Clonal spread of SCCmec type IV methicillin-resistant Staphylococcus aureus between community and hospital

The staphylococcal chromosome cassette (SCC)mec types of 382 hospital-acquired methicillin-resistant Staphylococcus aureus (HA-MRSA) isolates in Taiwan were analysed over a 7-year period (1999–2005). There was an abrupt increase in SCCmec type IV in HA-MRSA during 2005. The molecular epidemiology of...

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Veröffentlicht in:Clinical microbiology and infection 2007-07, Vol.13 (7), p.717-724
Hauptverfasser: Huang, Y.H., Tseng, S.P., Hu, J.M., Tsai, J.C., Hsueh, P.R., Teng, L.J.
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container_issue 7
container_start_page 717
container_title Clinical microbiology and infection
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creator Huang, Y.H.
Tseng, S.P.
Hu, J.M.
Tsai, J.C.
Hsueh, P.R.
Teng, L.J.
description The staphylococcal chromosome cassette (SCC)mec types of 382 hospital-acquired methicillin-resistant Staphylococcus aureus (HA-MRSA) isolates in Taiwan were analysed over a 7-year period (1999–2005). There was an abrupt increase in SCCmec type IV in HA-MRSA during 2005. The molecular epidemiology of a subset (n = 69) of HA-MRSA isolates with SCCmec types III, IV or V was characterised and compared with that of community-acquired MRSA (CA-MRSA) (n = 26, collected during 2005). Pulsed-field gel electrophoresis revealed three major pulsotypes (A, B and C) and 15 minor clones. Pulsotypes B and C, which contained isolates carrying SCCmec types IV and V, respectively, included both CA-MRSA and HA-MRSA isolates. Among 24 toxin genes analysed, five genes had significant differential distribution between CA-MRSA and SCCmec type III HA-MRSA. Furthermore, among SCCmec type IV isolates, the seb gene was detected more commonly in HA-MRSA. Analysis of representative members of the three major pulsotypes by multilocus sequence typing revealed two sequence types (STs), namely ST239 (SCCmec III) and ST59 (SCCmec IV or SCCmec V). This suggests that ST59:SCCmec IV, which is usually community-acquired, has become an important nosocomial pathogen in the hospital studied.
doi_str_mv 10.1111/j.1469-0691.2007.01718.x
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There was an abrupt increase in SCCmec type IV in HA-MRSA during 2005. The molecular epidemiology of a subset (n = 69) of HA-MRSA isolates with SCCmec types III, IV or V was characterised and compared with that of community-acquired MRSA (CA-MRSA) (n = 26, collected during 2005). Pulsed-field gel electrophoresis revealed three major pulsotypes (A, B and C) and 15 minor clones. Pulsotypes B and C, which contained isolates carrying SCCmec types IV and V, respectively, included both CA-MRSA and HA-MRSA isolates. Among 24 toxin genes analysed, five genes had significant differential distribution between CA-MRSA and SCCmec type III HA-MRSA. Furthermore, among SCCmec type IV isolates, the seb gene was detected more commonly in HA-MRSA. Analysis of representative members of the three major pulsotypes by multilocus sequence typing revealed two sequence types (STs), namely ST239 (SCCmec III) and ST59 (SCCmec IV or SCCmec V). This suggests that ST59:SCCmec IV, which is usually community-acquired, has become an important nosocomial pathogen in the hospital studied.</description><identifier>ISSN: 1198-743X</identifier><identifier>EISSN: 1469-0691</identifier><identifier>DOI: 10.1111/j.1469-0691.2007.01718.x</identifier><identifier>PMID: 17403129</identifier><language>eng</language><publisher>Oxford, UK: Elsevier Ltd</publisher><subject>Antibacterial agents ; Antibiotics. Antiinfectious agents. Antiparasitic agents ; Bacterial diseases ; Bacterial Proteins - genetics ; Bacterial Typing Techniques ; Biofilms - growth &amp; development ; Biological and medical sciences ; Chromosomes, Bacterial ; Community-acquired ; Community-Acquired Infections - epidemiology ; Community-Acquired Infections - microbiology ; Cross Infection - epidemiology ; Cross Infection - microbiology ; Electrophoresis, Gel, Pulsed-Field ; epidemiology ; General aspects ; Hospitals, University ; Human bacterial diseases ; Human infectious diseases. Experimental studies and models ; Humans ; Incidence ; Infectious diseases ; Medical sciences ; Methicillin Resistance - genetics ; Molecular Epidemiology ; MRSA ; multilocus sequence typing ; Pharmacology. 