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Updated: Jul 11, 2026

Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
Published on: May 8, 2013
Methicillin resistance in Staphylococcus aureus and coagulase-negative staphylococci: epidemiological and molecular
André Martins1, Maria de Lourdes R S Cunha
1Departamento de Microbiologia e Imunologia, Instituto de Biociências, Universidade Estadual Paulista, Botucatu, SP, Brasil.
Abstract:
Infections caused by the genus Staphylococcus are of great importance for human health. Staphylococcus species are divided into coagulase-positive staphylococci, represented by S. aureus, a pathogen that can cause infections of the skin and other organs in immunocompetent patients, and coagulase-negative staphylococci (CNS) which comprise different species normally involved in infectious processes in immunocompromised patients or patients using catheters. Oxacillin has been one of the main drugs used for the treatment of staphylococcal infections; however, a large number of S. aureus and CNS isolates of nosocomial origin are resistant to this drug. Methicillin resistance is encoded by the mecA gene which is inserted in the SCC mec cassette. This cassette is a mobile genetic element consisting of five different types and several subtypes. Oxacillin-resistant strains are detected by phenotypic and genotypic methods. Epidemiologically, methicillin-resistant S. aureus strains can be divided into five large pandemic clones, called Brazilian, Hungarian, Iberian, New York/Japan and Pediatric. The objective of the present review was to discuss aspects of resistance, epidemiology, genetics and detection of oxacillin resistance in Staphylococcus spp., since these microorganisms are increasingly more frequent in Brazil.
Insights
Staphylococcus infections are a major health concern, with increasing resistance to oxacillin, a key treatment drug. This review covers resistance, genetics, and detection of oxacillin resistance in Staphylococcus species, particularly in Brazil.
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- Staphylococcus infections pose significant human health risks.
- Oxacillin resistance is a growing problem in both Staphylococcus aureus and coagulase-negative staphylococci (CNS) of nosocomial origin.
- Methicillin resistance is mediated by the mecA gene within the mobile SCCmec cassette.
Purpose of the Study:
- To review the resistance patterns, epidemiology, genetics, and detection methods for oxacillin resistance in Staphylococcus species.
- To highlight the increasing prevalence of these resistant strains in Brazil.
Main Methods:
- Literature review of studies on Staphylococcus spp. resistance.
- Analysis of genotypic and phenotypic detection methods for oxacillin resistance.
- Discussion of epidemiological data, including pandemic clones.
Main Results:
- Oxacillin resistance is prevalent in nosocomial Staphylococcus aureus and CNS isolates.
- The mecA gene, located on the SCCmec cassette, is responsible for methicillin resistance.
- Five major pandemic clones of methicillin-resistant Staphylococcus aureus have been identified globally.
Conclusions:
- Oxacillin resistance in Staphylococcus spp. is a critical issue, demanding effective detection and management strategies.
- Understanding the genetics and epidemiology of resistance is crucial for combating staphylococcal infections.
- The rising incidence in Brazil necessitates focused research and public health interventions.
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