Global distribution of Panton-Valentine leukocidin--positive methicillin-resistant Staphylococcus aureus, 2006

Anne Tristan1, Michele Bes, Helene Meugnier

  • 1Centre National de Référence des Staphylocoques, INSERM, Lyon, France. anne.tristan@chu-lyon.fr

Insights

Global spread of Panton-Valentine leukocidin-positive community-acquired methicillin-resistant Staphylococcus aureus (PVL-positive CA-MRSA) is evident, with emerging clones and acquired antimicrobial resistance. These strains share a common short staphylococcal chromosomal cassette mec element.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Genetics

Background:

  • Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infections are a growing global health concern.
  • Panton-Valentine leukocidin (PVL) is a key virulence factor associated with severe CA-MRSA infections.
  • Understanding the genetic diversity and evolution of PVL-positive CA-MRSA is crucial for effective control.

Purpose of the Study:

  • To characterize the genetic profiles and antimicrobial resistance patterns of PVL-positive CA-MRSA isolates.
  • To investigate the global dissemination and emergence of specific CA-MRSA clones.
  • To identify common genetic traits among PVL-positive CA-MRSA strains.

Main Methods:

  • Analysis of agr type, multilocus sequence typing (MLST), spa typing, and toxin gene profiles.
  • Determination of antimicrobial drug resistance profiles.
  • Examination of staphylococcal chromosomal cassette mec (SCCmec) element types.

Main Results:

  • Identified 469 PVL-positive CA-MRSA isolates collected globally between 1999 and 2005.
  • Observed global spread of previously continent-specific clones (e.g., ST8) and emergence of new clones (e.g., ST377).
  • Documented acquisition of new antimicrobial resistance determinants (e.g., gentamicin resistance) in some PVL-positive CA-MRSA strains.
  • Found that all analyzed clones shared a short SCCmec element (type IV or V).

Conclusions:

  • PVL-positive CA-MRSA clones exhibit significant global dissemination and ongoing evolution.
  • Emergence of new clones and acquisition of antimicrobial resistance pose increasing challenges.
  • The common presence of short SCCmec elements (IV or V) is a defining characteristic of these globally spreading CA-MRSA strains.

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