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Bierowiec K. Cross-sectional study of Staphyloccus lugdunensis prevalence in cats. Sci Rep 2020; 10:15417. [PMID: 32963280 PMCID: PMC7508828 DOI: 10.1038/s41598-020-72395-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Accepted: 08/26/2020] [Indexed: 11/10/2022] Open
Abstract
Staphylococcus lugdunensis is a commensal bacterium in humans and other animals that can cause serious infections. The aim of this research was to estimate the frequency of S. lugdunensis in pet cats and to characterize the S. lugdunensis isolates obtained. The prevalence of S. lugdunensis was 0.77% (4/523) in healthy cats and 1.23% (1/81) in sick cats. The isolates (N = 5), which colonized conjunctival sacs, nares, and the anus, were almost fully phenotypically sensitive to antibiotics, but harbored resistance genes to four chemotherapeutic groups. Their sequence types (STs) included ST2, ST3, ST9, and ST15. There was detected a far lower prevalence of S. lugdunensis in pet cats than is reported in the human population. Nevertheless, the phenotypic and genotypic properties of S. lugdunensis isolates found in the current study were very similar to those described previously in isolates of human origin.
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Affiliation(s)
- Karolina Bierowiec
- Division of Infectious Diseases and Veterinary Administration, Department of Epizootiology and Clinic of Birds and Exotic Animals, Faculty of Veterinary Medicine, Wroclaw University of Environmental and Life Sciences, Pl. Grunwaldzki 45, 50-366, Wroclaw, Poland.
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Nattis A, Perry HD, Rosenberg ED, Donnenfeld ED. Influence of bacterial burden on meibomian gland dysfunction and ocular surface disease. Clin Ophthalmol 2019; 13:1225-1234. [PMID: 31371918 PMCID: PMC6635833 DOI: 10.2147/opth.s215071] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Accepted: 06/26/2019] [Indexed: 11/23/2022] Open
Abstract
Purpose Bacterial burden on the eyelid margin and within meibomian glands was evaluated for influence on specific ocular surface disease (OSD) markers across the meibomian gland dysfunction (MGD) spectrum. Methods In this prospective, observational, single-center study, 40 patients were divided into 4 equal groups of 10 that encompassed increasingly worse MGD/OSD categories. All patients answered the standard Ocular Surface Disease Index questionnaire, and underwent tear osmolarity testing (TOT), Schirmer 1, matrix metalloproteinase 9 (MMP-9) testing, meibography, and lissamine green staining. Cultures of eyelid margins and meibomian gland secretions were directly plated on blood, chocolate, and Sabouraud agar; smears were sent for gram and Papinicolau evaluation. Results Mean patient age was 55.25±17.22 years; there were 10 males and 30 females. TOT and MMP-9 testing were similar across groups. Culture positivity was 62.5% for right eyes, 70% for left eyes, and was not statistically different across groups (for both eyelid margin and meibomian glands). The majority of cultures were positive for coagulase-negative staphylococcus (CNS). Conclusion This study is in concordance with others, citing the predominance of CNS within the biofilm of both “normal” and clinically significant MGD/OSD patients. Our study exemplifies that symptoms of OSD do not necessarily correlate with degree of clinical exam findings, nor culture positivity. These results argue that bacterial burden should be reconsidered as a direct risk factor and treatment target for MGD/OSD patients.
