Tuesday, November 13, 2012

Whole-Genome Sequence of Livestock-Associated ST398 Methicillin-Resistant Staphylococcus aureus Isolated from Humans in Canada.


Whole-Genome Sequence of Livestock-Associated ST398 Methicillin-Resistant Staphylococcus aureus Isolated from Humans in Canada.


Dec 2012

Source

National Microbiology Laboratory, Winnipeg, Manitoba, Canada.

Abstract


Despite reports of high colonization rates of ST398 livestock-associated methicillin-resistant Staphylococcus aureus(LA-MRSA) among pigs and pig farmers, the incidence of LA-MRSA infection in the general population in Canada appears to be rare in comparison to that in some European countries. In this study, the complete genome sequence of a Canadian representative LA-MRSA isolate (08BA02176) from a human postoperative surgical site infection was acquired and compared to the sequenced genome of an LA-MRSA isolate (S0385) from Europe to identify genetic traits that may explain differences in the success of these particular strains in some locales.

Wednesday, November 7, 2012

Riccardin C derivatives as anti-MRSA agents: Structure-activity relationship of a series of hydroxylated bis(bibenzyl)s.


Riccardin C derivatives as anti-MRSA agents: Structure-activity relationship of a series of hydroxylated bis(bibenzyl)s.


Oct 2012

Source

Division of Pharmaceutical Sciences, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 1-1-1, Tsushima-Naka, Kita-ku, Okayama 700-8530, Japan.

Abstract


Members of a series of macrocyclic bis(bibenzyl) riccardin-class derivatives were found to exhibit antibacterial activity towards methicillin-resistant Staphylococcus aureus (anti-MRSA activity). Structure-activity relationship (SAR) studies were conducted, focusing on the number and position of the hydroxyl groups. The minimum essential structure for anti-MRSAactivity was also investigated.

Staphylococcal Enterotoxin B Toxic Shock Syndrome Induced by Community-acquired Methicillin-resistant Staphylococcus aureus (CA-MRSA).


Staphylococcal Enterotoxin B Toxic Shock Syndrome Induced by Community-acquired Methicillin-resistant Staphylococcus aureus (CA-MRSA).


2012

Source

Internal Medicine, Department of Pulmonary Medicine/Infection and Oncology, Nippon Medical School, Japan.

Abstract


We herein report a case of toxic shock syndrome (TSS) associated with the 2009 pandemic H1N1 (pH1N1) influenza virus and a community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infection in a 16-year-old Vietnamese girl. Staphylococcal enterotoxin B (SEB) was detected in the patient's serum, and the level of anti-SEB antibodies was found to be elevated. A flow cytometric analysis showed evidence of activated SEB-reactive Vβ3(+) and Vβ12(+) T cells. These data suggest that the CA-MRSA-induced activation of SEB-reactive T cells may cause TSS in patients with pH1N1 virus infection. Moreover, this is the first report describing immunological confirmation of SEB contributing directly to TSS in a patient fulfilling the diagnostic criteria of TSS.

Methicillin-Resistant Staphylococcus aureus (MRSA) Detected at Four U.S. Wastewater Treatment Plants.


Methicillin-Resistant Staphylococcus aureus (MRSA) Detected at Four U.S. Wastewater Treatment Plants.


Nov 2012

Source

Maryland Institute for Applied Environmental Health, University of Maryland School of Public Health, College Park, Maryland, USA.

Abstract


Background: The incidence of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infections is increasing in the United States, and it is possible that municipal wastewater could be a reservoir of this microorganism. To date, no U.S. studies have evaluated the occurrence of MRSA in wastewater.

Objective: We examined the occurrence ofMRSA and methicillin-susceptible S. aureus (MSSA) at U.S. wastewater treatment plants.

Methods: We collected wastewater samples from two Mid-Atlantic and two Midwest wastewater treatment plants between October 2009 and October 2010. 

