Modified Oxacillin Resistant Staphylococcus aureus detected in neonatal intensive care patients

Author:

Gitman Melissa R.ORCID,Alburquerque Bremy,van de Guchte Adriana,Sullivan Mitchell J.,Obla Ajay,Polanco Jose,Chung Marilyn,Oussenko Irina,Smith Melissa L.,Samaroo Flora,Barackman Debbie,Altman Deena R.,Sordillo Emilia MiaORCID,van Bakel HarmORCID

Abstract

AbstractActive surveillance in our neonatal intensive care unit identified Staphylococcus aureus cultures from two infants with heterogeneity in methicillin resistance between isolated subclones lacking mecA and mecC. Whole-genome analysis of 4 modified (MODSA) and 4 methicillin-susceptible (MSSA) subclones for each culture identified either truncating mutations in the cyclic diadenosine monophosphate phosphodiesterase enzyme (GdpP), or a nonsynonymous substitution in penicillin binding protein 2 (PBP2). These cases highlight the difficulty in identifying non-mecA/non-mecC-mediated methicillin-resistance in clinical laboratories.

Publisher

Cold Spring Harbor Laboratory

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