Genetic characterization of Panton-Valentine leukocidin-producing methicillin-resistant Staphylococcus aureus in

Michael Berktold1, Katharina Grif, Martin Mäser

  • 1Division of Hygiene and Medical Microbiology, Innsbruck Medical University, Fritz-Pregl-Straße 3, Innsbruck, Austria

Abstract

Insights

Community-acquired methicillin-resistant Staphylococcus aureus (caMRSA) strains producing Panton-Valentine leukocidin (PVL) were studied in Western Austria. The prevalent caMRSA lineage identified was ST8, t008, and arcA-positive, a profile common in the USA.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Epidemiology

Background:

  • Community-acquired methicillin-resistant Staphylococcus aureus (caMRSA) is an emerging pathogen.
  • Panton-Valentine leukocidin (PVL) production is a key virulence factor in caMRSA.
  • PVL-positive MRSA can cause severe infections in healthy individuals.

Purpose of the Study:

  • To determine the prevalence of PVL-positive MRSA in Western Austria from 2005 to 2010.
  • To characterize the identified PVL-positive MRSA strains.
  • To compare the findings with MRSA epidemiology in other regions.

Main Methods:

  • Investigated 650 MRSA strains for the lukS-lukF gene (encoding PVL).
  • Performed antimicrobial resistance testing, SCCmec, agr, MLST, and spa typing on PVL-positive MRSA.
  • Determined arcA presence in PVL-positive MRSA strains.

Main Results:

  • 31 out of 650 MRSA strains (4.8%) were PVL-positive.
  • The most common agr-type was Agr-1 (58.1%), and SCCmec-IV variants were most common (87.1%).
  • Resistance was observed against erythromycin (61.3%), fusidic acid (12.9%), and levofloxacin (12.9%).
  • The majority of PVL-positive MRSA strains belonged to ST8, t008, and were arcA-positive.

Conclusions:

  • The dominant PVL-positive MRSA lineage in Western Austria was ST8, t008, arcA-positive, similar to strains found in the USA.
  • ST80 strains, common in other European countries, were less frequent in this Austrian cohort.
  • This highlights regional variations in caMRSA clonal spread.