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Updated: Oct 2, 2026

Multiplex PCR Assay for Typing of Staphylococcal Cassette Chromosome Mec Types I to V in Methicillin-resistant Staphylococcus aureus
Published on: September 5, 2013
Molecular characterization of methicillin-resistant Staphylococcus epidermidis clones: evidence of geographic
Maria Miragaia1, Isabel Couto, Sandro F F Pereira
1Molecular Genetics Laboratory, Instituto de Tecnologia Química e Biológica, Universidade Nova de Lisboa, Oeiras, Portugal.
Abstract:
Denmark and Iceland are countries where the frequency of methicillin-resistant Staphylococcus aureus is very low due to strict infection control and restrictive antibiotic use policies. In contrast, methicillin-resistant S. epidermidis (MRSE) continues to be isolated as a nosocomial pathogen. The molecular typing by pulsed-field gel electrophoresis (PFGE) of 136 MRSE isolates from five hospitals in Denmark and 94 MRSE isolates from one hospital in Iceland collected in 1997 and 1998 defined 40 different patterns. Closely related PFGE types were found in isolates recovered in Iceland, Denmark, Mexico, Uruguay, Greece, and Cape Verde, evidencing for the first time the geographic clonal dissemination of MRSE strains. The large majority (87.4%) of the MRSE isolates studied were multiresistant.
Insights
Methicillin-resistant Staphylococcus epidermidis (MRSE) is a growing nosocomial pathogen. Molecular typing revealed clonal dissemination of MRSE strains across multiple countries, highlighting the need for enhanced infection control.
Area of Science:
- Microbiology
- Infectious Diseases
- Epidemiology
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) is rare in Denmark and Iceland due to strict infection control.
- Methicillin-resistant S. epidermidis (MRSE) remains a significant nosocomial pathogen.
- Understanding MRSE epidemiology is crucial for effective control.
Purpose of the Study:
- To investigate the molecular epidemiology of MRSE isolates from Denmark and Iceland.
- To determine the clonal relatedness and geographic dissemination of MRSE strains.
- To assess the antimicrobial resistance patterns of isolated MRSE.
Main Methods:
- Molecular typing using pulsed-field gel electrophoresis (PFGE).
- Analysis of 136 MRSE isolates from Denmark and 94 from Iceland (1997-1998).
- Identification of distinct PFGE patterns and assessment of multiresistance.
Main Results:
- PFGE analysis identified 40 distinct MRSE patterns.
- Closely related MRSE strains were found in Denmark, Iceland, Mexico, Uruguay, Greece, and Cape Verde.
- A high prevalence (87.4%) of multiresistant MRSE isolates was observed.
Conclusions:
- MRSE strains exhibit clonal dissemination across international borders.
- Multiresistance is a common characteristic of circulating MRSE.
- Findings underscore the importance of global surveillance and infection control for MRSE.
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