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Updated: May 7, 2026

Multiplex PCR Assay for Typing of Staphylococcal Cassette Chromosome Mec Types I to V in Methicillin-resistant Staphylococcus aureus
Published on: September 5, 2013
Emergence and Genomic Characterization of a spa Type t4407 ST6-SCCmec Type IVa Methicillin-Resistant Staphylococcus
Yasser Gaber1,2, Heba M TumAllah1, Nourhan H AbdelAllah2,3
1Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy, Mutah University, Al-Karak 61710, Jordan.
Abstract:
Background and Objectives: Methicillin-resistant Staphylococcus aureus (MRSA) is a major concern in Jordanian hospitals in terms of infection control. The purpose of this study was to identify the resistance patterns of Staphylococcus aureus strains isolated from surfaces of critical locations within the Al-Karak Governmental Hospital in 2019. Additionally, the study aimed to conduct whole-genome sequencing on the isolates. Materials and Methods: In February 2019, fourteen S. aureus strains were isolated from surfaces in critical sites in the Al-Karak Governmental Hospital. These isolates underwent antibiogram testing to determine their resistance profile. Genome sequencing using the Illumina MiSeq platform was applied to the extracted DNA from these isolates. The genomic data, including coding sequences, were analyzed to identify lineage, resistance genes, and plasmids. Results: The antibiogram results revealed that 11 of the 14 isolates were resistant to oxacillin, 6 to linezolid, and 1 to rifampicin, while none showed resistance to chloramphenicol. Eleven isolates were identified as MRSA, with a novel spa type (t4407) not previously reported in Jordan. High-quality sequencing data were obtained for only one isolate, i.e., A29, the genome showed 2,789,641 bp with a 32.7% GC content and contained 2650 coding sequences. Genomic analysis indicated the ST6 lineage, mecA gene (SCCmec type IVa(2B)), and a hybrid plasmid (pJOR_blaZ) carrying the blaZ gene for β-lactam resistance. Genomic data were deposited in NCBI (CP104989). The A29 genome closely resembled an MRSA genome isolated from a Danish hospital in 2011. The SNP analysis revealed identical antimicrobial resistance genes in these two genomes. Conclusions: This study unveils the first genomic sequence of an MRSA isolate from Jordan, marked by distinctive genotypic traits. The findings enhance our understanding of the MRSA types circulating in Jordan and the region and substantiate the phenomenon of intercontinental MRSA transmission.
Insights
This study identified Methicillin-resistant Staphylococcus aureus (MRSA) strains from Jordanian hospital surfaces, revealing novel genetic traits and intercontinental transmission patterns. The findings enhance understanding of MRSA in the region.
Area of Science:
- Microbiology
- Genomics
- Infectious Diseases
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant infection control challenge in Jordanian hospitals.
- Understanding the genetic makeup and resistance patterns of circulating MRSA strains is crucial for effective management.
Purpose of the Study:
- To identify the resistance patterns of Staphylococcus aureus strains isolated from critical hospital surfaces in Jordan.
- To perform whole-genome sequencing on these isolates to characterize their genetic lineage, resistance genes, and plasmids.
Main Methods:
- Isolation and antibiogram testing of 14 Staphylococcus aureus strains from Al-Karak Governmental Hospital surfaces.
- Whole-genome sequencing using the Illumina MiSeq platform for DNA analysis.
- Bioinformatic analysis to identify lineage, resistance genes (e.g., mecA), and plasmids (e.g., pJOR_blaZ).
Main Results:
- Eleven of 14 isolates were identified as MRSA, with one exhibiting a novel spa type (t4407).
- Genomic analysis of isolate A29 revealed ST6 lineage, SCCmec type IVa(2B), and a beta-lactam resistance plasmid.
- The A29 genome showed high similarity to a Danish MRSA isolate, sharing identical antimicrobial resistance genes.
Conclusions:
- This study presents the first whole-genome sequence of an MRSA isolate from Jordan, highlighting unique genotypic characteristics.
- The findings contribute to understanding MRSA diversity in Jordan and the Middle East.
- Evidence supports the occurrence of intercontinental MRSA transmission, as suggested by genomic similarities with a Danish isolate.
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