Bactérias do gênero Staphylococcus estão entre os principais agentes causadores da mastite ovina. Um dos maiores entraves ao tratamento dos animais doentes são cepas resistentes aos antimicrobianos empregados. A pesquisa do gene mecA nos estafilococos é um instrumento auxiliar para a determinação de aspectos epidemiológicos da doença. Este trabalho teve por objetivo investigar a resistência à oxacilina em estafilococos coagulase-negativos isolados no leite de ovelhas com mastite subclínica. Foram analisadas 448 amostras de leite de dois rebanhos. Os micro-organismos isolados foram submetidos previamente a testes de sensibilidade a antibióticos in vitro a partir da técnica de difusão em disco. Naqueles resistentes à oxacilina nestes testes efetuou-se a pesquisa do gene mecA, com a extração do DNA cromossômico por meio da técnica de extração fenol-clorofórmio. Os estafilococos coagulase-negativos apresentaram resistência à oxacilina e a presença do gene mecA foi detectada em quatro isolados, que também apresentaram características de multirresistência. Tais achados reforçam a importância deste grupo de micro-organismos na etiologia da mastite subclínica em ovinos e abre perspectivas para futuras pesquisas para a investigação da epidemiologia da doença.

Staphylococcus bacteria are among the main agents of ovine mastitis. One of the greatest barriers to treatment of sick animals are strains resistant to antimicrobial agents. The research of the mecA gene in staphylococci is an auxiliary tool for the determination of epidemiological aspects of disease. The present study aimed to investigate oxacillin resistance in coagulase-negative staphylococci isolated in the milk from ewes with subclinical mastitis. A total of 448 samples from 2 flocks were analyzed. Colonies were previously submitted to testing for susceptibility to antibiotics in-vitro using the technique of disk diffusion. Using the oxacillin-resistant strains in these tests, the research of mecA gene was conducted with the extraction of chromosomal DNA by way of the technique of phenol-chloroform extraction. Coagulase-negative staphylococci were resistant to oxacillin, and the mecA gene was detected in 4 isolates, which also showed characteristics of multidrug resistance. These findings reinforce the importance of these microorganisms in the etiology of subclinical mastitis in ewes, and open perspectives for future research to investigate the epidemiology of this disease.

Foram isoladas 19 cepas monoclonais de 8 pacientes da unidade de terapia intensiva, resistentes aos carbapenêmicos. Todas as cepas apresentaram o gene blaOXA-51-like e por análise do perfil de proteínas de membrana notou-se ausência da fração de 22 kDa, sugerindo a combinação de dois mecanismos de resistência aos carbapenêmicos.

Nineteen clonally related imipenem-resistant Acinetobacter baumannii isolates were recovered from eight intensive care unit patients. All isolates harboured blaOXA-51-like β-lactamase genes and showed the absence of 22 kDa fraction in outer membrane porin profile analysis. It suggests a combination of two mechanisms as responsible for carbapenemresistant phenotypes.

Vancomycin-resistant enterococci strains (VRE) is an important pathogen related with hospital infections in many countries, presenting limited or no therapeutic options for treating serious infections. VRE has presented some different genotypes been VanA and VanB considered to be the most important in hospital environments. In the present study the authors investigated the prevalence of van genes (A, B an C) among clinical isolates of VRE in a five month period at a large tertiary hospital in Sao Paulo, Brazil. The results showed the presence of vanA, but not vanB or vanC in all 43 strains of E. faecalis and five E. faecium studied. The results bring an important issue, due to the possibility of resistance spread of vanA genes, to be monitored and solved by the hospital infection control team and the microbiology and molecular biology laboratories at tertiary Hospitals.

An indirect hemagglutination test for a seroepidemiological survey of Streptococcus pyogenes infection was standardized. This is an improved modification of the indirect hemagglutination test which utilizes an unstable reagent prepared with fresh blood cells. Two types of bacterial antigens represented by extracellular products and purified streptolysin O were assayed, but only the former antigen gave good results. Pretreatment of the bacterial antigen with 0.15 M NaOH and neutralization to pH 5.5, as well as postfixation of sensitized red cells with 0.1% glutaraldehyde at 56oC for 30 min were found to be essential to give long stability to the reagent in liquid suspension, at least 9 months at 4oC. A total of 564 serum samples with high, moderate and low anti-streptolysin O antibodies as determined by the neutralization assay were studied by the indirect hemagglutination test using the new reagent. The sensitivity, specificity, efficiency, positive predictive value and negative predictive value of the test in relation to the neutralization assay were 0.950, 0.975, 0.963, 0.973, and 0.955, respectively. The kappa agreement index between the two techniques was high (0.926) and ranked as "almost perfect". Antibody levels detected by both techniques also presented a high positive correlation (rs = 0.726). Five reagent batches successively produced proved to be reproducible. Thus, the improved indirect hemagglutination test seems to be useful for public health laboratories.