Samples were analyzed for MRSA and MSSA using membrane filtration. Isolates were confirmed using biochemical tests and PCR (polymerase chain reaction). Antimicrobial susceptibility testing was performed by Sensititre® microbroth dilution. Staphylococcal cassette chromosome mec (SCCmec) typing, Panton-Valentine leucocidin (PVL) screening, and pulsed field gel electrophoresis (PFGE) were performed to further characterize the strains.

Data were analyzed by two-sample proportion tests and analysis of variance.

Results: We detected MRSA (n = 240) and MSSA (n = 119) in 22 of 44 (50%) and 24 of 44 (55%) wastewater samples, respectively. The odds of samples being MRSA-positive decreased as treatment progressed: 10 of 12 (83%) influent samples were MRSA-positive, while only one of 12 (8%) effluent samples was MRSA-positive. Ninety-three percent and 29% of unique MRSA and MSSA isolates, respectively, were multidrug resistant. SCCmec types II and IV, the pvl gene, and USA types 100, 300, and 700 (PFGE strain types commonly found in the United States) were identified among the MRSA isolates.

Conclusions: Our findings raise potential public health concerns for wastewater treatment plant workers and individuals exposed to reclaimed wastewater. Because of increasing use of reclaimed wastewater, further study is needed to evaluate the risk of exposure to antibiotic-resistant bacteria in treated wastewater.

Methicillin-resistant Staphylococcus aureus in Nasal Surveillance Swabs at an Intensive Care Unit: An Evaluation of the LightCycler MRSA Advanced Test.

Methicillin-resistant Staphylococcus aureus in Nasal Surveillance Swabs at an Intensive Care Unit: An Evaluation of the LightCycler MRSA Advanced Test.

Nov 2012

Source

Department of Laboratory Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.

Abstract


BACKGROUND:

We compared the LightCycler MRSA advanced test (Roche Diagnostics, Germany) with enrichment culture methods to evaluate the relative diagnostic performance of the LightCycler MRSA advanced test for active surveillance in a high-prevalence setting.

METHODS:

A total of 342 nasal swab specimens were obtained from patients in the intensive care unit at admission and on the seventh day for follow-up. The results of LightCycler MRSA advanced test were compared to those of the enrichment culture. For discrepant results, mecA gene PCR was performed.

RESULTS:

For the detection of methicillin-resistant Staphylococcus aureus (MRSA), the LightCycler MRSA advanced test showed 98.5% sensitivity and 78.6% specificity and had positive and negative predictive values of 75.0% and 98.8%, respectively. A total of 46 samples had discrepant results between the LightCycler MRSA advanced test and enrichment culture. Of the 44 specimens that were positive in the LightCycler MRSA advanced test but negative by enrichment culture, mecA genes were detected in 37 specimens. In addition, of the original 44 cases, 21 patients had a history of MRSAcolonization or infection within the last month; of those 21 specimens, 20 were positive for mecA gene as shown by PCR. Seven mecA-negative discrepant specimens comprised 3 methicillin-sensitive S. aureus-culture positive and only 2 patients had MRSA infections.

CONCLUSIONS:

Despite its low specificity and positive predictive value, the LightCycler MRSA advanced test could serve as a rapid test for patients colonized with MRSA.

Sunday, November 4, 2012

Study determines best treatment timeline for MRSA-related pneumonia


Study determines best treatment timeline for MRSA-related pneumonia



A recent study at Henry Ford Hospital found that while the national practice guideline for treating MRSA-related pneumonia is seven to 21 days, effective treatment time could be achieved in half that time.
Researchers determined that patients treated for eight to 13 days on a therapy of either vancomycin or linezolid antibiotics experienced the highest rate of survival. The study is thought to be the first to evaluate MRSA-related pneumonia’s length of treatment.
The study was presented on Friday at the San Diego-based meeting of the Infectious Diseases Society of America.
“Based on our study, clinicians can effectively treat their patients within eight to 13 days, thus minimizing patients’ exposure to antibiotics and their side effects,” Hadeel Zainah, the study’s lead author, said.
The retrospective study involved the evaluation of the medical charts of 115 patients who were hospitalized with MRSA pneumonia. The patients received either linezolid, vancomycin or both.
Forty-percent of the patients were treated from eight to 13 days, 27 percent were treated for 14 to 20 days, and 13.9 percent of patients received treatment for more than 20 days. Patients treated between 14 and 20 days and for more than 20 days experienced lower survival rates.
Thirty-two of the patients died after 28 days.
The study did not evaluate if treatment duration affected length of stay or whether one antibiotic was more effective than the other.
MRSA-related pneumonia is a respiratory illness that can follow a bout of influenza. Symptoms include fever, chills, shortness of breath, headache, sore throat and cough.

