1214. High Frequency of Genes Encoding Resistance to Heavy Metals in Methicillin-Resistant Staphylococcus aureus (MRSA) Endemic Lineages from South America
Session: Poster Abstract Session: Healthcare Epidemiology: MSSA, MRSA and Other Gram Positive Infections
Friday, October 5, 2018
Room: S Poster Hall
Background: MRSA-USA300 is a community-associated clone that has spread worldwide, becoming the most successful clone in the USA. Since 2005, the MRSA-USA300 Latin-American Variant (USA300-LV) has disseminated in community and hospitals in Northern South America. Phylogenetic analysis revealed that USA300-LV is not derived from the USA300 (NA-USA300) but rather, the two clones diverged from a common ancestor. During their evolution, NA-USA300 strains incorporated the ACME element and USA300-LV acquired a copper and mercury resistance mobile element designated COMER. Interestingly, contamination by heavy metals in South American has been recently highlighted and could be driving the selection of resistant genetic lineages. We investigated the frequency of merA, merB and copB in genomes of clinical isolates of S. aureus from Latin America (LA).

Methods: The presence of merA/merB and copB encoding mercury and copper resistance respectively, were investigated in 515 S. aureus sequenced genomes recovered from bacteremic patients in hospitals from 9 Latin American hospitals trough BLAST searches.

Results: The prevalence of merAB in S. aureus was 35% (181 out of 515 genomes). Interestingly, among 181 merAB-positive S. aureus, 174 were MRSA (96%). Moreover, 71%, 60%, 59%, and 51% of MRSA genomes from Peru, Ecuador, Colombia and Venezuela respectively, harbored mercury resistance genes. Similarly, 65%, 60% and 22% of MRSA genomes from Ecuador, Colombia and Venezuela, contained the copB gene. Among 174 MRSA harboring merAB, ST8 and ST5 were the most predominant lineages in (43% and 45% of genomes, respectively). In contrast, among 95 MRSA carrying copB, ST8 was the most frequent lineage (96% of isolates). MRSA from countries with high prevalence of mercury genes showed association with ST5 and ST8. 88% of Colombian and 87% of Ecuadorian MRSA harboring merAB belonged to ST8 lineage, whereas ST5 was predominant in 88 % of Peruvian MRSA. In Venezuela , ST5 and ST8 were found in 44% and 33% respectively of MRSA positive for merAB.

Conclusion: High levels of mercury in rivers of Colombia, Ecuador and Peru has been reported. Thus, the prevalence of heavy metal resistance genes in MRSA clinical isolates suggest an adaptation of endemic genotypes to heavy metal contamination caused by activities like metal mining.

Lorena Diaz, PhD1,2, Juan Solano, MSc1, Rafael Rios, MSc1, Lina P Carvajal, BSc1, Jose M Munita, MD2,3, Sandra Rincon, MSc1, Cesar Arias, MD, PhD, FIDSA1,2,4 and Jinnethe Reyes, PhD1,2, (1)Molecular Genetics and Antimicrobial Resistance Unit - International Center for Microbial Genomics, Universidad El Bosque, Bogota, Colombia, (2)Center for Antimicrobial Resistance and Microbial Genomics (CARMiG), University of Texas McGovern Medical School, Houston, TX, (3)Genomics and Resistant Microbes (GeRM) Group, Clinica Alemana de Santiago, Universidad del Desarrollo School of Medicine, Santiago de Chile, Chile, (4)Microbiology and Molecular Genetics, University of Texas McGovern Medical School, Houston, TX

Disclosures:

L. Diaz, None

J. Solano, None

R. Rios, None

L. P. Carvajal, None

J. M. Munita, Pfizer: Grant Investigator , Research grant .

S. Rincon, None

C. Arias, Merck & Co., Inc.: Grant Investigator , Research support . MeMed: Grant Investigator , Research support . Allergan: Grant Investigator , Research support .

J. Reyes, None

Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 3rd with the exception of research findings presented at the IDWeek press conferences.