Staphylococcus haemolyticus

Updated : August 30, 2023

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Here are some key points regarding the epidemiology of Staphylococcus haemolyticus:
Prevalence: Staphylococcus haemolyticus is one of the most frequently isolated CoNS species from clinical specimens. It is commonly found as part of the normal flora of the human skin, especially in the axillae, groin, and perineal areas. It can also colonize the nasal passages and mucous membranes.
Healthcare-Associated Infections: Staphylococcus haemolyticus is often associated with healthcare-associated infections (HAIs) and is a common cause of infections in hospital settings. It can be found on medical devices such as catheters, prosthetic implants, and intravenous lines. These devices can provide an opportunity for the bacterium to enter the body and cause infections such as bloodstream infections, urinary tract infections, and surgical site infections.
Antibiotic Resistance: It has become increasingly resistant to antibiotics, including methicillin and other beta-lactam antibiotics. This resistance is often mediated by the acquisition of the mecA gene, which encodes for an altered penicillin-binding protein target. Methicillin-resistant Staphylococcus haemolyticus (MRSH) strains are a concern in healthcare settings as they limit treatment options and can cause difficult-to-treat infections.
Risk Factors: The risk factors for Staphylococcus haemolyticus infections include prolonged hospitalization, indwelling medical devices, immunosuppression, invasive procedures, and previous antibiotic exposure. These factors increase the likelihood of colonization and subsequent infection by this bacterium.
Transmission: Staphylococcus haemolyticus can be transmitted through direct contact with contaminated surfaces, equipment, or the hands of healthcare workers. The bacterium can also spread from person to person, especially in healthcare settings where infection control practices may not be strictly followed.
Pathogenesis

Staphylococcus haemolyticus is a species of bacteria that belongs to the genus Staphylococcus, which is a part of the family Staphylococcaceae. It is a Gram-positive bacterium, meaning it retains the violet stain in the Gram-staining process.

The taxonomic classification of Staphylococcus haemolyticus is as follows:

  • Domain: Bacteria
  • Phylum: Firmicutes
  • Class: Bacilli
  • Order: Bacillales
  • Family: Staphylococcaceae
  • Genus: Staphylococcus
  • Species: Staphylococcus haemolyticus

the general structure of Staphylococcus haemolyticus:

Cell shape: Staphylococcus haemolyticus is typically spherical or cocci-shaped, occurring in clusters or grape-like formations. The cocci are approximately 0.5 to 1.5 micrometers in diameter.

Cell wall: The cell wall of Staphylococcus haemolyticus is composed of peptidoglycan, which gives it rigidity and protection. The peptidoglycan layer is located beneath the cell membrane and provides structural support for the bacterium.

Cell membrane: Surrounding the cytoplasm, the cell membrane acts as a selectively permeable barrier, regulating the passage of substances in and out of the bacterial cell.

Capsule: Some strains of S. haemolyticus can produce a polysaccharide capsule that surrounds the cell wall. The capsule helps protect the bacterium from the host immune system and enhances its ability to adhere to surfaces.

Cytoplasm: The cytoplasm is the gel-like substance within the cell membrane where various cellular processes occur. It contains essential components such as ribosomes, DNA, RNA, enzymes, and other molecules necessary for cellular metabolism.

Nucleoid: Staphylococcus haemolyticus possesses a circular chromosome within the nucleoid region. The chromosome contains the bacterium’s genetic material in the form of DNA.

Plasmids: In addition to the chromosomal DNA, Staphylococcus haemolyticus may carry plasmids—small, circular pieces of DNA that exist independently of the chromosomal DNA. Plasmids often carry extra genes that can provide additional characteristics or traits to the bacterium.

Flagella: Staphylococcus haemolyticus is generally non-motile and lacks flagella, which are whip-like appendages that some bacteria use for movement.

Pili and fimbriae: These are hair-like structures extending from the bacterial cell surface. They are involved in adhesion to surfaces, including host tissues.

