Antimicrobial susceptibility profile of Staphylococcus caprae strains isolated from hospitalized patients with bacteremia: The first description of Brazilian strains
DOI:
https://doi.org/10.33448/rsd-v14i5.48713Keywords:
Bacterial infection, Antimicrobial resistance, Epidemiology, Antibiotic therapy, Hospitalization.Abstract
Staphylococcus caprae is a commensal microorganism in human and animal microbiota. Although infrequent, the literature reports this bacterium as being associated with invasive human infections. However, few studies describe the antimicrobial profiles of S. caprae strains, especially in developing countries. This paper aims to report the antimicrobial profiles of S. caprae samples isolated from blood cultures in tertiary hospitals in Brazil and investigate the antimicrobial profile worldwide. The sample identification was performed using the MALDI-TOF technique, and the antimicrobial susceptibility profile was evaluated according to the methodology standardized by BrCAST. The global antimicrobial profile was assessed through a brief review. It was observed that fifty percent of the Brazilian samples showed resistance to penicillin and ampicillin, and the fluoroquinolone profile ranged from resistant to susceptible with increased exposure. In the overall antimicrobial profile, β-lactam resistance was the most frequently observed. The results of this study are important and may assist in epidemiological monitoring and appropriate medical management.
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Allignet, J., Aubert, S., Dyke, K. G., & El Solh, N. (2001). Staphylococcus caprae strains carry determinants known to be involved in pathogenicity: a gene encoding an autolysin-binding fibronectin and the ica operon involved in biofilm formation. Infection and Immunity, 69(2), 712-8. doi: https://doi.org/10.1128/IAI.69.2.712-718.2001.
Argemi, X., Hansmann, Y., Prola, K., & Prévost, G. (2019). Coagulase-Negative Staphylococci Pathogenomics. International Journal of Molecular Science, 20(5), 1215. doi: http://doi.org/10.3390/ijms20051215.
Benedetti, P., Pellizzer, G., Furlan, F., Nicolin, R., Rassu, M., & Sefton, A. (2008). Staphylococcus caprae meningitis following intraspinal device infection. Journal of Medical Microbiology, 57(7), 904-906. doi: http://doi.org/10.1099/jmm.0.2008/000356-0.
BrCAST. (2025). Brazilian Committee on Antimicrobial Susceptibility Testing - BrCAST. Tabelas de pontos de corte para interpretação de CIMs e diâmetros de halos. 1. ed. São Paulo: Sociedade Brasileira de Microbiologia.
Díez de Los Ríos, J., Hernández-Meneses, M., Navarro, M., Montserrat, S., Perissinotti, A., Miró, J. M., & Hospital de Vic and Hospital Clinic Endocarditis teams. (2023). Staphylococcus caprae: an emerging pathogen related to infective endocarditis. Clinical Microbiology and Infection, 29(9), 1214-1216. doi: https://doi.org/10.1016/j.cmi.2023.06.006.
Domashenko, P., Foukarakis, G., Kenanidis, E., & Tsiridis, E. (2023). A Rare Case of Staphylococcus caprae-Caused Periprosthetic Joint Infection Following Total Hip Arthroplasty: A Literature Review and Antibiotic Treatment Algorithm Suggestion. Cureus, 15(5), e39471. doi: https://doi.org/10.7759/cureus.39471.
Elsner, H. A., Dahmen, G. P., Laufs, R., & Mack, D. (1998). Intra-articular empyema due to Staphylococcus caprae following arthroscopic cruciate ligament repair. Journal of Infection, 37(1), 66-7. doi: http://doi.org/10.1016/s0163-4453(98)90733-2.
Fan, Z., Yang, Y., Li, D., & Fei, Q. (2020). A rare lumbar pyogenic spondylodiscitis caused by Staphylococcus caprae with initial misdiagnosis: case report and literature review. BMC Surgery, 20(1), 200. doi: http://doi.org/10.1186/s12893-020-00860-2.
Hilliard, C. A., El Masri, J., & Goto, M. (2017). Staphylococcus caprae bacteraemia and native bone infection complicated by therapeutic failure and elevated MIC: a case report. JMM Case Reports, 4(9), e005112. doi: https://doi.org/10.1099/jmmcr.0.005112.
John, J. Jr. (2020). The treatment of resistant staphylococcal infections. F1000 Research, 9:F1000 Faculty Rev-150. doi: http://doi.org/10.12688/f1000research.17718.1.
Kato, J., Mori, T., Sugita, K., Murata, M., Ono, Y., Yamane, A., Shimizu, T., & Okamoto, S. (2010). Central line-associated bacteremia caused by drug-resistant Staphylococcus caprae after chemotherapy for acute myelogenous leukemia. International Journal of Hematology, 91(5), 912-3. doi: http://doi.org/10.1007/s12185-010-0568-y.
Kranz, J., Bartoletti, R., Bruyère, F., Cai, T., Geerlings, S., Köves, B., Schubert, S., Pilatz, A., Veeratterapillay, R., Wagenlehner, F. M. E., Bausch, K., Devlies, W., Horváth, J., Leitner, L., Mantica, G., Mezei, T., Smith, E. J., & Bonkat, G. (2024). European Association of Urology Guidelines on Urological Infections: Summary of the 2024 Guidelines. European Urology, 86(1), 27-41. doi: http://doi.org/10.1016/j.eururo.2024.03.035.
