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. 2023 Jan 24;12(2):180.
doi: 10.3390/pathogens12020180.

Molecular Characterizations of the Coagulase-Negative Staphylococci Species Causing Urinary Tract Infection in Tanzania: A Laboratory-Based Cross-Sectional Study

Shukrani Phillip  1   2 , Martha F Mushi  2 , Arun Gonzales Decano  3 , Jeremiah Seni  2 , Blandina T Mmbaga  4 , Happiness Kumburu  4 , Eveline T Konje  5 , Joseph R Mwanga  6 , Benson R Kidenya  7 , Betrand Msemwa  7 , Stephen Gillespie  3 , Antonio Maldonado-Barragan  3 , Alison Sandeman  3 , Wilber Sabiti  3 , Mathew T G Holden  3 , Stephen E Mshana  2
Affiliations

Molecular Characterizations of the Coagulase-Negative Staphylococci Species Causing Urinary Tract Infection in Tanzania: A Laboratory-Based Cross-Sectional Study

Shukrani Phillip et al. Pathogens. .

Abstract

Background: There is a growing body of evidence on the potential involvement of coagulase-negative Staphylococci (CoNS) in causing urinary tract infections (UTIs). The aim of this study was to delineate virulence potential, antimicrobial resistance genes, and sequence types of CoNS isolated from patients with UTI symptoms and pyuria in Tanzania.

Methods: CoNS from patients with UTI symptoms and more than 125 leucocytes/μL were retrieved, subcultured, and whole-genome sequenced.

Results: Out of 65 CoNS isolates, 8 species of CoNS were identified; Staphylococcus haemolyticus, n = 27 (41.5%), and Staphylococcus epidermidis, n = 24 (36.9%), were predominant. The majority of S. haemolyticus were sequence type (ST) 30, with 8 new ST138-145 reported, while the majority of S. epidermidis were typed as ST490 with 7 new ST1184-1190 reported. Sixty isolates (92.3%) had either one or multiple antimicrobial resistance genes. The most frequently detected resistance genes were 53 (21%) dfrG, 32 (12.9%) blaZ, and 26 (10.5%) mecA genes conferring resistance to trimethoprim, penicillin, and methicillin, respectively. Out of 65 isolates, 59 (90.8%) had virulence genes associated with UTI, with a predominance of the icaC 47 (46.5%) and icaA 14 (13.9%) genes. Conclusion:S. haemolyticus and S. epidermidis harboring icaC, dfrG, blaZ, and mecA genes were the predominant CoNS causing UTI in Tanzania. Laboratories should carefully interpret the significant bacteriuria due to CoNS in relation to UTI symptoms and pyuria before labeling them as contaminants. Follow-up studies to document the outcome of the treated patients is needed to add more evidence that CoNS are UTI pathogens.

Keywords: S. epidermidis; S. haemolyticus; genes for AMR; icaC virulence genes.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Distribution of CoNS species causing UTI.
See this image and copyright information in PMC

References

    1. Öztürk R.A. Murt, Epidemiology of urological infections: A global burden. World J. Urol. 2020;38:2669–2679. doi: 10.1007/s00345-019-03071-4. - DOI - PubMed
    1. Seni J., Tito J., Makoye S., Mbena H., Alfred H., van der Meer F., Pitout J., Mshana S., DeVinney R. Multicentre evaluation of significant bacteriuria among pregnant women in the cascade of referral healthcare system in North-western Tanzania: Bacterial pathogens, antimicrobial resistance profiles and predictors. J. Glob. Antimicrob. Resist. 2019;17:173–179. doi: 10.1016/j.jgar.2018.12.024. - DOI - PubMed
    1. Chaula T., Seni J., Ng’Walida N., Kajura A., Mirambo M.M., DeVinney R., Mshana S.E. Urinary Tract Infections among HIV-Positive Pregnant Women in Mwanza City, Tanzania, Are High and Predicted by Low CD4+ Count. Int. J. Microbiol. 2017;2017:4042686. doi: 10.1155/2017/4042686. - DOI - PMC - PubMed
    1. Mushi M.F., Alex V.G., Seugendo M., Silago V., Mshana S.E. C—reactive protein and urinary tract infection due to Gram-negative bacteria in a pediatric population at a tertiary hospital, Mwanza, Tanzania. Afr. Health Sci. 2019;19:3217–3224. doi: 10.4314/ahs.v19i4.45. - DOI - PMC - PubMed
    1. Msaki B.P., Mshana S.E., Hokororo A., Mazigo H.D., Morona D. Prevalence and predictors of urinary tract infection and severe malaria among febrile children attending Makongoro health centre in Mwanza city, North-Western Tanzania. Arch. Public Health. 2012;70:4. doi: 10.1186/0778-7367-70-4. - DOI - PMC - PubMed

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