The antigenic types of S. haemolyticus are not well-defined, as this species is not commonly associated with antigenic variation or serotyping. However, some studies have reported the presence of different antigenic components in S. haemolyticus, such as:

  • Capsular polysaccharides, which are surface molecules that can protect the bacteria from phagocytosis and complement-mediated killing. Some strains of haemolyticus can produce different types of capsular polysaccharides, such as type 5 and type 8.
  • Enterotoxins, which are secreted proteins that can cause food poisoning and toxic shock syndrome. haemolyticus can produce several types of enterotoxins, such as A, B, C, D, E, G, H, I, J, K, L, and M.
  • Hemolysins, which are cytolytic toxins that can damage red blood cells and other host cells. haemolyticus can produce different types of hemolysins, such as alpha-hemolysin (Hla), beta-hemolysin (Hlb), gamma-hemolysin (Hlg), and delta-hemolysin (Hld).
  • Fibronectin-binding proteins, which are surface proteins that can mediate adhesion to the host extracellular matrix and facilitate invasion. haemolyticus can express two types of fibronectin-binding proteins, FnbpA and FnbpB.

These antigenic components may vary in expression and activity among different strains of S. haemolyticus and may play a role in its pathogenesis and immune evasion. However, more research is needed to elucidate the antigenic diversity and specificity of S. haemolyticus.

Staphylococcus haemolyticus is coagulase-negative staphylococcus (CoNS) inhabiting the skin as a commensal. However, it can also cause opportunistic infections, especially in hospitalized patients. Several of the contributing elements to the pathogenesis of S. haemolyticus are:
– The formation of a biofilm on catheters and other medical devices makes the bacteria more resistant to antibiotics and the immune system.
– The secretion of enterotoxins, hemolysins, and fibronectin-binding proteins, which help the bacteria adhere and invade host cells.
– The presence of various virulence-related genes, such as those encoding resistance to methicillin, vancomycin, aminoglycosides, and other antibiotics.

S. haemolyticus can cause infections such as diabetic foot ulcer (DFU), bacteremia, endocarditis, septic arthritis, and osteomyelitis. It can also induce inflammation and apoptosis in primary human skin fibroblast (PHSF) cells.

The host defenses against S. haemolyticus infection are mainly based on the following:

  • Phagocytosis by neutrophils and macrophages can engulf and kill the bacteria. However, some factors of haemolyticus can interfere with phagocytosis, such as the capsule and protein A.
  • Antibodies that can neutralize toxins and promote opsonization, which enhances phagocytosis. However, some strains of haemolyticus can produce proteases that degrade antibodies.
  • Inflammation that can recruit immune cells and activate cytokines to fight the infection. However, some toxins of haemolyticus can induce excessive inflammation and tissue damage.

The host defenses are often challenged by the high antibiotic resistance and biofilm formation of S. haemolyticus, which makes it challenging to eradicate the infection. The genome of S. haemolyticus is also very plastic and prone to mutations, which may allow it to adapt to different environments and acquire new virulence factors.

The clinical manifestations of Staphylococcus haemolyticus infections can vary depending on the site of infection. Here are some common manifestations:

  • Bloodstream infections: Staphylococcus haemolyticus can cause bloodstream infections, known as bacteremia or sepsis. Symptoms may include fever, chills, rapid heartbeat, low blood pressure, and general malaise. In severe cases, it can lead to organ failure and be life-threatening.
  • Skin and soft tissue infections: This bacterium can cause skin infections such as cellulitis, abscesses, or wound infections. These infections often present as redness, swelling, warmth, and pain at the affected site. Pus or discharge may be present in the case of abscess formation.
  • Urinary tract infections (UTIs): It can cause UTIs, especially in individuals with urinary catheters. Symptoms may include frequent urination, urgency, burning or pain during urination, cloudy or bloody urine, and lower abdominal pain.
  • Surgical site infections: Following surgery, Staphylococcus haemolyticus can infect the surgical wound site, leading to surgical site infections. Signs of infection may include increased pain, swelling, redness, warmth, and discharge from the wound.
  • Respiratory tract infections: Although less common, Staphylococcus haemolyticus can cause respiratory tract infections, such as pneumonia. Symptoms may include cough, shortness of breath, chest pain, fever, and production of sputum.

