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Updated: Feb 2, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA
Published on: February 9, 2011
Detection of methicillin-resistant Staphylococcus aureus (MRSA) in clinical samples of patients with external ocular
Ashkan Faridi1, Amir Tavakoli Kareshk2, Mehdi Fatahi-Bafghi3
1Student Research Committee, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.
Background And Objectives:
Staphylococcus aureus is the main Gram-positive bacteria isolated from patients with ocular infections. Herein, we describe the pattern of antibiotic resistance, presence of resistance genes including ermA, ermB, ermC, msrA, mecA and the pvl cytotoxin gene in S. aureus isolates collected from patients with external ocular infection.
Materials And Methods:
In this study, 8 S. aureus isolates were collected from 81 patients that suffered from eye damage. Antibacterial susceptibility of isolates was determined using the Kirby-Bauer disk diffusion method. Resistance genes including ermA, ermB, ermC, msrA, mecA and the pvl virulence gene were detected by PCR method. Staphylococcal cassette chromosome mec (SCCmec) in MRSA isolates were detected by the multiplex-PCR method.
Results:
Three isolates were resistant to cefoxitin which is considered MRSA. The mecA gene was identified in MRSA isolates. SCCmec type IV and the pvl gene were detected in one of the MRSA isolates that was recovered from a diabetic patient.
Conclusion:
The emergence of S. aureus isolates belonging to SCCmec type IV and pvl gene among patients with ocular infection is very serious; therefore, identify genetic characterization of MRSA isolates for empirical therapy and infection control is very important.
Insights
Antibiotic resistance patterns and specific genes like mecA were identified in Staphylococcus aureus (S. aureus) from ocular infections. The study highlights the serious emergence of MRSA with SCCmec type IV and the pvl gene in patients.
Area of Science:
- Ophthalmology
- Microbiology
- Genetics
Background:
- Staphylococcus aureus is a primary cause of Gram-positive bacterial ocular infections.
- Understanding antibiotic resistance and virulence factors in S. aureus is crucial for treating eye infections.
Purpose of the Study:
- To investigate antibiotic resistance patterns in S. aureus isolates from ocular infections.
- To detect specific resistance genes (ermA, ermB, ermC, msrA, mecA) and the pvl virulence gene.
- To characterize Methicillin-Resistant Staphylococcus aureus (MRSA) isolates, including SCCmec typing.
Main Methods:
- Collected 8 S. aureus isolates from 81 patients with eye damage.
- Determined antibacterial susceptibility using the Kirby-Bauer disk diffusion method.
- Detected resistance and virulence genes (ermA, ermB, ermC, msrA, mecA, pvl) via PCR; performed multiplex-PCR for SCCmec typing in MRSA isolates.
Main Results:
- Three S. aureus isolates were identified as MRSA based on cefoxitin resistance.
- The mecA gene was confirmed in all MRSA isolates.
- One MRSA isolate, from a diabetic patient, harbored SCCmec type IV and the pvl gene.
Conclusions:
- The presence of SCCmec type IV and the pvl gene in S. aureus from ocular infections is a significant concern.
- Genetic characterization of MRSA isolates is vital for effective empirical therapy and infection control in ophthalmology.
- Highlights the need for vigilance regarding emerging resistance mechanisms in ocular pathogens.
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