Abstract
We assessed mother-to-infant transmission ofStaphylococcus aureus. Anterior nares swabs of 466 pregnant women, vaginal swabs of 305 of these women and anterior nares swabs of 305 6-day-old infants were examined for the presence ofS. aureus. The results showed that 7.5% of the vaginal swabs from the pregnant women and 10.1% of the anterior nares swabs from the infants were positive forS. aureus. Six of the 466 pregnant women (1.3%) and 12 of the 305 infants (3.9%) carried methicillin-resistantS. aureus (MRSA) in the anterior nares site, but none of the vaginal specimens were positive for MRSA. Analysis ofSmaI digested chromosomal DNA analysis using pulsed-field gel electrophoresis (PFGE) showed that methicillin-sensitiveS. aureus (MSSA) strains obtained from four pairs of pregnant women and their infants were completely identical, which strongly suggesting mother-to-infant transmission ofS. aureus.
Conclusion
This study elucidated the prevalence ofS. aureus carriage among pregnant women and newborn infants. Mother-to-infant infection ofS. aureus was demonstrated phenotypically and genetically. PFGE is a useful tool to detect infection routes including mother-to-infant-infection.
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Abbreviations
- EtBr :
-
ethidium bromide
- MIC :
-
minimal inhibitory concentration
- MRSA :
-
methicillin-resistantS. aureus
- MSSA :
-
methicillin-sensitiveS. aureus
- PCR :
-
polymerase chain reaction
- PFGE :
-
pulsed-field gel electrophoresis
- TSST-1 :
-
toxic shock syndrome toxin-1
References
Belkum A, Bax R, Peerbooms P, Goessens WHF, Leeuwen N van, Quint WG (1993) Comparison of phage typing and DNA fingerprinting by polymerase chain reaction for discrimination of methicillin-resistantStaphylococcus aureus strains. J Clin Microbiol 31: 798–803
Boyce JM (1991) Patterns of methicillin-resistantStaphylococcus aureus prevalence [editorial; comment]. Infect Control Hosp Epidemiol 12: 79–82
Carantonis LM, Spink MS (1963) A selective salt egg agar medium for pathogenicStaphylococci. J Pathol Bacteriol 86: 217–220
Coia JE, Noor HI, Platt DJ (1988) Plasmid profiles and restriction enzyme fragmentation patterns of plasmids of methicillin-sensitive and methicillin-resistant isolates ofStaphylococcus aureus from hospital and the community. J Med Microbiol 27: 271–276
Dancer SJ, Noble WC (1991) Nasal, axillary, and perineal carriage ofStaphylococcus aureus among women: identification of strains producing epidermolytic toxin. J Clin Pathol 44: 681–684
Ekenstam AF, Fieandt BHF von, Henn F, Olow KB (1956) Physical and bacteriological investigations of an acrylic film intended as a material for surgical dressings. Scand J Clin Lab Invest 18: 278–287
Goh S-H, Byrne SK, Zhang JL, Chow AW (1992) Molecular typing ofStaphylococcus aureus on the basis of coagulase gene polymorphisms. J Clin Microbiol 30: 1642–1645
Hadorn K, Lenz W, Kayser FH, Shalit I, Krasemann C (1990) Use of a ribosomal RNA gene probe for the epidemiological study of methicillin and ciprofloxacin resistantStaphylococcus aureus. Eur J Clin Microbiol Infect Dis 9: 649–653
Ichiyama S, Ohta S, Shimokata K, Kato N, Takeuchi J (1991) Genomic DNA Fingerprinting by pulsed-field gel electrophoresis as an epidemiological marker for study of nosocomial infections caused by methicillin-resistantStaphylococcus aureus. J Clin Microbiol 29: 2690–2695
Maple PA, Hamilton MJ, Brumfitt W (1989) World-wide antibiotic resistance in methicillin-resistantStaphylococcus aureus. Lancet 1: 537–540
Martley FG, Jarvis AW, Bacon DF, Lawrence RC (1970) Typing of coagulase-positiveStaphylococci by proteolytic activity on buffered caseinate-agar with special reference to bacteriophage nontypable strains. Infect Immun 2: 439–442
Moore EP, Williams EW (1991) A maternity hospital outbreak of methicillin-resistantStaphylococcus aureus. J Hosp Infect 19: 5–16
National Committee for Clinical Laboratory Standards (1993) Methods for dilution antimicrobial susceptibility test for bacteria that grow aerobicallythird edition; approved standard. NC-CLS Document M7-A3
Nozue J (1989) Drug resistance ofStaphylococcus aureus in the field of Obstetrics and Gynecology. Acta Obstet Gynaecol Jpn 41: 449–453
Prevost G, Pottecher B, Dahlet M, Bientz M, Mantz JM, Piemont Y (1991) Pulsed field gel electrophoresis as a new epidemiological tool for monitoring methicillin-resistantStaphylococcus aureus in an intensive care unit. J Hosp Infect 17: 255–269
Prevost G, Jaulhac B, Piemont Y (1992) DNA fingerprinting by pulsed-field gel electrophoresis is more effective than ribotyping in distinguishing among methicillin-resistantStaphylococcus aureus isolates. J Clin Microbiol 30: 967–973
Reboli AC, John JJ, Levkoff AH (1989) Epidemic methicillin-gentamicin-resistantStaphylococcus aureus in a neonatal intensive care unit. Am J Dis Child 143: 34–39
Saulnier P, Bourneix C, Prevost G, Andremont A (1993) Random amplified polymorphic DNA assay is less discriminant than pulsed-field gel electrophoresis for typing strains of methicillin-resistantStaphylococcus aureus. J Clin Microbiol 31: 982–985
Smith CA, Cantor CR (1987) Purification, specific fragmentation, and separation of large DNA molecules. Methods Enzymol 155: 449–467
Struelens MJ, Deplano A, Godard C, Maes N, Serruys E (1992) Epidemiological typing and delineation of genetic relatedness of methicillin-resistantStaphylococcus aureus by macrorestriction analysis of genomic DNA by using pulsed-field gel electrophoresis. J Clin Microbiol 30: 2599–2605
Takahashi S, Nagano Y (1984) Rapid procedure for isolation of plasmid DNA and amplification to epidemiological analysis. J Clin Microbiol 20: 608–613
Tosaka M, Yamane N, Okabe H (1992) Isolation and antimicrobial susceptibility of methicillin-resistantStaphylococcus aureus (MRSA) in Kumamoto University Hospital. Jpn J Clin Med 50: 975–980
Tveten Y, Kristiansen BE, Ask E, Jenkins A, Hofstad T (1991) DNA fingerprinting of isolates ofStaphylococcus aureus from newborns and their contacts. J Clin Microbiol 29: 1100–1105
Webster J, Faoagali JL (1990) Endemic methicillin-resistantStaphylococcus aureus in a special care baby unit: a 2 year review. J Paediatr Child Health 26: 160–163
Zuccarelli AJ, Roy I, Harding GP, Couperus JJ (1990) Diversity and stability of restriction enzyme profiles of plasmid DNA from methicillin-resistantStaphylococcus aureus. J Clin Microbiol 28: 97–102
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Mitsuda, T., Fujita, S., Yokota, S. et al. Demonstration of mother-to-infant transmission ofStaphylococcus aureus by pulsed-field gel electrophoresis. Eur J Pediatr 155, 194–199 (1996). https://doi.org/10.1007/BF01953937
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DOI: https://doi.org/10.1007/BF01953937