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This suggests that ST59:SCCmec IV, which is usually community-acquired, has become an important nosocomial pathogen in the hospital studied.</description><subject>Antibacterial agents</subject><subject>Antibiotics. Antiinfectious agents. Antiparasitic agents</subject><subject>Bacterial diseases</subject><subject>Bacterial Proteins - genetics</subject><subject>Bacterial Typing Techniques</subject><subject>Biofilms - growth &amp; development</subject><subject>Biological and medical sciences</subject><subject>Chromosomes, Bacterial</subject><subject>Community-acquired</subject><subject>Community-Acquired Infections - epidemiology</subject><subject>Community-Acquired Infections - microbiology</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - microbiology</subject><subject>Electrophoresis, Gel, Pulsed-Field</subject><subject>epidemiology</subject><subject>General aspects</subject><subject>Hospitals, University</subject><subject>Human bacterial diseases</subject><subject>Human infectious diseases. 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There was an abrupt increase in SCCmec type IV in HA-MRSA during 2005. The molecular epidemiology of a subset (n = 69) of HA-MRSA isolates with SCCmec types III, IV or V was characterised and compared with that of community-acquired MRSA (CA-MRSA) (n = 26, collected during 2005). Pulsed-field gel electrophoresis revealed three major pulsotypes (A, B and C) and 15 minor clones. Pulsotypes B and C, which contained isolates carrying SCCmec types IV and V, respectively, included both CA-MRSA and HA-MRSA isolates. Among 24 toxin genes analysed, five genes had significant differential distribution between CA-MRSA and SCCmec type III HA-MRSA. Furthermore, among SCCmec type IV isolates, the seb gene was detected more commonly in HA-MRSA. Analysis of representative members of the three major pulsotypes by multilocus sequence typing revealed two sequence types (STs), namely ST239 (SCCmec III) and ST59 (SCCmec IV or SCCmec V). This suggests that ST59:SCCmec IV, which is usually community-acquired, has become an important nosocomial pathogen in the hospital studied.</abstract><cop>Oxford, UK</cop><pub>Elsevier Ltd</pub><pmid>17403129</pmid><doi>10.1111/j.1469-0691.2007.01718.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Antibacterial agents
Antibiotics. Antiinfectious agents. Antiparasitic agents
Bacterial diseases
Bacterial Proteins - genetics
Bacterial Typing Techniques
Biofilms - growth & development
Biological and medical sciences
Chromosomes, Bacterial
Community-acquired
Community-Acquired Infections - epidemiology
Community-Acquired Infections - microbiology
Cross Infection - epidemiology
Cross Infection - microbiology
Electrophoresis, Gel, Pulsed-Field
epidemiology
General aspects
Hospitals, University
Human bacterial diseases
Human infectious diseases. Experimental studies and models
Humans
Incidence
Infectious diseases
Medical sciences
Methicillin Resistance - genetics
Molecular Epidemiology
MRSA
multilocus sequence typing
Pharmacology. Drug treatments
pulsed-field gel electrophoresis
SCC mec type
SCCmec type
Sequence Analysis, DNA
Staphylococcal Infections - epidemiology
Staphylococcal Infections - microbiology
Staphylococcal infections, streptococcal infections, pneumococcal infections
Staphylococcus aureus
Staphylococcus aureus - classification
Staphylococcus aureus - drug effects
Staphylococcus aureus - genetics
Staphylococcus aureus - growth & development
Taiwan - epidemiology
Virulence - genetics
title Clonal spread of SCCmec type IV methicillin-resistant Staphylococcus aureus between community and hospital
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