Kwok, T. C., Poyner, J., Olson, E., Henriksen, P., & Koch, O. (2016). Staphylococcus caprae native mitral valve infective endocarditis. JMM Case Reports, 3(5), e005065. doi: http://doi.org/10.1099/jmmcr.0.005065.
Martins, A., & Cunha, M. de L. (2007). Methicillin resistance in Staphylococcus aureus and coagulase-negative staphylococci: epidemiological and molecular aspects. Microbiology and Immunology, 51(9), 787-95. doi: http://doi.org/10.1111/j.1348-0421.2007.tb03968.x.
Mazur, E., Żychowski, P., Juda, M., Korona-Głowniak, I., Niedzielska, G., Malm, A., & Kozioł-Montewka, M. (2017). First report of a Staphylococcus caprae isolated from middle ear fluid of an infant with recurrent acute otitis media. Annals of Agricultural Environmental Medicine, 24(3), 357-359. doi: http://doi.org/10.5604/12321966.1233553.
Nowicka, J., Janczura, A., Pajączkowska, M., Chodaczek, G., Szymczyk-Ziółkowska, P., Walczuk, U., & Gościniak, G. (2023). Effect of Camel Peptide on the Biofilm of Staphylococcus epidermidis and Staphylococcus haemolyticus Formed on Orthopedic Implants. Antibiotics (Basel), 12(12), 1671. doi: http://doi.org/10.3390/antibiotics12121677.
Omidi, A. H., Sabati, H., Amini, S., Zonobian, M. A., & Mohammadi, M. R. (2021). Staphylococcus aureus in the environment of healthcare center. Cellular, Molecular and Biomedical Reports, 1(4), 147-157. doi: http://doi.org/10.55705/cmbr.2021.403541.1156.
Pereira-Ribeiro, P. M. A., Cabral-Oliveira, G. G., Olivella, J. G. B., Motta, I. C. M., Ribeiro, F. C., Nogueira, B. A., Sued-Karam, B. R., & Mattos-Guaraldi, A L. (2022). Biofilm formation, multidrug-resistance and clinical infections of Staphylococcus haemolyticus: A brief review. Research, Society and Development, 11(11), e228111133605. doi: http://doi.org/10.33448/rsd-v11i11.33605.
Rodríguez-Lucas, C., Iriberri, I., García-Arenzana, J. M., & Fernández, J. (2019). Septic arthritis caused by Staphylococcus caprae following arthroscopic meniscus tear repair in a patient without any foreign device.Enfermedades infecciosas y microbiologia clinica,37(6), 421-422. doi: http://doi.org/10.1016/j.eimc.2018.10.014.
Rodríguez, M. F. M., Mantilla, A. D. C., Morocho, B. P. S., & Cabezas, K. D. M. (2021). Infecciones asociadas a catéter de diálisis peritoneal y hemodiálisis. RECIAMUC, 5(3), 63-72. doi: http://doi.org/10.26820/reciamuc/5.(3).agosto.2021.63-72.
Ross, T. L., Fuss, E. P., Harrington, S. M., Cai, M., Perl, T. M., & Merz, W. G. (2005). Methicillin-resistant Staphylococcus caprae in a neonatal intensive care unit. Journal of Clinical Microbiology, 43(1), 363-7. doi: http://doi.org/10.1128/JCM.43.1.363-367.2005.
Senobar Tahaei, S. A., Stájer, A., Barrak, I., Ostorházi, E., Szabó, D., & Gajdács, M. (2021). Correlation Between Biofilm-Formation and the Antibiotic Resistant Phenotype in Staphylococcus aureus Isolates: A Laboratory-Based Study in Hungary and a Review of the Literature. Infection and Drug Resistance, 14, 1155-1168. doi: https://doi.org/10.2147/IDR.S303992.
Silva-Santana, G., Cabral-Oliveira, G. G., Oliveira, D. R., Nogueira, B. A., Pereira-Ribeiro, P. M. A., & Mattos-Guraraldi, A. L. (2021). Staphylococcus aureus biofilms: an opportunistic pathogen with multidrug resistance. Reviews in Medical Microbiology, 32, 12-21. doi: http://doi.org/10.1097/MRM.0000000000000223.
Spellerberg, B., Steidel, K., Lütticken, R., & Haase, G. (1998). Isolation of Staphylococcus caprae from blood cultures of a neonate with congenital heart disease. European Journal of Clinical Microbiology & Infectious Diseases, 17(1), 61-2. doi: http://doi.org/10.1007/BF01584369.
Sulaiman, Z. I., Tu, P. J., Baer, S. L., & Skidmore, P. J. (2024). A capricious case of Staphylococcus caprae thoracic osteomyelitis. IDCases, 36, e01962. doi: http://doi.org/10.1016/j.idcr.2024.e01962.
Vandenesch, F., Eykyn, S. J., Bes, M., Meugnier, H., Fleurette, J., & Etienne, J. (1995). Identification and ribotypes of Staphylococcus cappathrae isolates isolated as human pathogens and from goat milk. Journal of Clinical Microbiology, 33(4), 888-92. doi: https://doi.org/10.1128/jcm.33.4.888-892.1995.
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Copyright (c) 2025 Isabelle Christine de Moraes Motta; Guilherme Goulart Cabral-Oliveira; Juliana Giordano Botelho Olivella; Ana Luiza de Mattos-Guaraldi; Paula Marcele Afonso Pereira-Ribeiro

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