Related Experiment Video
Updated: Mar 19, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA
Published on: February 9, 2011
Molecular Characteristics of Methicillin-Resistant Staphylococcus epidermidis on the Abdominal Skin of Females before
Pin-Jia Wang1,2, Cheng-Bin Xie3, Feng-Hui Sun4
1Medical Genetics, West China Shool of Medicine, West China Hospital, Sichuan University, Chengdu 610041, China. pinjiawong@foxmail.com.
Abstract:
Staphylococcus epidermidis, especially methicillin-resistant strains, may be the source of surgical site infections and may be a reservoir of staphylococcal cassette chromosome mec (SCCmec) for S. aureus. The aim of this study was to investigate the prevalence of methicillin-resistant S. epidermidis (MRSE) on the abdominal skin of females before laparotomy and determine the molecular characteristics and antimicrobial susceptibility patterns of these isolates. MRSE was found in 54 of 157 isolates based on mecA gene detection, and there was no difference in icaA gene carriage rate between MRSE and methicillin-susceptible S. epidermidis (MSSE) isolates. Antimicrobial susceptibility profiles were determined by broth microdilution antimicrobial susceptibility testing according to the latest CLSI manuals. All MRSE isolates had unfavorable antimicrobial susceptibility patterns. Twenty-three MRSE strains (42.6%) were multi-drug resistant. SCCmec typing and pulsed field gel electrophoresis (PFGE) typing was performed. Thirty-nine (72.2%) had a single SCCmec type, whereas 1.9% had two types. Fourteen strains (25.9%) were non-typeable (NT). The most frequent MRSE genotype was SCCmec type IVa. High diversity with PFGE patterns was obtained for MRSE, and there were no isolates exhibiting identical pulsotype. The results confirm that methicillin-resistant strains are frequently present among S. epidermidis on the abdominal skin of females before laparotomy. Moreover, resistance profiles seem to have no association with the SCCmec types or PFGE types for most common antibiotics.
Insights
Methicillin-resistant Staphylococcus epidermidis (MRSE) is common on abdominal skin before surgery. These resistant strains show diverse genetic profiles and unfavorable antimicrobial susceptibility patterns, posing a risk for surgical site infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- Staphylococcus epidermidis, particularly methicillin-resistant strains (MRSE), can cause surgical site infections.
- MRSE may act as a reservoir for staphylococcal cassette chromosome mec (SCCmec) in S. aureus.
- Understanding MRSE prevalence and characteristics on patient skin is crucial for infection control.
Purpose of the Study:
- To determine the prevalence of MRSE on the abdominal skin of females undergoing laparotomy.
- To characterize the molecular features of MRSE isolates.
- To assess the antimicrobial susceptibility patterns of MRSE.
Main Methods:
- Detection of MRSE using mecA gene.
- Antimicrobial susceptibility testing via broth microdilution.
- Molecular typing including SCCmec and pulsed field gel electrophoresis (PFGE).
Main Results:
- MRSE was detected in 54 out of 157 isolates (34.4%).
- All MRSE isolates exhibited unfavorable antimicrobial susceptibility; 42.6% were multi-drug resistant.
- High diversity in SCCmec types (predominantly type IVa) and PFGE patterns was observed, with no identical pulsotypes.
Conclusions:
- Methicillin-resistant Staphylococcus epidermidis is frequently found on the abdominal skin of females prior to laparotomy.
- MRSE isolates display significant antimicrobial resistance and genetic diversity.
- Resistance profiles did not appear to correlate with SCCmec or PFGE types for common antibiotics.
Related Concept Videos
Clinical Significance of Antibiotic Resistance
Staphylococcal Skin Infections
Mechanism of Antibiotic Resistance in MRSA
The Skin Microbiota
Surface Membrane Barriers
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...