 

The diagnosis of S. haemolyticus infection can involve the following steps:

  • Performing a physical exam to check for any signs of infection, such as skin sores, redness, swelling, or pus.
  • Collecting a sample of blood, urine, wound fluid, or other body fluids or tissues that are suspected to be infected.
  • Culturing the sample on a suitable medium and identifying the bacteria based on their morphology, Gram-staining, and biochemical tests. haemolyticus is a Gram-positive coccus that grows in clusters and is coagulase negative.
  • Performing additional tests to confirm the species identification and differentiate it from other coagulase-negative staphylococci, such as epidermidis and S. lugdunensis. These tests may include DNA-fingerprinting methods, slide coagulase tests, or molecular methods such as PCR or sequencing.
  • Performing antimicrobial susceptibility testing to determine the best treatment option and monitor the resistance patterns of haemolyticus.

Some of the possible ways to prevent S. haemolyticus infection are:

  • Avoid unnecessary use of medical devices such as catheters, which can provide a surface for biofilm formation and entry of bacteria into the bloodstream.
  • Practicing good hygiene and skin and wound disinfection, especially in hospital settings where  haemolyticusis prevalent.
  • Using antibiotics that are effective against haemolyticus, such as vancomycin, nitrofurantoin, and trimethoprim/sulfamethoxazole. However, antibiotic resistance is a significant challenge and should be monitored carefully.
  • Exploring alternative treatment options such as bacteriocins, and bacterially generated, lethal antimicrobial peptides haemolyticus without inducing resistance.

• Full article: Pathogenesis of Staphylococcus haemolyticus on primary human skin fibroblast cells (tandfonline.com)
• Staphylococcus Haemolyticus – an overview | ScienceDirect Topics

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Staphylococcus haemolyticus

Updated : August 30, 2023

Mail Whatsapp PDF Image



Here are some key points regarding the epidemiology of Staphylococcus haemolyticus:
Prevalence: Staphylococcus haemolyticus is one of the most frequently isolated CoNS species from clinical specimens. It is commonly found as part of the normal flora of the human skin, especially in the axillae, groin, and perineal areas. It can also colonize the nasal passages and mucous membranes.
Healthcare-Associated Infections: Staphylococcus haemolyticus is often associated with healthcare-associated infections (HAIs) and is a common cause of infections in hospital settings. It can be found on medical devices such as catheters, prosthetic implants, and intravenous lines. These devices can provide an opportunity for the bacterium to enter the body and cause infections such as bloodstream infections, urinary tract infections, and surgical site infections.
Antibiotic Resistance: It has become increasingly resistant to antibiotics, including methicillin and other beta-lactam antibiotics. This resistance is often mediated by the acquisition of the mecA gene, which encodes for an altered penicillin-binding protein target. Methicillin-resistant Staphylococcus haemolyticus (MRSH) strains are a concern in healthcare settings as they limit treatment options and can cause difficult-to-treat infections.
Risk Factors: The risk factors for Staphylococcus haemolyticus infections include prolonged hospitalization, indwelling medical devices, immunosuppression, invasive procedures, and previous antibiotic exposure. These factors increase the likelihood of colonization and subsequent infection by this bacterium.
Transmission: Staphylococcus haemolyticus can be transmitted through direct contact with contaminated surfaces, equipment, or the hands of healthcare workers. The bacterium can also spread from person to person, especially in healthcare settings where infection control practices may not be strictly followed.
Pathogenesis

Staphylococcus haemolyticus is a species of bacteria that belongs to the genus Staphylococcus, which is a part of the family Staphylococcaceae. It is a Gram-positive bacterium, meaning it retains the violet stain in the Gram-staining process.

