh  Biology  University of Wisconsin-Eau Claire Abstract Methicillin-resistant Staphylococcus aureus (MRSA) is an antibiotic-resistant strain of the bacterium Staphylococcus aureus that is responsible for many community and hospital-acquired infections world-wide. A survey of the dogs at a local veterinary hospital was conducted to indicate the relative presence of Methicillin-Resistant Staphylococcus spp. (donor strains). Mannitol Salt Agar (MSA) with oxicillin (4mg/mL) was used to collect 67 bacterial samples from 39 dogs. Of these, 38 samples displayed characteristics of MRSA and were designated as potential methicillin-donors. PCR analysis however, determined only one of these donors to be MRSA while the rest appear to be other staphylococcal species. In addition, the MRSA isolate was determined to contain plasmid. All the donors were screened for their ability to transfer the methicillin-resistance gene (mecA) to a methicillin-sensitive, streptomycin and spectinomycin resistant Staphylococcus aureus recipient (SAS 850). To determine the ability of the isolates to transfer the mecA gene, a series of conjugation experiments were conducted with potential donors and recipient. The resulting transconjugants (S. aureus SAS850 with methicillin resistance) were selected for on Columbia Blood Agar (CBA) plates containing streptomycin, spectinomycin, and oxicillin. Oxicillin-resistant transconjugants were analyzed by PCR and coagulase test to determine the samples to be S. aureus. To date, 28 of the 38 donor strains have been tested and the transfer of mecA has not been detected. Introduction Staphylococcus aureus are gram-positive cocci able to ferment mannitol. S. aureus is normally found in the nasal cavities of humans. Recently there have been concerns about the spread of antibiotic resistances in bacteria, more specifically methicillin resistant S. aureus (MRSA). MRSA was first reported in 1961, shortly after the introduction of methicillin and has become increasingly more prevalent in recent years. There are two general strains of MRSA, a strain acquired by nosocomial infections (hospital acquired) and a community acquired strain. The CDC reported in 2005, that there were 94,000 MRSA cases in the United States, and of those cases 19,000 resulted in death. Approximately 85% of MRSA cases in 2005 were the result of nosocomial infections while the remaining 15% were as a result of community acquired infections. The presence of a mobile staphylococcal cassette chromosome (SCCmec) in S. aureus has been shown to encode methicillin-resistance (mecA) along with a number of other antibiotics. Incidences of MRSA in the dog population at a local animal hospital have been researched. Additionally, methicillin-resistant strains were tested for their ability to transfer the mecA gene by conjugation. Materials & Methods Sampling. Sterile cotton-tipped swabs were used to sample the upper nasal passage of dogs. The cotton swab was streaked onto Mannitol Salt Agar (MSA) (Difco MI) plate containing 4ug/mL oxicillin (Figure 1). Plates were incubate at 37 degrees Celsius for up to 48 hours prior to counting colonies. Catalase Test. One drop of hydrogen peroxide was placed onto a colony of Gram-positive cocci bacteria to determine the presence of the enzyme catalase (Figure 2). Filter-Mating. Filter-Mating procedure was followed as diagramed in Figure 4. Donors were the isolates and the recipients were S. aureus SAS850 (Strr,Specr). Presumptive S. aureus tests. Mannitol-fermenting colonies were selected from MSA containing 4ug oxicillin/mL and streaked for isolation. A Gram-stain and Catalase test were performed to screen for Gram-positive, catalase-positive cocci. Agglutination Test. BactiStaph (Remel, Lenexa,KS) was used to test for the presence of coagulase and protein A associated with S. aureus strains (Figure 3). Coagulase Test. 1mL overnight broth samples were incubated with 3mL rabbit plasma to test for the presence of coagulase. Polymerase Chain Reaction. A standard PCR master mix was prepared with forward and reverse primers for amplification of mecA, femB, and 16S rRNA gene identifying oxicillin-resistance, Staphylococcus and aureus strains, respectively. Antibiotic Resistance Test. Serial 2-fold dilutions of S. aureus grown in Todd-Hewitt Broth (THB) (Difco MI) were performed to determine the minimum inhibitory concentration (MIC) of Methicillin (oxicillin) and other antibiotics. Results/Discussion Of the 39 dogs screened, 67 potential MRSA samples were collected. (Table 2) By PCR, 1 isolate (1.5%) was identified as MRSA. (Figure 5) The MRSA isolate ( D3-1-1) was resistant to erythromycin (312mg/ml), oxicillin (1250mg/mL), ampicillin (12,500mg/mL) and spectionmycin (> 50,000mg/mL). (Table 3) D3-1-1 was demonstrated to contain plasmids (Figure 6) Conjugation experiments with 12 Bactistaph isolates as donors did not produce oxicillin transconjugants. Future Project Attempt different methods of conjugation Determine the species of other isolates Determine the identity of the plasmid Table 1. Sample Results MSA (0xicillin) Positive Gram-Positive cocci % Gram-Positive cocci Bactistaph 67 38 56.7 12 Figure 1. Mannitol Salt Agar Figure 2. Catalase Test Figure 3. Agglutination Test Table 2. Analysis of Bactistaph Positive Samples Catalase Positive % Catalase Positive Coagulase Positive % Coagulase Positive 12 5.0 1 0.08% Figure 4. Filter-Mating Procedure Table 3. Minimum Inhibitory Concentrations (mg/mL) Strain Erm Cam Tet Oxi Amp Van Spec Str 36-14 S 2500 12,500 2343 98-6-1 380 D3-1-1 312 1250 > 50,000 L1 L2 L3 L4 L5 L6 Figure 5. PCR Analysis. Lane (1) 100kb standard ladder , Lane (2) negative control, Lane (3) MRSA, Lane (4) S. aureus, Lane (5) D3-1-1,Lane (6) 100kb standard ladder. L1 L2 L3 L4 L5 L6 Figure 6. Plasmid Extraction. Lane (1) lambda DNA standard, Lane (2) 36-14, Lane (3) D3-1-1 Lane (4) 98-6-1, Lane (5) 95-1, Lane (6) 98-6A We thank the Office of Research and Sponsored Programs for supporting this research, and Learning & Technology Services for printing this poster. Funding was provided by ORSP.