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Updated: Feb 9, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA
Published on: February 9, 2011
Molecular Characterization of Methicillin-Resistant Staphylococcus aureus Isolates, Isolated from a Burn Hospital in
Ehsanollah Ghaznavi-Rad1,2, Alireza Ekrami3
1Molecular Research Center, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
Objectives:
Incidence of methicillin-resistant Staphylococcus aureus (MRSA) is increasing every year, especially in burn patients with a high rate of morbidity and mortality. Molecular and epidemiologic studies are useful practices for understanding the relatedness of isolates in a single patient or a hospital. This study aimed at determining molecular characterizations of isolates collected in 2006 and 2014 using S. aureus-specific staphylococcal protein A (Spa) typing and Multilocus Sequence Typing (MLST) methods.
Materials And Methods:
Totally, 71 MRSA isolates were collected during the last two studies (2006 and 2014) from burn patients at Taleghani Burn Centre. After confirmation, all isolates were analysed using MLST and Spa typing methods.
Results:
We reported the emergence of Spa type t021, ST-30-IV MRSA isolates, which were PVL-positive in 14.6% of the cases and t12366, ST-8-IV isolates, which were PVL-negative in 9.8% of the cases. In 2014 study, Spa typing of MRSA isolates revealed five different spa types. Overall, in two studies, t037, ST-239, SCCmec III, and CC8 were predominant clones and they were reported in 63% of the cases.
Conclusion:
The predominance of ST-239 in this region during the last eight years is a major concern. It also has a disturbing impact on the management of staphylococcal infections. Moreover, the SCCmec type IV strain is able to disseminate rapidly in hospital environments, demanding an improvement in infection-control policy.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) is a growing concern in burn patients. Molecular typing revealed ST-239 as a predominant clone, highlighting the need for improved infection control in hospitals.
Area of Science:
- Medical Microbiology
- Epidemiology
- Infectious Diseases
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) incidence is rising, particularly in burn patients, leading to significant morbidity and mortality.
- Molecular and epidemiological studies are crucial for understanding isolate relatedness in clinical and hospital settings.
Purpose of the Study:
- To determine the molecular characteristics of MRSA isolates from burn patients in 2006 and 2014.
- To compare MRSA strains using staphylococcal protein A (Spa) typing and Multilocus Sequence Typing (MLST).
Main Methods:
- Analysis of 71 MRSA isolates collected from burn patients in 2006 and 2014.
- Utilized MLST and Spa typing for molecular characterization of the isolates.
Main Results:
- Identified Spa type t021 (ST-30-IV MRSA, PVL-positive) in 14.6% and t12366 (ST-8-IV MRSA, PVL-negative) in 9.8% of cases.
- Spa typing in 2014 revealed five distinct spa types among MRSA isolates.
- The predominant clones across both studies were t037, ST-239, SCCmec III, and CC8, accounting for 63% of isolates.
Conclusions:
- The sustained predominance of ST-239 MRSA is a significant public health concern, impacting staphylococcal infection management.
- The rapid dissemination of SCCmec type IV strains necessitates enhanced hospital infection-control policies.
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