title: [Arbekacin resistant gene, aacA/aphD, in Staphylococcus aureus is lost during in vitro passage].
abstract: We analyzed for the presence of the aacA/aphD gene in arbekacin resistant-Staphylococcus aureus. Tested strains were 50 clinically isolated Staphylococcus aureus that had an MIC of more than 2 micrograms/ml for arbekacin. Among the primary cultures, aacA/aphD genes were detected in 42 of 50 strains(84%) overall, including 34 of 41 Methicillin resistant Staphylococcus aureus(MRSA) strains, and 8 of 9 strains of Methicillin sensitive Staphylococcus aureus(MSSA). After 10 or 20 passages, the aacA/aphD gene was lost in 5 strains of MRSA and 2 strains of MSSA. In the strains that lost the gene, the MIC of arbekacin was reduced remarkably in 3 strains of MRSA and 2 strains of MSSA. Further, MICs of arbekacin decreased along with passages even in the strains that did not loose the aacA/aphD gene, as well as in the strains that did not possess the aacA/aphD gene originally. The fact that MIC values are easily reduced with in vitro passage is important to consider when performing the arbekacin-resistance test for Staphylococcus aureus.
authors.affiliation: Department of Clinical Pathology, Showa University, School of Medicine, Shinagawa-ku, Tokyo 142-8666.
authors.forename: Gelin
authors.initials: G
authors.lastname: Chen
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Fukuchi
authors.forename: Rika
authors.initials: R
authors.lastname: Wakuta
authors.forename: Sadanori
authors.initials: S
authors.lastname: Kubo
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Yasuhara
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Takagi
authors.forename: Kunihide
authors.initials: K
authors.lastname: Gomi
mesh_terms: D000617:Aminoglycosides; D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D003982:Dibekacin / Q000031:analogs & derivatives* / Q000494:pharmacology*; D004352:Drug Resistance, Microbial / Q000235:genetics; D005798:Genes, Bacterial; D016106:Methicillin Resistance; D013211:Staphylococcus aureus / Q000187:drug effects / Q000235:genetics*
chemical_list: D000617:Aminoglycosides; D000900:Anti-Bacterial Agents; D003982:Dibekacin; C031986:arbekacin