The taxonomic classification of Staphylococcus haemolyticus is as follows:

  • Domain: Bacteria
  • Phylum: Firmicutes
  • Class: Bacilli
  • Order: Bacillales
  • Family: Staphylococcaceae
  • Genus: Staphylococcus
  • Species: Staphylococcus haemolyticus

the general structure of Staphylococcus haemolyticus:

Cell shape: Staphylococcus haemolyticus is typically spherical or cocci-shaped, occurring in clusters or grape-like formations. The cocci are approximately 0.5 to 1.5 micrometers in diameter.

Cell wall: The cell wall of Staphylococcus haemolyticus is composed of peptidoglycan, which gives it rigidity and protection. The peptidoglycan layer is located beneath the cell membrane and provides structural support for the bacterium.

Cell membrane: Surrounding the cytoplasm, the cell membrane acts as a selectively permeable barrier, regulating the passage of substances in and out of the bacterial cell.

Capsule: Some strains of S. haemolyticus can produce a polysaccharide capsule that surrounds the cell wall. The capsule helps protect the bacterium from the host immune system and enhances its ability to adhere to surfaces.

Cytoplasm: The cytoplasm is the gel-like substance within the cell membrane where various cellular processes occur. It contains essential components such as ribosomes, DNA, RNA, enzymes, and other molecules necessary for cellular metabolism.

Nucleoid: Staphylococcus haemolyticus possesses a circular chromosome within the nucleoid region. The chromosome contains the bacterium’s genetic material in the form of DNA.

Plasmids: In addition to the chromosomal DNA, Staphylococcus haemolyticus may carry plasmids—small, circular pieces of DNA that exist independently of the chromosomal DNA. Plasmids often carry extra genes that can provide additional characteristics or traits to the bacterium.

Flagella: Staphylococcus haemolyticus is generally non-motile and lacks flagella, which are whip-like appendages that some bacteria use for movement.

Pili and fimbriae: These are hair-like structures extending from the bacterial cell surface. They are involved in adhesion to surfaces, including host tissues.

The antigenic types of S. haemolyticus are not well-defined, as this species is not commonly associated with antigenic variation or serotyping. However, some studies have reported the presence of different antigenic components in S. haemolyticus, such as:

  • Capsular polysaccharides, which are surface molecules that can protect the bacteria from phagocytosis and complement-mediated killing. Some strains of haemolyticus can produce different types of capsular polysaccharides, such as type 5 and type 8.
  • Enterotoxins, which are secreted proteins that can cause food poisoning and toxic shock syndrome. haemolyticus can produce several types of enterotoxins, such as A, B, C, D, E, G, H, I, J, K, L, and M.
  • Hemolysins, which are cytolytic toxins that can damage red blood cells and other host cells. haemolyticus can produce different types of hemolysins, such as alpha-hemolysin (Hla), beta-hemolysin (Hlb), gamma-hemolysin (Hlg), and delta-hemolysin (Hld).
  • Fibronectin-binding proteins, which are surface proteins that can mediate adhesion to the host extracellular matrix and facilitate invasion. haemolyticus can express two types of fibronectin-binding proteins, FnbpA and FnbpB.

These antigenic components may vary in expression and activity among different strains of S. haemolyticus and may play a role in its pathogenesis and immune evasion. However, more research is needed to elucidate the antigenic diversity and specificity of S. haemolyticus.

Staphylococcus haemolyticus is coagulase-negative staphylococcus (CoNS) inhabiting the skin as a commensal. However, it can also cause opportunistic infections, especially in hospitalized patients. Several of the contributing elements to the pathogenesis of S. haemolyticus are:
– The formation of a biofilm on catheters and other medical devices makes the bacteria more resistant to antibiotics and the immune system.
– The secretion of enterotoxins, hemolysins, and fibronectin-binding proteins, which help the bacteria adhere and invade host cells.
– The presence of various virulence-related genes, such as those encoding resistance to methicillin, vancomycin, aminoglycosides, and other antibiotics.

