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JAC Advance Access published online on March 21, 2006

Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkl071
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© The Author 2006. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Received December 20, 2005
Revised February 9, 2006
Accepted February 14, 2006

Original article

Commensal isolates of methicillin-resistant Staphylococcus epidermidis are also well equipped to produce biofilm on polystyrene surfaces

Gabrielle Luck de Araujo 1, Leonardo Rocchetto Coelho 2, Camila Barbosa de Carvalho 1, Rafael Muniz Maciel 1, Amada Zambrana Coronado 2, Ronaldo Rozenbaum 3, Bernadete Teixeira Ferreira-Carvalho 2, Agnes Marie Sá Figueiredo 2 *, and Lenise Arneiro Teixeira 1

1 Faculdade de Farmácia, Universidade Federal Fluminense, Niterói, 24241002 RJ, Brazil
2 Departamento de Microbiologia Médica, Instituto de Microbiologia Prof Paulo de Góes, Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Bloco I, Cidade Universitária, Rio de Janeiro, RJ, 21941590, Brazil
3 Hospital Samaritano, Rio de Janeiro, 22041010 RJ, Brazil

* To whom correspondence should be addressed.
Agnes Marie Sá Figueiredo, E-mail: agnes{at}micro.ufrj.br


   Abstract

Objectives: To study biofilm production and to detect icaAD, atlE and aap genes in 137 isolates of methicillin-resistant Staphylococcus epidermidis (MRSE) obtained from healthy individuals from the community (35 isolates), from hospitalized patients at the Antônio Pedro University Hospital (25 isolates) and from individuals from a home-care system (HCS; 77 isolates).

Methods: Biofilm production was determined in vitro using polystyrene inert surfaces. icaAD, atlE and aap genes were detected using PCR. Hybridization experiments were also carried out to confirm some PCR results. Antimicrobial susceptibility testing was carried out using the NCCLS methods.

Results: Although many of the commensal MRSE isolates produced biofilms, the percentage of biofilm producers was significantly higher (P = 0.0107) among hospital isolates (76%) than among isolates from the community (60%) and from the HCS (57%). An association was observed between multiresistance and biofilm production for isolates obtained from healthy individuals from the community and from household contacts from the HCS (P < 0.0001). The concomitant presence of the ica operon and atlE and aap genes was associated with the strong biofilm-producer phenotype (P < 0.0001).

Conclusion: Because many of the commensal MRSE isolates obtained from nares produced biofilms and carried icaAD, aap and atlE genes, biofilms or such genetic elements should not be used as markers for clinical significance. The biofilm environment seems to increase genetic exchanges and hence may contribute to multiresistance phenotypes.

Keywords: MRSE; biofilm; ica; aap and atlE.
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