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Updated: Dec 23, 2025

Multiplex PCR Assay for Typing of Staphylococcal Cassette Chromosome Mec Types I to V in Methicillin-resistant Staphylococcus aureus
Published on: September 5, 2013
[Molecular Epidemiology of Methicillin-Resistant Staphylococcus aureus (MRSA) by POT Method, Antimicrobial
Hitoshi Miyamoto1, Shinobu Murakami1, Mina Saito1
1Department of Clinical Laboratory,Ehime University Hospital, Shitsukawa, Toon, Ehime 791-0295, Japan.
Abstract:
The PCR-based open reading frame typing (POT) is an important method for analyzing outbreak information. Many institutions use POT as a molecular epidemiological method for analyzing horizontal transmission in methicillin-resistant Staphylococcus aureus (MRSA). However, typing and analyzing MRSA only based on POT, with high detection frequency, has some limitations. In this study, we analyzed 62 strains of MRSA, isolated at Ehime University Hospital between January 2018 to December 2018 based on six POT types, toxin type, and antimicrobial susceptibility. Types of POT and strains used were as follows: 106-183-37 (28 strains), 106-137-80 (7 strains), 106-77-113 (7 strains), 106-9-80 (7 strains), 70-18-81 (7 strains), 106-247-33 (6 strains). Based on antimicrobial susceptibility patterns, 5 types of MRSA were detected, including types susceptible to gentamicin (GM), clarithromycin (CAM), and levofloxacin (LVFX). Strains belonging to the same POT type, showed differential antimicrobial susceptibility patterns and had different toxin productivity. These findings suggest that the combination of POT method with antimicrobial susceptibility patterns and toxin type may be a useful technique for MRSA typing.
Insights
Combining PCR-based open reading frame typing (POT) with toxin and antimicrobial susceptibility analysis improves methicillin-resistant Staphylococcus aureus (MRSA) typing. This integrated approach offers a more comprehensive understanding of MRSA strains and their characteristics.
Area of Science:
- Microbiology
- Molecular Epidemiology
- Infectious Diseases
Background:
- PCR-based open reading frame typing (POT) is crucial for analyzing methicillin-resistant Staphylococcus aureus (MRSA) outbreaks.
- However, relying solely on POT for MRSA typing presents limitations in comprehensive analysis.
Purpose of the Study:
- To evaluate the effectiveness of combining POT typing with toxin profiling and antimicrobial susceptibility testing for MRSA characterization.
- To investigate MRSA diversity within a hospital setting using a multi-faceted typing approach.
Main Methods:
- Analysis of 62 MRSA strains isolated from Ehime University Hospital (2018).
- Typing based on six defined POT types, toxin profiles, and antimicrobial susceptibility patterns.
- Evaluation of susceptibility to gentamicin, clarithromycin, and levofloxacin.
Main Results:
- Strains within the same POT type exhibited varied antimicrobial susceptibility and toxin production.
- Five distinct MRSA types were identified based on antimicrobial susceptibility.
- Observed heterogeneity in susceptibility and toxin profiles among strains of the same POT type.
Conclusions:
- Integrating POT typing with antimicrobial susceptibility and toxin analysis enhances MRSA typing accuracy.
- This combined methodology provides a more robust tool for understanding MRSA epidemiology and transmission.
- The findings suggest a synergistic approach for improved molecular typing of MRSA strains.
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