Molecular Epidemiology of Methicillin-Resistant and Methicillin-Susceptible Staphylococcus aureus Isolates from Global Clinical Trials

Determining the genetic characteristics of Staphylococcus aureus is important for better understanding of the global and dynamic epidemiology of this organism as we witness the emergence and spread of virulent and antibiotic-resistant clones. We genotyped 292 S. aureus isolates (105 methicillin resi...

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Veröffentlicht in:Journal of Clinical Microbiology 2008-09, Vol.46 (9), p.2842-2847
Hauptverfasser: Goering, Richard V, Shawar, Ribhi M, Scangarella, Nicole E, O'Hara, F. Patrick, Amrine-Madsen, Heather, West, Joshua M, Dalessandro, Marybeth, Becker, Julie A, Walsh, Stacey L, Miller, Linda A, van Horn, Stephanie F, Thomas, Elizabeth S, Twynholm, Monique E
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container_end_page 2847
container_issue 9
container_start_page 2842
container_title Journal of Clinical Microbiology
container_volume 46
creator Goering, Richard V
Shawar, Ribhi M
Scangarella, Nicole E
O'Hara, F. Patrick
Amrine-Madsen, Heather
West, Joshua M
Dalessandro, Marybeth
Becker, Julie A
Walsh, Stacey L
Miller, Linda A
van Horn, Stephanie F
Thomas, Elizabeth S
Twynholm, Monique E
description Determining the genetic characteristics of Staphylococcus aureus is important for better understanding of the global and dynamic epidemiology of this organism as we witness the emergence and spread of virulent and antibiotic-resistant clones. We genotyped 292 S. aureus isolates (105 methicillin resistant and 187 methicillin susceptible) using a combination of pulsed-field gel electrophoresis, multilocus sequence typing, and SCCmec typing. In addition, S. aureus isolates were tested for the presence of the Panton-Valentine leukocidin (PVL) genes. Isolates were recovered from patients with uncomplicated skin infections in 10 different countries during five phase III global clinical trials of retapamulin, a new topical antibiotic agent. The most common methicillin-resistant clone had multilocus sequence type 8, pulsed-field type USA300, and SCCmec type IV and possessed the PVL genes. This clone was isolated exclusively in the United States. The most common PVL-positive, methicillin-susceptible clone had multilocus sequence type 121 and pulsed-field type USA1200. This clone was found primarily in South Africa and the Russian Federation. Other clones were found at lower frequencies and were limited in their geographic distribution. Overall, considerable genetic diversity was observed within multilocus sequence type clonal complexes and pulsed-field types.
doi_str_mv 10.1128/JCM.00521-08
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source American Society for Microbiology; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Bacteriology
Biological and medical sciences
Epidemiology
Fundamental and applied biological sciences. Psychology
Humans
India - epidemiology
Methicillin Resistance - genetics
Methicillin-Resistant Staphylococcus aureus - genetics
Microbiology
Miscellaneous
Molecular Epidemiology
Skin - microbiology
South Africa - epidemiology
Staphylococcal Infections - epidemiology
Staphylococcal Infections - microbiology
Staphylococcus aureus - genetics
title Molecular Epidemiology of Methicillin-Resistant and Methicillin-Susceptible Staphylococcus aureus Isolates from Global Clinical Trials
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