A field guide to pandemic, epidemic and sporadic clones of methicillin-resistant Staphylococcus aureus.

In recent years, methicillin-resistant Staphylococcus aureus (MRSA) have become a truly global challenge. In addition to the long-known healthcare-associated clones, novel strains have also emerged outside of the hospital settings, in the community as well as in livestock. The emergence and spread o...

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Autores principales: Stefan Monecke, Geoffrey Coombs, Anna C Shore, David C Coleman, Patrick Akpaka, Michael Borg, Henry Chow, Margaret Ip, Lutz Jatzwauk, Daniel Jonas, Kristina Kadlec, Angela Kearns, Frederic Laurent, Frances G O'Brien, Julie Pearson, Antje Ruppelt, Stefan Schwarz, Elizabeth Scicluna, Peter Slickers, Hui-Leen Tan, Stefan Weber, Ralf Ehricht
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Publicado: Public Library of Science (PLoS) 2011
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spelling oai:doaj.org-article:f258d803cc5847b588cf7175e4b560cd2021-11-18T06:56:11ZA field guide to pandemic, epidemic and sporadic clones of methicillin-resistant Staphylococcus aureus.1932-620310.1371/journal.pone.0017936https://doaj.org/article/f258d803cc5847b588cf7175e4b560cd2011-04-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21494333/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203In recent years, methicillin-resistant Staphylococcus aureus (MRSA) have become a truly global challenge. In addition to the long-known healthcare-associated clones, novel strains have also emerged outside of the hospital settings, in the community as well as in livestock. The emergence and spread of virulent clones expressing Panton-Valentine leukocidin (PVL) is an additional cause for concern. In order to provide an overview of pandemic, epidemic and sporadic strains, more than 3,000 clinical and veterinary isolates of MRSA mainly from Germany, the United Kingdom, Ireland, France, Malta, Abu Dhabi, Hong Kong, Australia, Trinidad & Tobago as well as some reference strains from the United States have been genotyped by DNA microarray analysis. This technique allowed the assignment of the MRSA isolates to 34 distinct lineages which can be clearly defined based on non-mobile genes. The results were in accordance with data from multilocus sequence typing. More than 100 different strains were distinguished based on affiliation to these lineages, SCCmec type and the presence or absence of PVL. These strains are described here mainly with regard to clinically relevant antimicrobial resistance- and virulence-associated markers, but also in relation to epidemiology and geographic distribution. The findings of the study show a high level of biodiversity among MRSA, especially among strains harbouring SCCmec IV and V elements. The data also indicate a high rate of genetic recombination in MRSA involving SCC elements, bacteriophages or other mobile genetic elements and large-scale chromosomal replacements.Stefan MoneckeGeoffrey CoombsAnna C ShoreDavid C ColemanPatrick AkpakaMichael BorgHenry ChowMargaret IpLutz JatzwaukDaniel JonasKristina KadlecAngela KearnsFrederic LaurentFrances G O'BrienJulie PearsonAntje RuppeltStefan SchwarzElizabeth SciclunaPeter SlickersHui-Leen TanStefan WeberRalf EhrichtPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 4, p e17936 (2011)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Stefan Monecke
Geoffrey Coombs
Anna C Shore
David C Coleman
Patrick Akpaka
Michael Borg
Henry Chow
Margaret Ip
Lutz Jatzwauk
Daniel Jonas
Kristina Kadlec
Angela Kearns
Frederic Laurent
Frances G O'Brien
Julie Pearson
Antje Ruppelt
Stefan Schwarz
Elizabeth Scicluna
Peter Slickers
Hui-Leen Tan
Stefan Weber
Ralf Ehricht
A field guide to pandemic, epidemic and sporadic clones of methicillin-resistant Staphylococcus aureus.
description In recent years, methicillin-resistant Staphylococcus aureus (MRSA) have become a truly global challenge. In addition to the long-known healthcare-associated clones, novel strains have also emerged outside of the hospital settings, in the community as well as in livestock. The emergence and spread of virulent clones expressing Panton-Valentine leukocidin (PVL) is an additional cause for concern. In order to provide an overview of pandemic, epidemic and sporadic strains, more than 3,000 clinical and veterinary isolates of MRSA mainly from Germany, the United Kingdom, Ireland, France, Malta, Abu Dhabi, Hong Kong, Australia, Trinidad & Tobago as well as some reference strains from the United States have been genotyped by DNA microarray analysis. This technique allowed the assignment of the MRSA isolates to 34 distinct lineages which can be clearly defined based on non-mobile genes. The results were in accordance with data from multilocus sequence typing. More than 100 different strains were distinguished based on affiliation to these lineages, SCCmec type and the presence or absence of PVL. These strains are described here mainly with regard to clinically relevant antimicrobial resistance- and virulence-associated markers, but also in relation to epidemiology and geographic distribution. The findings of the study show a high level of biodiversity among MRSA, especially among strains harbouring SCCmec IV and V elements. The data also indicate a high rate of genetic recombination in MRSA involving SCC elements, bacteriophages or other mobile genetic elements and large-scale chromosomal replacements.
format article
author Stefan Monecke
Geoffrey Coombs
Anna C Shore
David C Coleman
Patrick Akpaka
Michael Borg
Henry Chow
Margaret Ip
Lutz Jatzwauk
Daniel Jonas
Kristina Kadlec
Angela Kearns
Frederic Laurent
Frances G O'Brien
Julie Pearson
Antje Ruppelt
Stefan Schwarz
Elizabeth Scicluna
Peter Slickers
Hui-Leen Tan
Stefan Weber
Ralf Ehricht
author_facet Stefan Monecke
Geoffrey Coombs
Anna C Shore
David C Coleman
Patrick Akpaka
Michael Borg
Henry Chow
Margaret Ip
Lutz Jatzwauk
Daniel Jonas
Kristina Kadlec
Angela Kearns
Frederic Laurent
Frances G O'Brien
Julie Pearson
Antje Ruppelt
Stefan Schwarz
Elizabeth Scicluna
Peter Slickers
Hui-Leen Tan
Stefan Weber
Ralf Ehricht
author_sort Stefan Monecke
title A field guide to pandemic, epidemic and sporadic clones of methicillin-resistant Staphylococcus aureus.
title_short A field guide to pandemic, epidemic and sporadic clones of methicillin-resistant Staphylococcus aureus.
title_full A field guide to pandemic, epidemic and sporadic clones of methicillin-resistant Staphylococcus aureus.
title_fullStr A field guide to pandemic, epidemic and sporadic clones of methicillin-resistant Staphylococcus aureus.
title_full_unstemmed A field guide to pandemic, epidemic and sporadic clones of methicillin-resistant Staphylococcus aureus.
title_sort field guide to pandemic, epidemic and sporadic clones of methicillin-resistant staphylococcus aureus.
publisher Public Library of Science (PLoS)
publishDate 2011
url https://doaj.org/article/f258d803cc5847b588cf7175e4b560cd
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