Predominance of dfrG as determinant of trimethoprim resistance in imported Staphylococcus aureus: Bacteriology

To investigate the global occurrence of trimethoprim-sulfamethoxazole resistance and the genetic mechanisms of trimethoprim resistance, we analysed Staphylococcus aureus from travel-associated skin and soft-tissue infections treated at 13 travel clinics in Europe. Thirty-eight per cent (75/196) were...

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Veröffentlicht in:Clinical microbiology and infection 2015-12, Vol.21 (12), p.1095.e5-1095.e9
Hauptverfasser: Nurjadi, D, Schaefer, J, Friedrich-Jaenicke, B, Mueller, A, Neumayr, A, Calvo-Cano, A, Goorhuis, A, Molhoek, N, Lagler, H, Kantele, A, Van Genderen, PJJ, Gascon, J, Grobusch, M P, Caumes, E, Hatz, C, Fleck, R, Mockenhaupt, F P, Zanger, P
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container_end_page 1095.e9
container_issue 12
container_start_page 1095.e5
container_title Clinical microbiology and infection
container_volume 21
creator Nurjadi, D
Schaefer, J
Friedrich-Jaenicke, B
Mueller, A
Neumayr, A
Calvo-Cano, A
Goorhuis, A
Molhoek, N
Lagler, H
Kantele, A
Van Genderen, PJJ
Gascon, J
Grobusch, M P
Caumes, E
Hatz, C
Fleck, R
Mockenhaupt, F P
Zanger, P
description To investigate the global occurrence of trimethoprim-sulfamethoxazole resistance and the genetic mechanisms of trimethoprim resistance, we analysed Staphylococcus aureus from travel-associated skin and soft-tissue infections treated at 13 travel clinics in Europe. Thirty-eight per cent (75/196) were trimethoprim-resistant and 21% (41/196) were resistant to trimethoprim-sulfamethoxazole. Among methicillin-resistant S. aureus, these proportions were 30% (7/23) and 17% (4/23), respectively. DfrG explained 92% (69/75) of all trimethoprim resistance in S. aureus. Travel to South Asia was associated with the highest risk of acquiring trimethoprim-sulfamethoxazole-resistant S. aureus. We conclude that globally dfrG is the predominant determinant of trimethoprim resistance in human S. aureus infection.
doi_str_mv 10.1016/j.cmi.2015.08.021
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title Predominance of dfrG as determinant of trimethoprim resistance in imported Staphylococcus aureus: Bacteriology
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