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Affiliation(s)
- Alanna Nattis
- Department of Ophthalmology, Lindenhurst Eye Physicians and Surgeons, P.C., Babylon, NY 11702, USA
| | - Henry D Perry
- Department of Ophthalmology, Nassau University Medical Center, East Meadow, NY 11554, USA.,Department of Ophthalmology, Ophthalmic Consultants of Long Island, Rockville Centre, NY 11570, USA
| | - Eric D Rosenberg
- Department of Ophthalmology, New York Medical College, Valhalla, NY 10595, USA
| | - Eric D Donnenfeld
- Department of Ophthalmology, Ophthalmic Consultants of Long Island, Garden City, NY 11530, USA
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Ainoda Y, Takeshita N, Hase R, Mikawa T, Hosokawa N, Kawamura I, Kurai H, Abe M, Kimura M, Araoka H, Fujita T, Totsuka K, Mezaki K, Sekiya N, Ohmagari N. Multicenter Study of the Clinical Presentation of Staphylococcus lugdunensis Bacteremia in Japan. Jpn J Infect Dis 2016; 70:405-407. [PMID: 28003590 DOI: 10.7883/yoken.jjid.2016.130] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Staphylococcus lugdunensis (SL) is a bacterium with a highly pathogenicity than most other coagulase-negative Staphylococcus spp. (CoNS). In Japan, data on this pathogen are sparse, and the current prevalence of SL bacteremia is unknown. Therefore, we investigated the prevalence of SL in blood culture specimens in a prospective multicenter study across 5 facilities. A total of 3,284 patients had positive blood cultures, and 2,478 patients had bacteremia. Among the patients with bacteremia, 7 patients (0.28%) had SL bacteremia. A total of 281 patients had CoNS bacteremia, with SL accounting for 2.49% of these cases. Of the 7 patients with SL bacteremia, 1 patient (14.3%) had infective endocarditis, and 1 patient (14.3%) died within 30 days. In this study, SL resulted in the development of bacteremia in select patients. Clinicians in Japan should be aware of the prevalence of SL and the complications of SL bacteremia.
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Affiliation(s)
- Yusuke Ainoda
- Disease Control and Prevention Center, National Center for Global Health and Medicine.,Department of Infectious Diseases, Tokyo Metropolitan Health and Medical Corporation Ebara Hospital.,Department of Infectious Diseases, Tokyo Women's Medical University
| | - Nozomi Takeshita
- Disease Control and Prevention Center, National Center for Global Health and Medicine
| | - Ryota Hase
- Department of Infectious Diseases, Kameda Medical Center.,Department of Infectious Diseases, Narita Red Cross Hospital
| | - Takahiro Mikawa
- Department of Infectious Diseases, Kameda Medical Center.,Department of General Medicine and Infectious Diseases, Yamanashi Prefectural Central Hospital
| | - Naoto Hosokawa
- Department of Infectious Diseases, Kameda Medical Center
| | | | - Hanako Kurai
- Division of Infectious Diseases, Shizuoka Cancer Center
| | - Masahiro Abe
- Department of Infectious Diseases, Toranomon Hospital
| | | | - Hideki Araoka
- Department of Infectious Diseases, Toranomon Hospital
| | - Takahiro Fujita
- Department of Infectious Diseases, Tokyo Women's Medical University.,Center for Home Care Medicine, Faculty of Medicine, The University of Tokyo
| | - Kyoichi Totsuka
- Department of Infectious Diseases, Tokyo Women's Medical University.,Department of Internal Medicine, Kita-tama Hospital
| | - Kazuhisa Mezaki
- Disease Control and Prevention Center, National Center for Global Health and Medicine
| | - Noritaka Sekiya
- Department of Clinical Laboratory, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital
| | - Norio Ohmagari
- Disease Control and Prevention Center, National Center for Global Health and Medicine
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Borde JP, Häcker GA, Guschl S, Serr A, Danner T, Hübner J, Burrack-Lange S, Lüdke G, Helwig P, Hauschild O, Kern WV. Diagnosis of prosthetic joint infections using UMD-Universal Kit and the automated multiplex-PCR Unyvero i60 ITI(®) cartridge system: a pilot study. Infection 2015; 43:551-60. [PMID: 26021312 DOI: 10.1007/s15010-015-0796-4] [Citation(s) in RCA: 55] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2015] [Accepted: 05/13/2015] [Indexed: 01/22/2023]
