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Multiplex PCR Assay for Typing of Staphylococcal Cassette Chromosome Mec Types I to V in Methicillin-resistant Staphylococcus aureus
Published on: September 5, 2013
Genome content determination in methicillin-resistant Staphylococcus aureus
Patrice Francois1, David Hernandez, Jacques Schrenzel
1Service of Infectious Diseases, Genomic Research Laboratory, Department of Internal Medicine, Geneva 14, Switzerland. patrice.francois@genomic.ch
Abstract:
Staphylococcus aureus is a major pathogen responsible for both nosocomial and community-acquired infections. While the first S. aureus isolates displaying resistance to methicillin were reported in the early 1960s, endemic strains of methicillin-resistant S. aureus (MRSA) carrying multiple resistance determinants only became a worldwide nosocomial problem in the early 1980s, carrying a threefold attributable cost and a threefold excess length of hospital stay when compared with methicillin-susceptible S. aureus bacteremia. Recent efforts in the field of high-throughput sequencing resulted in the release of several MRSA genome sequences enabling the development of massively parallel tools to study clinical isolates of MRSA at the organism scale. Microarrays covering whole genomes and high-throughput sequencing devices are the two main techniques currently utilizable for whole-genome characterization. These tools not only provide information for the development of genotyping assays but also allow evaluation of potential virulence of the strains, by enumerating genetic-encoded resistance markers and toxin content. This appears particularly attractive for understanding the epidemiology of MRSA and the relationship between genome content on one side and virulence potential or epidemicity on the other side. In addition, sequence information is mandatory for the development of molecular tests allowing the rapid identification, genotyping and characterization of clinical isolates.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) causes significant healthcare costs and hospital stays. Whole-genome characterization using sequencing and microarrays aids in understanding MRSA epidemiology and virulence.
Area of Science:
- Microbiology
- Genomics
- Infectious Diseases
Background:
- Staphylococcus aureus is a significant pathogen causing both hospital-acquired and community-acquired infections.
- Methicillin-resistant Staphylococcus aureus (MRSA) emerged as a global nosocomial issue in the 1980s, increasing costs and hospital stay duration.
- MRSA infections are associated with a threefold increase in attributable cost and excess hospital stay compared to methicillin-susceptible S. aureus.
Purpose of the Study:
- To explore the utility of high-throughput sequencing and microarray technologies for characterizing MRSA.
- To understand the relationship between MRSA genome content, virulence, and epidemicity.
- To facilitate the development of molecular diagnostic and genotyping assays for MRSA.
Main Methods:
- Whole-genome characterization using microarrays.
- Whole-genome characterization using high-throughput sequencing devices.
- Analysis of genetic-encoded resistance markers and toxin content.
Main Results:
- High-throughput sequencing has enabled the development of tools for large-scale study of MRSA clinical isolates.
- Genomic characterization provides data for developing genotyping assays.
- Genomic data allows for the evaluation of strain virulence by assessing resistance markers and toxin content.
Conclusions:
- Whole-genome characterization is crucial for understanding MRSA epidemiology and virulence.
- Sequence information is essential for developing rapid molecular tests for MRSA identification, genotyping, and characterization.
- These genomic tools are vital for combating the spread and impact of MRSA infections.
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