Similar Strains of Coagulase-Negative Staphylococci Found in the Gastrointestinal Tract and Bloodstream of Bacteremic Neonates

Objectives. Premature neonates are susceptible to opportunistic and nosocomial infections. Efforts have been made to determine whether the neonatal gut microbiome possesses potential for causing bloodstream infections in newborns via microbial translocation from the gastrointestinal tract. We aimed...

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Main Authors: Jennifer O. Adeghate, Emese Juhász, Miklós Á. Iván, Júlia Pongrácz, Katalin Kristóf
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2020/3509676
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author Jennifer O. Adeghate
Emese Juhász
Miklós Á. Iván
Júlia Pongrácz
Katalin Kristóf
author_facet Jennifer O. Adeghate
Emese Juhász
Miklós Á. Iván
Júlia Pongrácz
Katalin Kristóf
author_sort Jennifer O. Adeghate
collection DOAJ
description Objectives. Premature neonates are susceptible to opportunistic and nosocomial infections. Efforts have been made to determine whether the neonatal gut microbiome possesses potential for causing bloodstream infections in newborns via microbial translocation from the gastrointestinal tract. We aimed to examine similarities in coagulase-negative staphylococci (CoNS) strains found in the gastrointestinal tract and bloodstream in bacteremic neonates. Methods. CoNS strains isolated from blood cultures and perianal and pharyngeal swab samples of neonates from two neonatal intensive care units were investigated using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry and pulsed-field gel electrophoresis. Molecular mass and genetic similarities of CoNS strains were compared. Results. Marked similarity was found in the molecular mass and genetic profile of examined CoNS isolates from blood cultures and perianal/pharyngeal samples. The percentage of neonates developing bacteremia following perianal and pharyngeal colonization by CoNS was significantly higher when compared to those colonized by Enterobacteriales species (p<0.0002). Conclusions. CoNS colonizing the gut may be a source of bacteremia in neonates. Enterobacteriales species do not contribute as significantly to bacteremia when compared to CoNS, and may be protective against gut mucosa-originated systemic infection.
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series Canadian Journal of Infectious Diseases and Medical Microbiology
spelling doaj-art-58ecfc61ff68489caae8bfb93d3d4ddd2025-02-03T01:03:40ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95321918-14932020-01-01202010.1155/2020/35096763509676Similar Strains of Coagulase-Negative Staphylococci Found in the Gastrointestinal Tract and Bloodstream of Bacteremic NeonatesJennifer O. Adeghate0Emese Juhász1Miklós Á. Iván2Júlia Pongrácz3Katalin Kristóf4Institute of Laboratory Medicine, Semmelweis University, Budapest 1082, HungaryInstitute of Laboratory Medicine, Semmelweis University, Budapest 1082, HungaryInstitute of Laboratory Medicine, Semmelweis University, Budapest 1082, HungaryInstitute of Laboratory Medicine, Semmelweis University, Budapest 1082, HungaryInstitute of Laboratory Medicine, Semmelweis University, Budapest 1082, HungaryObjectives. Premature neonates are susceptible to opportunistic and nosocomial infections. Efforts have been made to determine whether the neonatal gut microbiome possesses potential for causing bloodstream infections in newborns via microbial translocation from the gastrointestinal tract. We aimed to examine similarities in coagulase-negative staphylococci (CoNS) strains found in the gastrointestinal tract and bloodstream in bacteremic neonates. Methods. CoNS strains isolated from blood cultures and perianal and pharyngeal swab samples of neonates from two neonatal intensive care units were investigated using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry and pulsed-field gel electrophoresis. Molecular mass and genetic similarities of CoNS strains were compared. Results. Marked similarity was found in the molecular mass and genetic profile of examined CoNS isolates from blood cultures and perianal/pharyngeal samples. The percentage of neonates developing bacteremia following perianal and pharyngeal colonization by CoNS was significantly higher when compared to those colonized by Enterobacteriales species (p<0.0002). Conclusions. CoNS colonizing the gut may be a source of bacteremia in neonates. Enterobacteriales species do not contribute as significantly to bacteremia when compared to CoNS, and may be protective against gut mucosa-originated systemic infection.http://dx.doi.org/10.1155/2020/3509676
spellingShingle Jennifer O. Adeghate
Emese Juhász
Miklós Á. Iván
Júlia Pongrácz
Katalin Kristóf
Similar Strains of Coagulase-Negative Staphylococci Found in the Gastrointestinal Tract and Bloodstream of Bacteremic Neonates
Canadian Journal of Infectious Diseases and Medical Microbiology
title Similar Strains of Coagulase-Negative Staphylococci Found in the Gastrointestinal Tract and Bloodstream of Bacteremic Neonates
title_full Similar Strains of Coagulase-Negative Staphylococci Found in the Gastrointestinal Tract and Bloodstream of Bacteremic Neonates
title_fullStr Similar Strains of Coagulase-Negative Staphylococci Found in the Gastrointestinal Tract and Bloodstream of Bacteremic Neonates
title_full_unstemmed Similar Strains of Coagulase-Negative Staphylococci Found in the Gastrointestinal Tract and Bloodstream of Bacteremic Neonates
title_short Similar Strains of Coagulase-Negative Staphylococci Found in the Gastrointestinal Tract and Bloodstream of Bacteremic Neonates
title_sort similar strains of coagulase negative staphylococci found in the gastrointestinal tract and bloodstream of bacteremic neonates
url http://dx.doi.org/10.1155/2020/3509676
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