Staphylococcus haemolyticus

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Staphylococcus haemolyticus
Scientific classification Edit this classification
Domain: Bacteria
Phylum: Bacillota
Class: Bacilli
Order: Bacillales
Family: Staphylococcaceae
Genus: Staphylococcus
Species:
S. haemolyticus
Binomial name
Staphylococcus haemolyticus
Schleifer & Kloos, 1975[1]

Staphylococcus haemolyticus is a member of the

biofilms make S. haemolyticus a difficult pathogen to treat.[5] Its most closely related species is Staphylococcus borealis.[9]

Biology and biochemistry

S. haemolyticus is nonmotile,

Growth conditions

Optimal growth occurs between 30 and 40 °C in the presence of

NaCl is poor or absent.[2]

Genome structure

The S. haemolyticus strain JCSC1435 genome contains a 2,685,015

oriC (the origin of chromosomal DNA replication), and these regions are collectively referred to as the “oriC environ”.[10]

As noted, some S. haemolyticus ORFs differ from S. aureus and S. epidermidis. Some of these ORFs encode gene products with known biological features, such as the regulation of

The S. haemolyticus

antibiotics). The table below contains a list of genes known to be associated with S. haemolyticus antibiotic resistance.[10][11]

Class Antimicrobial Agent MIC (mg/L) ORF ID Gene Name Product Location
Penicillins
Oxacillin >512 SH0091 mecA
Penicillin-binding protein 2'
ΨSCCmec(h1435)
Ampicillin 64 SH1764 blaZ
β-Lactamase
Tn552
methicillin mecA
Penicillin-binding protein 2'
ΨSCCmec(h1435)
Cephalosporins
Ceftizoxime >512 SH0091 mecA
Penicillin-binding protein 2'
ΨSCCmec(h1435)
Macrolides
Erythromycin >512 pSHaeB1 ermC rRNA adenine N-6-methyltransferase Plasmid pSHaeB
SH2305 msrSA ATP-dependent efflux system πSh1
SH2306 mphBM Macrolide 2'-phosphotransferase πSh1
Quinolones
Ofloxacin 8 SH0006 gyrA
topoisomerase II) subunit A (point mutation
C7313T)
SH1553 parC (grlA) Topoisomerase IV subunit A (point mutation G1598138A)
Tetracyclines
Tetracycline 2
Minocycline 0.5
Aminoglycosides
Kanamycin
>512 SH1611 aacA-aphD Bifunctional aminoglycoside N-acetyltransferase and aminoglycoside phosphotransferase Tn4001
Tobramycin 16 SH1611 aacA-aphD Bifunctional Tn4001
Gentamicin 64 SH1611 aacA-aphD Bifunctional Tn4001
Glycopeptides
Vancomycin 4
Teicoplanin 64
Fosfomycin Fosfomycin >512 pSHaeA1 fosB
Glutathione transferase
Plasmid pSHaeA

Cell wall

Like other

N-acetylglucosamine. The major cell wall fatty acids are CBr-15, CBr-17, C18, and C20.[2]

Capsule

Certain strains of S. haemolyticus are capable of producing a

enzymes for a unique trideoxy sugar residue that is N-acylated by aspartic acid.[13]

CP production is influenced by

brain heart infusion broth, or Columbia broth with 2% NaCl favors the production of CP; cultivation on Columbia salt agar plates is suboptimal. Only trace amounts of CP are generated before the end of exponential phase, and the maximal rate of CP production does not occur until early stationary phase.[13]

CP is considered a

]

Biofilm formation

The ability to adhere to

medical devices and subsequently form biofilms is a major virulence factor associated with S. haemolyticus.[3][5][14][15] Biofilm formation increases antibiotic resistance[5][14][15] and often leads to persistent infections.[16][17] S. haemolyticus biofilms are not polysaccharide intercellular adhesin (PIA) dependent, and the lack of the ica operon (the gene cluster that encodes the production of PIA) can be used to distinguish S. haemolyticus isolates from other CoNS species.[3][13][15]

Biofilm formation is influenced by a variety of factors including

capsular polysaccharide decreases biofilm formation.[13]

Subinhibitory concentrations (sub

hydrophobic, but they also have an increased level of resistance to dicloxacillin.[14]

Toxins

Some S. haemolyticus strains produce enterotoxins (SE) and/or hemolysins.[10][18] In a study of 64 S. haemolyticus strains, production of SEA, SEB, SEC, and/or SEE was noted (only SED was absent). In addition, 31.3% of the strains were found to produce at least one type of enterotoxin.[18]

Identification

S. haemolyticus can be identified on the species level using a variety of manual and automated methods. The most frequently employed are: the reference method (based on growth tests), API ID 32 Staph (bioMe´rieux), Staph-Zym (Rosco), UZA (a rapid 4-h method), and

gene sequence. Preference towards a particular method usually depends on convenience, economics, and required specificity (some species have identical 16S rRNA).[7][19] The most closely related species of S. haemolyticus is Staphylococcus borealis.[9]

Method Tests performed Interpretation
Reference 16 conventional growth tests including: colony pigment, DNase, alkaline phosphatase, ornithine decarboxylase, urease, acetoin production, novobiocin sensitive, polymyxin resistance, and acid production from D-trehalose, D-mannitol, D-mannose, D-turanose, D-xylose, D-cellobiose, maltose, and sucrose Results are compared to the literature on staphylococcal species[19]
API ID 32 Staph (bioMe´rieux) A bacterial suspension is added to a set of wells containing dried substrates for 26 colorimetric tests. After 24 hours of incubation at 37 °C, and the addition of a few other reagents, the results are determined by an automated computer using APILAB ID 32 software[19]
Staph-Zym (Rosco) A bacterial suspension is added to minitubes for 10 metabolic or enzymatic tests The results are determined by color changes, after 24 hours of incubation, and tests for polymyxin and novobiocin susceptibility[19]
UZA (a rapid 4-hour method) This method is a two-step process. Step one consists of three tests measured after four hours incubation at 37 °C: acid production from D-trehalose, urease, and alkaline phosphatase. Step two includes four possible tests, which are administered as needed after 24 hours of incubation at 37 °C. They are: ornithine decarboxylase, novobiocin susceptibility, fosfomycin susceptibility, and anaerobic growth Results are compared to the literature on staphylococcal species[19]
PCR and electrophoresis Uses gene specific degenerate primers to amplify pieces of DNA, these fragments are resolved using electrophoresis, and then purified for DNA sequencing Results are determined by a sequence analysis[7]

Clinical importance

S. haemolyticus is the second-most clinically isolated CoNS (S. epidermidis is the first) and it is considered an important

multi-drug resistant[22] and able to form biofilms, which makes infections especially difficult to treat.[17]

Vascular catheter-associated infections

Staphylococcus on a catheter

S. haemolyticus can colonize

β-lactams to work synergistically.[20]

Antibiotic resistance

S. haemolyticus has the highest level of antibiotic resistance among the CoNS.

multidrug resistance is common.[22] As indicated above, even glycopeptide-resistant (vancomycin and teicoplanin) strains have begun to emerge.[6][20][24][25]

References

External links