Community-associated methicillin-resistant staphylococcus aureus epidemic clone USA100; more than a nosocomial

Jill C Roberts1

  • 1Department of Environmental and Occupational Health, University of South Florida, College of Public Health, Tampa, FL 33612 USA.

Springerplus
|April 9, 2013
PubMed
Abstract

Insights

Community-acquired Methicillin-Resistant Staphylococcus aureus (MRSA) USA100 strains show genetic diversity and carry virulence genes. Nasal carriage is important for the spread of these epidemic MRSA strains in the community.

Area of Science:

  • Microbiology
  • Epidemiology
  • Genetics

Background:

  • Characterization of 100 USA100 epidemic Methicillin-Resistant Staphylococcus aureus (MRSA) strains.
  • Focus on community-associated isolates with no healthcare risk factors.

Observation:

  • Molecular epidemiology revealed 21 pulsed-field types and six spa types.
  • All strains harbored the type II staphylococcal cassette chromosome mec (SCCmec).
  • The staphylococcal enterotoxin D virulence gene was consistently detected.

Findings:

  • USA100 MRSA strains in the community exhibit significant genetic diversity.
  • Presence of type II SCCmec and staphylococcal enterotoxin D gene in all isolates.
  • Identification of multiple pulsed-field and spa types indicates clonal evolution.

Implications:

  • Highlights the importance of nasal carriage in the transmission of community-associated MRSA.
  • Suggests USA100 MRSA is an evolving clone with diverse genetic makeup.
  • Informs public health strategies for controlling MRSA spread in community settings.

Related Concept Videos

Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
Mechanism of Antibiotic Resistance in MRSA01:25

Mechanism of Antibiotic Resistance in MRSA

Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic

Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...
Development of Antibiotic Resistance01:30

Development of Antibiotic Resistance

Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
Atypical Pneumonia01:14

Atypical Pneumonia

Atypical pneumonia, often caused by Mycoplasma pneumoniae, is a form of pulmonary infection that differs from the classical presentation of bacterial pneumonia in both its cause and clinical symptoms. Mycoplasma pneumoniae is a pleomorphic bacterium notable for its lack of a rigid cell wall. This structural characteristic imparts resistance to beta-lactam antibiotics and significantly influences the bacterium’s behavior within the human host.Other pathogens responsible for the disease include...