Coagulase Negative Staphylococci (CoNS): A Review

Coagulase-negative staphylococcus (CoNS) has gained more importance as pathogenic organism for infections in both human and animals. CoNS are especially prevalent in immunocompromised patients, critically ill patients, patients having invasive medical devices.

The incidence of CoNS varied across different geographic locations in humans and animals. Also, there are varying antibiotic resistance patterns observed in CoNS species, with high methicillin resistance and cross resistance against many antibiotics. Staphylococcus epidermidis, Staphylococcus haemolyticus, Staphylococcus xylosus are the most commonly reported species in various studies. Various virulence factors in CoNS are responsible for enhanced pathogenicity. Because of advancement in diagnostic techniques understanding of molecular mechanisms of CoNS pathogenicity is possible. Recent advances in identification and typing methods, virulence screening methods will help to assess true pathogenic potential of CoNS species.

This review focuses on various CoNS species, their identification and virulence factors and clinical importance.