S. haemolyticus can cause infections such as diabetic foot ulcer (DFU), bacteremia, endocarditis, septic arthritis, and osteomyelitis. It can also induce inflammation and apoptosis in primary human skin fibroblast (PHSF) cells.

The host defenses against S. haemolyticus infection are mainly based on the following:

  • Phagocytosis by neutrophils and macrophages can engulf and kill the bacteria. However, some factors of haemolyticus can interfere with phagocytosis, such as the capsule and protein A.
  • Antibodies that can neutralize toxins and promote opsonization, which enhances phagocytosis. However, some strains of haemolyticus can produce proteases that degrade antibodies.
  • Inflammation that can recruit immune cells and activate cytokines to fight the infection. However, some toxins of haemolyticus can induce excessive inflammation and tissue damage.

The host defenses are often challenged by the high antibiotic resistance and biofilm formation of S. haemolyticus, which makes it challenging to eradicate the infection. The genome of S. haemolyticus is also very plastic and prone to mutations, which may allow it to adapt to different environments and acquire new virulence factors.

The clinical manifestations of Staphylococcus haemolyticus infections can vary depending on the site of infection. Here are some common manifestations:

  • Bloodstream infections: Staphylococcus haemolyticus can cause bloodstream infections, known as bacteremia or sepsis. Symptoms may include fever, chills, rapid heartbeat, low blood pressure, and general malaise. In severe cases, it can lead to organ failure and be life-threatening.
  • Skin and soft tissue infections: This bacterium can cause skin infections such as cellulitis, abscesses, or wound infections. These infections often present as redness, swelling, warmth, and pain at the affected site. Pus or discharge may be present in the case of abscess formation.
  • Urinary tract infections (UTIs): It can cause UTIs, especially in individuals with urinary catheters. Symptoms may include frequent urination, urgency, burning or pain during urination, cloudy or bloody urine, and lower abdominal pain.
  • Surgical site infections: Following surgery, Staphylococcus haemolyticus can infect the surgical wound site, leading to surgical site infections. Signs of infection may include increased pain, swelling, redness, warmth, and discharge from the wound.
  • Respiratory tract infections: Although less common, Staphylococcus haemolyticus can cause respiratory tract infections, such as pneumonia. Symptoms may include cough, shortness of breath, chest pain, fever, and production of sputum.

 

The diagnosis of S. haemolyticus infection can involve the following steps:

  • Performing a physical exam to check for any signs of infection, such as skin sores, redness, swelling, or pus.
  • Collecting a sample of blood, urine, wound fluid, or other body fluids or tissues that are suspected to be infected.
  • Culturing the sample on a suitable medium and identifying the bacteria based on their morphology, Gram-staining, and biochemical tests. haemolyticus is a Gram-positive coccus that grows in clusters and is coagulase negative.
  • Performing additional tests to confirm the species identification and differentiate it from other coagulase-negative staphylococci, such as epidermidis and S. lugdunensis. These tests may include DNA-fingerprinting methods, slide coagulase tests, or molecular methods such as PCR or sequencing.
  • Performing antimicrobial susceptibility testing to determine the best treatment option and monitor the resistance patterns of haemolyticus.

Some of the possible ways to prevent S. haemolyticus infection are:

  • Avoid unnecessary use of medical devices such as catheters, which can provide a surface for biofilm formation and entry of bacteria into the bloodstream.
  • Practicing good hygiene and skin and wound disinfection, especially in hospital settings where  haemolyticusis prevalent.
  • Using antibiotics that are effective against haemolyticus, such as vancomycin, nitrofurantoin, and trimethoprim/sulfamethoxazole. However, antibiotic resistance is a significant challenge and should be monitored carefully.
  • Exploring alternative treatment options such as bacteriocins, and bacterially generated, lethal antimicrobial peptides haemolyticus without inducing resistance.

• Full article: Pathogenesis of Staphylococcus haemolyticus on primary human skin fibroblast cells (tandfonline.com)
• Staphylococcus Haemolyticus – an overview | ScienceDirect Topics

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