Abstract
BACKGROUND Prosthetic joint infections (PJI) are associated with high morbidity and costs. Various efforts have been made to improve the diagnosis of PJI over the past years, but only few studies have assessed the diagnostic utility of nucleic acid amplification test (NAAT) techniques in this context. Here, we report our experience with a commercial 16S rRNA gene PCR and an automated multiplex-PCR cartridge system in identifying pathogens causing PJI. MATERIALS AND METHODS A prospective single-centre study was performed including 54 patients with either septic or aseptic prosthetic joint replacement or surgical revision between February 2012 and April 2013. Conventional cultures of periprosthetic tissue samples were compared with the results of broad-range 16S rRNA gene real-time PCR (UMD-Universal Pathogen DNA Extraction and PCR Analysis, Molzym GmbH, Germany) and the multiplex-PCR Unyvero ITI(®) cartridge system (U-ITI; Curetis AG, Germany). Conventional culture and broad-range 16S rRNA gene real-time PCR were performed on all samples. U-ITI was used in a subgroup of 28 cases including all culture-positive cases. The agreement of the results from the methods was assessed. RESULTS Of 54 cases, seven were culture-positive. Broad-range 16S rRNA gene real-time PCR gave 6, U-ITI 3 concordant positive results. Of the 47 culture-negative samples, 46 were also negative by broad-range 16S rRNA gene real-time PCR resulting in a 96 % (52/54) agreement between 16S rRNA gene PCR and culture. Of the 21 culture-negative samples analysed with U-ITI, 20 gave negative results, including the single 16S rRNA gene PCR-positive/culture-negative specimen. The rate of agreement between U-ITI and culture results was 82 % (23/28). CONCLUSION This pilot study gave no indication of superiority of the used NAATs over conventional culture methods for the microbiological diagnosis of PJI. Drawbacks are susceptibility to contamination in the case of 16S rRNA gene real-time PCR, labour-intensive DNA extraction and limited pathogen panel in the case of the multiplex cartridge PCR system. More prospective trials are needed to evaluate the diagnostic performance of NAATs and their impact on the clinical management of PJI.
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Affiliation(s)
- Johannes P Borde
- Abteilung Infektiologie, Universitätsklinikum Freiburg, Hugstetterstr. 55, 79106, Freiburg, Germany.
| | - Georg A Häcker
- Institut für Medizinische Mikrobiologie und Hygiene, Universitätsklinikum Freiburg, Hermann-Herder-Straße 11, 79104, Freiburg, Germany
| | - Sina Guschl
- Abteilung Infektiologie, Universitätsklinikum Freiburg, Hugstetterstr. 55, 79106, Freiburg, Germany
| | - Annerose Serr
- Institut für Medizinische Mikrobiologie und Hygiene, Universitätsklinikum Freiburg, Hermann-Herder-Straße 11, 79104, Freiburg, Germany
| | - Tobias Danner
- Institut für Medizinische Mikrobiologie und Hygiene, Universitätsklinikum Freiburg, Hermann-Herder-Straße 11, 79104, Freiburg, Germany
| | - Johannes Hübner
- Abteilung für Pädiatrische Infektiologie, Kinderklinik und Kinderpoliklinik im Dr. von Haunerschen Kinderspital, Ludwig Maximilians Universität, 80337, Munich, Germany
| | | | - Gerd Lüdke
- Curetis AG, Max-Eyth-Straße 42, 71088, Holzgerlingen, Germany
| | - Peter Helwig
- Department für Traumatologie, Sektion Endoprothetik, Universitätsklinikum Freiburg, Hugstetterstr. 55, 79106, Freiburg, Germany
| | - Oliver Hauschild
- Department für Traumatologie, Sektion Endoprothetik, Universitätsklinikum Freiburg, Hugstetterstr. 55, 79106, Freiburg, Germany
| | - Winfried V Kern
- Abteilung Infektiologie, Universitätsklinikum Freiburg, Hugstetterstr. 55, 79106, Freiburg, Germany
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