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Staphylococcus epidermidis - virulence factors and innate ... - Munin

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excluded from the analyses, <strong>and</strong> the remaining 18 values were averaged. S. <strong>epidermidis</strong> ATCC<br />

35984 (RP62A) was the positive <strong>and</strong> S. <strong>epidermidis</strong> ATCC 122228 was negative control. Isolates<br />

with OD 570 > 0.12 were defined as biofilm producers.<br />

3.2.3 Antimicrobial susceptibility testing<br />

Paper I:<br />

We determined the minimal inhibitory concentration (MIC) of oxacillin, gentamicin, fusidic acid,<br />

clindamycin <strong>and</strong> vancomycin with Etest (AB Biodisk, Solna, Sweden) <strong>and</strong> ciprofloxacin by disk<br />

diffusion test. Antibiotic susceptibility was interpreted according to the Clinical <strong>and</strong> Laboratory<br />

St<strong>and</strong>ards Institute guidelines (411).<br />

3.2.4 Detection of resistance <strong>and</strong> <strong>virulence</strong> genes<br />

Paper I:<br />

Detection of central resistance- <strong>and</strong> <strong>virulence</strong> genes was done by polymerase chain reaction<br />

(PCR). Bacterial DNA was extracted by the boiling method (409). We performed PCRs using<br />

previously reported primers for i) the methicillin resistance gene (mecA) (412), ii) SCCmec type<br />

(413) iii) one central aminoglycoside resistance gene (aac(6')-Ie-aph(2")-Ia) (288), iv) a marker<br />

of the ica-operon encoding biofilm accumulation (icaD) (312) <strong>and</strong> v) ACME-arcA <strong>and</strong> ACMEopp3<br />

(391, 397).<br />

3.2.5 Phylogenetic analysis<br />

Paper I:<br />

Pulsed Field Gel Electrophoresis (PFGE) was used to determine the relatedness between the<br />

bacterial isolates as described previously (409). PFGE patterns were analyzed by GelCompar II<br />

version 2.5 (Applied Maths, Belgium). Isolates with ≥ 95 % similarity were considered to be<br />

50

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