Anti-MRSA Drug Fast-Tracked

Anti-MRSA Drug Fast-Tracted

BY Paul Bass | OCT 11, 2012 10:39 AM


Superbugs beware: a bunch of scientists in lab coats in downtown New Haven have your number.
The white-coated researchers gathered in their offices at the 300 George St. biotech complex Wednesday to mark a milestone: a decision by federal regulators to put a new antibiotic they’re developing on a fast track to approval.
They also gathered to thank a politician who helped them get there, Connecticut U.S. Sen. Dick Blumenthal.
The gathering took place in the third-floor suite belong to Rib-X (pronounced RYE-bex), an 11-year-old pharmaceutical company that employs 43 people to develop antibiotics to combat deadly “superbugs,” bacteria that have developed resistance to existing medicines.
The Food and Drug Administration has designated a Rib-X drug working its way toward approval, called radezolid, a “qualified infectious disease product.” That means it can get an extra five years of market exclusivity (no generic competitors allowed) if approved. And it will get a “priority review” and “fast-track status” from FDA regulators as it tries to speed its way toward approval. A Nobel Prize-winning Yale chemist named Thomas Steitz helped develop it.
Rib-X received the same FDA designation last month for another drug under development called delafoxacin. Both drugs treat a wide range of infections including MRSA (aka methicillin-resistant Staphylococcus aureus), a fast-growing virus that kills 17,000 Americans a year.
A new law called The GAIN (Generating Antibiotic Incentives Now), which passed earlier this year, created the FDA designation. Blumenthal cosponsored it. Rib-X was the first company to benefit from it.
Blumenthal sponsored the law to “streamline and fast-track the products that can save lives,” he said at Wednesday’s gathering. The “antiobiotic pipeline” has been drying up, he said, because unlike “blockbuster” drugs like cholesterol-fighting Lipitor—which patients buy their entire lives, thus ensuring its makers profits—antibiotics are designed for up to two weeks’ use. And that means less potential profit for potential investors in the development of new drugs. Blumenthal said the GAIN Act is meant to get new antibiotics flowing through that pipeline.
Blumenthal (pictured) was making a return visit to the 300 George biotech complex. He made it a campaign stop in 2010 to demonstrate the kind of new-economy jobs he hoped to help promote if elected to the Senate.
On Wednesday, Blumenthal said he learned some lessons about medicine in working on the GAIN Act. He also learned a political lesson: “Bipartisanship is possible for a good cause.” Republicans, most notably Tennessee’s Bob Corker, worked with Blumenthal on the bill.
Blumenthal was asked if these new medicines simply lead to newer super-bugs, requiring more and more antibiotics; and if it makes more sense to find new ways to stop people from getting infections in the first place.
His answer: We need to do both.
He advocated “exploring” cutting down on hospital-acquired infections through disposable equipment and more frequent hand-washing, for instance; and avoiding overusing antibiotics on, for instance, cattle and other factory-farmed animals.
At the same time, “people have these diseases now” and need antibiotics that work, he argued. Also, he said, drugs have wiped out some diseases in the past, and that remains a worthwhile quest.
“There will always be an arms race with the bugs,” added Rib-X Chief Scientific Officer Erin Duffy (at far left in the photo at the top of this story). “Some will be conquered. There will always be the evolution process” requiring that science “stay ahead. ... “To surrender is to say MRSA will spread and there’s nothing we can do” to stop it.