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. 1978 Mar;13(3):466–472. doi: 10.1128/aac.13.3.466

Infections due to gentamicin-resistant Staphylococcus aureus strain in a nursery for neonatal infants.

L Vogel, C Nathan, H M Sweeney, S A Kabins, S Cohen
PMCID: PMC352265  PMID: 263886

Abstract

An apparently homogeneous strain of Staphylococcus aureus resistant to gentamicin (Gmr), kanamycin, tobramycin, and sisomicin, but susceptible to amikacin and netilmicin, caused multiple infections in neonatal infants in a special care nursery. Nasal cultures revealed a high rate of carriage of the Gmr staphylococcus in infants without clinical infection. Segregating patients according to a modified cohort system and use of careful aseptic techniques led to apparent elimination of the Gmr strain. The resistance to aminoglycosides in this strain was mediated by an aminoglycoside 6'-N-acetyltransferase and a gentamicin phosphotransferase. Genetic determinants for these enzymes were borne on a circular covalently closed plasmid of approximately 11 megadaltons. These resistance determinants closely resemble those found in isolates of S. aureus that have caused nosocomial infections in patients in Europe.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cohen S., Sweeney H. M. Constitutive penicillinase formation in Staphylococcus aureus owing to a mutation unlinked to the penicillinase plasmid. J Bacteriol. 1968 Apr;95(4):1368–1374. doi: 10.1128/jb.95.4.1368-1374.1968. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Courvalin P., Davies J. Plasmid-medicated aminoglycoside phosphotransferase of broad substrate range that phosphorylates amikacin. Antimicrob Agents Chemother. 1977 Apr;11(4):619–624. doi: 10.1128/aac.11.4.619. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Dowding J. E. Mechanisms of gentamicin resistance in Staphylococcus aureus. Antimicrob Agents Chemother. 1977 Jan;11(1):47–50. doi: 10.1128/aac.11.1.47. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Haas M. J., Dowding J. E. Aminoglycoside-modifying enzymes. Methods Enzymol. 1975;43:611–628. doi: 10.1016/0076-6879(75)43124-x. [DOI] [PubMed] [Google Scholar]
  5. Kensit J. G., Shanson D. C. Gentamicin resistance in methicillin-sensitive and resistant Staphyococcus aureus. J Antimicrob Chemother. 1976 Sep;2(3):311–312. doi: 10.1093/jac/2.3.311. [DOI] [PubMed] [Google Scholar]
  6. Martel A., Moreau N., Capmau M. L., Soussy C. J., Duval J. 2"-O-phosphorylation of gentamicin components by a Staphylococcus aureus strain carrying a plasmid. Antimicrob Agents Chemother. 1977 Jul;12(1):26–30. doi: 10.1128/aac.12.1.26. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Noble W. C. Variation in the prevalence of antibiotic resistance of Staphylococcus aureus from human skin and nares. J Gen Microbiol. 1977 Jan;98(1):125–132. doi: 10.1099/00221287-98-1-125. [DOI] [PubMed] [Google Scholar]
  8. Novick R. P., Roth C. Plasmid-linked resistance to inorganic salts in Staphylococcus aureus. J Bacteriol. 1968 Apr;95(4):1335–1342. doi: 10.1128/jb.95.4.1335-1342.1968. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Novick R. Properties of a cryptic high-frequency transducing phage in Staphylococcus aureus. Virology. 1967 Sep;33(1):155–166. doi: 10.1016/0042-6822(67)90105-5. [DOI] [PubMed] [Google Scholar]
  10. Porthouse A., Brown D. F., Smith R. G., Rogers T. Gentamicin resistance in Staphylococcus aureus. Lancet. 1976 Jan 3;1(7949):20–21. doi: 10.1016/s0140-6736(76)92912-3. [DOI] [PubMed] [Google Scholar]
  11. Shannon K. P., Phillips I. Letter: Gentamicin-resistant staphylococcus aureus. Lancet. 1976 Sep 11;2(7985):580–581. doi: 10.1016/s0140-6736(76)91835-3. [DOI] [PubMed] [Google Scholar]
  12. Shanson D. C., Kensit J. C., Duke R. Outbreak of hospital infection with a strain of Staphylococcus aureus resistant to gentamicin and methicillin. Lancet. 1976 Dec 18;2(7999):1347–1348. doi: 10.1016/s0140-6736(76)91986-3. [DOI] [PubMed] [Google Scholar]
  13. Speller D. C., Raghunath D., Stephens M., Viant A. C., Reeves D. S., Wilkinson P. J., Broughall J. M., Holt H. A. Epidemic infection by a gentamicin-resistant Staphylococcus aureus in three hospitals. Lancet. 1976 Feb 28;1(7957):464–466. doi: 10.1016/s0140-6736(76)91485-9. [DOI] [PubMed] [Google Scholar]
  14. Stiffler P. W., Sweeney H. M., Cohen S. Absence of circular plasmid deoxyribonucleic acid attributable to a genetic determinant for methicillin resistance in Staphylococcus aureus. J Bacteriol. 1973 Nov;116(2):771–777. doi: 10.1128/jb.116.2.771-777.1973. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Stiffler P. W., Sweeney H. M., Schneider M., Cohen S. Isolation and characterization of a kanamycin resistance plasmid from Staphylococcus aureus. Antimicrob Agents Chemother. 1974 Oct;6(4):516–520. doi: 10.1128/aac.6.4.516. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Wyatt T. D., Ferguson W. P., Wilson T. S., McCormick E. Gentamicin resistant Staphylococcus aureus associated with the use of topical gentamicin. J Antimicrob Chemother. 1977 May;3(3):213–217. doi: 10.1093/jac/3.3.213. [DOI] [PubMed] [Google Scholar]

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