Influence of molecular characteristics in the prognosis of methicillin-resistant Staphylococcus aureus prosthetic joint infections: beyond the species and the antibiogram

Infection. 2017 Aug;45(4):533-537. doi: 10.1007/s15010-017-1011-6. Epub 2017 Apr 7.

Abstract

We have explored the relationship of phenotypic (antibiogram, β-haemolysis, agr functionality, biofilm formation) and genotypic characteristics on the prognosis of 18 cases of methicillin-resistant S. aureus prosthetic joint infection (2005-2015). All isolates belonged to CC5, and had agr type II. This pilot study suggests that phage-borne genes belonging to the immune evasion cluster (chp, sak and scn) were more frequent among episodes with treatment failure (80.0 vs. 37.5%).

Keywords: Biofilms; Bone infections; DAIR; Joint infections; MRSA.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty / adverse effects*
  • Biofilms*
  • Cohort Studies
  • Female
  • Genotype*
  • Hemolysis*
  • Hospitals, University
  • Humans
  • Joint Diseases / diagnosis
  • Joint Diseases / microbiology*
  • Male
  • Methicillin-Resistant Staphylococcus aureus / genetics
  • Methicillin-Resistant Staphylococcus aureus / physiology*
  • Microbial Sensitivity Tests
  • Middle Aged
  • Pilot Projects
  • Prognosis
  • Retrospective Studies
  • Spain
  • Staphylococcal Infections / diagnosis
  • Staphylococcal Infections / microbiology*