Nov. 2002 | Keiko Okuma, Kozue Iwakawa, John D. Turnidge, Warren B. Grubb, Jan M. Bell, Frances G. O'Brien, Geoffrey W. Coombs, John W. Pearman, Fred C. Tenover, Maria Kapi, Chuntima Tiensasitorn, Teruyo Ito, Keiichi Hiramatsu
The study investigates the dissemination of new methicillin-resistant Staphylococcus aureus (MRSA) clones in the community. It identifies multiple MRSA clones carrying type IV staphylococcal cassette chromosome mec (SCCmec) in community-acquired MRSA (C-MRSA) strains from the United States and Australia. These clones grow faster than health-care-associated MRSA (H-MRSA) and are resistant to fewer non-beta-lactam antibiotics. The C-MRSA strains are derived from more diverse S. aureus populations than H-MRSA strains. The study uses multiple locus sequence typing (MLST) and pulsed-field gel electrophoresis (PFGE) to analyze the genetic backgrounds of the C-MRSA/NORSA strains, which show a distinct clonal distribution from H-MRSA. The presence of type IV SCCmec in C-MRSA strains is noted, which lacks antibiotic resistance genes other than mecA, contributing to their non-multiresistant nature. The findings suggest that these new MRSA clones are emerging and expanding in the community, distinct from major H-MRSA clones.The study investigates the dissemination of new methicillin-resistant Staphylococcus aureus (MRSA) clones in the community. It identifies multiple MRSA clones carrying type IV staphylococcal cassette chromosome mec (SCCmec) in community-acquired MRSA (C-MRSA) strains from the United States and Australia. These clones grow faster than health-care-associated MRSA (H-MRSA) and are resistant to fewer non-beta-lactam antibiotics. The C-MRSA strains are derived from more diverse S. aureus populations than H-MRSA strains. The study uses multiple locus sequence typing (MLST) and pulsed-field gel electrophoresis (PFGE) to analyze the genetic backgrounds of the C-MRSA/NORSA strains, which show a distinct clonal distribution from H-MRSA. The presence of type IV SCCmec in C-MRSA strains is noted, which lacks antibiotic resistance genes other than mecA, contributing to their non-multiresistant nature. The findings suggest that these new MRSA clones are emerging and expanding in the community, distinct from major H-MRSA clones.