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
New methicillin-resistant Staphylococcus aureus (MRSA) clones, carrying type IV staphylococcal cassette chromosome mec (SCCmec), were identified in community-acquired MRSA strains in the United States and Australia. These clones multiplied faster than health-care-associated MRSA (H-MRSA) and were less resistant to non-beta-lactam antibiotics. They originated from more diverse S. aureus populations than H-MRSA strains.
MRSA, once primarily a hospital pathogen, is now spreading in the community. However, the origin of community-acquired MRSA (C-MRSA) is unclear. Most H-MRSA strains carry one of three SCCmec types, but a novel SCCmec type IV was found in C-MRSA strains. This suggests C-MRSA may have a distinct origin from H-MRSA.
Analysis of 23 C-MRSA strains and 12 Australian MRSA strains (NORSA) showed that C-MRSA/NORSA strains were more susceptible to non-beta-lactam antibiotics than H-MRSA. They exhibited a heterogeneous methicillin resistance phenotype, confirmed by population analysis. C-MRSA strains grew faster than H-MRSA, which may aid their colonization in the community.
Genotyping revealed that C-MRSA/NORSA strains belonged to diverse clonal complexes, including CC1, which contains internationally dominant C-MRSA strains. These strains were distinct from H-MRSA strains. SCCmec typing showed that most C-MRSA/NORSA strains carried type IV SCCmec, while a few had a novel SCCmec with a class C2 mec gene complex.
Type IV SCCmec is smaller and lacks antibiotic resistance genes other than mecA, which aligns with the non-multiresistant nature of C-MRSA/NORSA. This may reduce the fitness cost for H-MRSA strains with larger, more complex SCCmecs.
The study highlights the emergence of new MRSA clones in the community, distinct from major H-MRSA clones. SCCmec and MLST typing are crucial for distinguishing C-MRSA from H-MRSA. The findings suggest that C-MRSA strains have evolved from diverse S. aureus populations and are spreading in the community due to their growth advantages.New methicillin-resistant Staphylococcus aureus (MRSA) clones, carrying type IV staphylococcal cassette chromosome mec (SCCmec), were identified in community-acquired MRSA strains in the United States and Australia. These clones multiplied faster than health-care-associated MRSA (H-MRSA) and were less resistant to non-beta-lactam antibiotics. They originated from more diverse S. aureus populations than H-MRSA strains.
MRSA, once primarily a hospital pathogen, is now spreading in the community. However, the origin of community-acquired MRSA (C-MRSA) is unclear. Most H-MRSA strains carry one of three SCCmec types, but a novel SCCmec type IV was found in C-MRSA strains. This suggests C-MRSA may have a distinct origin from H-MRSA.
Analysis of 23 C-MRSA strains and 12 Australian MRSA strains (NORSA) showed that C-MRSA/NORSA strains were more susceptible to non-beta-lactam antibiotics than H-MRSA. They exhibited a heterogeneous methicillin resistance phenotype, confirmed by population analysis. C-MRSA strains grew faster than H-MRSA, which may aid their colonization in the community.
Genotyping revealed that C-MRSA/NORSA strains belonged to diverse clonal complexes, including CC1, which contains internationally dominant C-MRSA strains. These strains were distinct from H-MRSA strains. SCCmec typing showed that most C-MRSA/NORSA strains carried type IV SCCmec, while a few had a novel SCCmec with a class C2 mec gene complex.
Type IV SCCmec is smaller and lacks antibiotic resistance genes other than mecA, which aligns with the non-multiresistant nature of C-MRSA/NORSA. This may reduce the fitness cost for H-MRSA strains with larger, more complex SCCmecs.
The study highlights the emergence of new MRSA clones in the community, distinct from major H-MRSA clones. SCCmec and MLST typing are crucial for distinguishing C-MRSA from H-MRSA. The findings suggest that C-MRSA strains have evolved from diverse S. aureus populations and are spreading in the community due to their growth advantages.