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Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Molecular characterization of Staphylococcus aureus isolates causing skin and soft tissue infections (SSTIs)
Dan Yao1, Fang-you Yu, Zhi-qiang Qin
1Department of Respiratory Medicine, the First Affiliated Hospital of Wenzhou Medical College, Wenzhou325000, China.
Background:
Staphylococcus aureus, particularly methicillin-resistant S. aureus (MRSA), is an important cause of pyogenic skin and soft tissue infections (SSTIs). The aim of present study is to investigate the molecular characteristic of Staphylococcus aureus isolates isolated from the pus samples from the patients with purulent skin and soft tissue infections in Wenzhou, China.
Methods:
Between December 2002 and June 2008, a total of 111 nonduplicate S. aureus isolates were collected from the pus samples of the patients with SSTIs in a teaching hospital in Wenzhou, China. All the tested isolates were confirmed as S. aureus using a Staph SPA agglutination kit, Gram's stain and a Vitek-60 microbiology analyzer. The homology among the tested isolates was determined by pulsed-field gel electrophoresis (PFGE). Multilocus sequence typing (MLST) was used to determine the sequence types (STs) of the selected isolates. The genotypes of SCCmec were determined by a multiplex PCR in the MRSA isolates. Panton-Valentine leukocidin (PVL) genes and mecA were also determined by another multiplex PCR.
Results:
Among the 111 S. aureus isolates, 48 and 63 isolates were community-acquired and hospital-acquired respectively. Sixty isolates were confirmed as MRSA harboring mecA detected by PCR. A total of 32 PFGE clonal types were obtained by PFGE, with 10 predominant patterns (types A to J). Twenty-five different STs including ST398 and three novel STs were found among 51 selected isolates. The main STs were ST239, ST1018, ST59, ST7 and ST88. Of 60 MRSA isolates, SCCmec II, III, IV and SCCmec V were found in three, 50, three and two isolates, respectively. The positive rates of PVL genes in overall isolates, HA-isolates, CA-isolates, MRSA isolates and MSSA isolates were 23.4% (26/111), 20.6% (13/63), 27.1% (13/48), 21.7% (13/60) and 25.5% (13/51), respectively. Eight (33.3%, 8/24) of 24 CA-MRSA isolates and 5 (13.9%, 5/36) of 36 HA-MRSA isolates were positive for PVL genes. ST239-MRSA-SCCmecIII and ST1018-MRSA-SCCmecIII clones were found to be main clones and spread between community and hospital.
Conclusion:
S. aureus isolates causing SSTIs showed considerable molecular heterogeneity and harbored high prevalence of PVL genes. Clonal spread was responsible for the dissemination of the isolates of S. aureus associated with SSTIs.
Insights
Staphylococcus aureus, including MRSA, causes skin infections. This study investigated the molecular characteristics of these bacteria in Wenzhou, China, finding significant diversity and spread of specific clones.
Area of Science:
- Microbiology
- Infectious Diseases
- Molecular Epidemiology
Background:
- Staphylococcus aureus, particularly methicillin-resistant S. aureus (MRSA), is a significant cause of pyogenic skin and soft tissue infections (SSTIs).
- Understanding the molecular characteristics of S. aureus isolates is crucial for effective treatment and control of SSTIs.
Purpose of the Study:
- To investigate the molecular characteristics of Staphylococcus aureus isolates from patients with purulent skin and soft tissue infections in Wenzhou, China.
- To determine the prevalence of MRSA and identify specific molecular types and virulence factors.
Main Methods:
- Collected 111 S. aureus isolates from pus samples between 2002 and 2008.
- Utilized pulsed-field gel electrophoresis (PFGE) for homology analysis, multilocus sequence typing (MLST) for sequence types (STs), and multiplex PCR for SCCmec, mecA, and Panton-Valentine leukocidin (PVL) genes.
Main Results:
- Identified 60 MRSA isolates, with SCCmec types II, III, IV, and V detected.
- Determined 25 different STs, with ST239, ST1018, ST59, ST7, and ST88 being predominant.
- Found high prevalence of PVL genes (23.4%), particularly in community-acquired MRSA (CA-MRSA). ST239-MRSA-SCCmecIII and ST1018-MRSA-SCCmecIII were identified as major circulating clones.
Conclusions:
- S. aureus isolates causing SSTIs exhibit significant molecular heterogeneity.
- High prevalence of PVL genes and clonal spread contribute to the dissemination of S. aureus associated with SSTIs.
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