A study of coagulase-negative staphylococci with reference to slime production, adherence, antibiotic resistance patterns and clinical significance

J Hosp Infect. 1992 Nov;22(3):217-27. doi: 10.1016/0195-6701(92)90046-o.

Abstract

Two hundred and fifty-one strains of coagulase-negative staphylococci (CNS) isolated from patients in hospital and the community were investigated for slime production and adherence as indicators of pathogenicity. Staphylococcus epidermidis formed 68.5% (126) of the isolates of CNS from blood and central venous catheter (CVC) tips, of which 46.0% (58) were slime-positive and adherent. Clinically significant infections were associated with 55.2% (32) of the slime-positive adherent strains isolated and 11.1% (four) of slime-negative non-adherent strains of S. epidermidis. For other species of CNS isolated from blood and CVC tips 74.1% (43) were slime negative non-adherent and 18.6% (eight) of these were considered clinically significant isolates while none of the slime positive adherent strains were associated with a clinically significant infection. Slime production and adherence were not characteristic properties of CNS causing community-acquired urinary tract infection or colonizing the nasal mucosa. It is concluded that slime production and adherence had a limited role in the differentiation between clinically significant and contaminant strains isolated from blood cultures; however, the absence of slime and adherence in isolates of S. epidermidis suggested a lack of pathogenicity.

Publication types

  • Comparative Study

MeSH terms

  • Bacterial Adhesion
  • Carrier State / microbiology
  • Coagulase
  • Cross Infection / microbiology
  • Drug Resistance, Microbial
  • Humans
  • Microbial Sensitivity Tests
  • Species Specificity
  • Staphylococcal Infections / microbiology
  • Staphylococcus epidermidis / classification
  • Staphylococcus epidermidis / pathogenicity
  • Staphylococcus epidermidis / physiology*

Substances

  • Coagulase