Related Experiment Video
Updated: Jun 11, 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
Molecular Diversity and Comparison of Staphylococcal Cassette Chromosome mec Element in Hospital- and
Asad Ali1, Saman Jabbar1, Shahid Aziz2
1Institute of Microbiology and Molecular Genetics, University of the Punjab, Lahore, Punjab, Pakistan, pu.edu.pk.
Background:
Methicillin-resistant Staphylococcus aureus (MRSA) is one of the leading causes of hospital and community-acquired infections, with the increasing threat of antimicrobial resistance worldwide. Staphylococcal Cassette Chromosome mec (SCCmec) typing is one of the molecular techniques to predict the genetic background of MRSA strains and predict the level of antibiotic resistance. This study aimed to find out and compare the predominant SCCmec types in the hospital and community settings along with antibiotic resistance burden.
Methods:
A total of 295 MRSA isolates were recovered from the hospital and community settings in Lahore, Pakistan. The growth characteristics of the isolates were initially determined using Mannitol salt agar (MSA). Isolates were then subjected to further biochemical confirmation by catalase, DNase and tube coagulase tests according to standard operating procedure used in Pakistan. MRSA screening was performed using Cefoxitin 30 μg disc. Antibiotic resistance patterns were determined against commonly used antibiotics, and the results were interpreted according to Clinical and Laboratory Standards Institute (CLSI) guidelines. Molecular detection of MRSA was done by mecA gene, and a multiplex PCR was used to determine the prevalent SCCmec types (I-VI).
Results:
A total of 145 (49.15%) MRSA isolates were identified. SCCmec type III was predominant (39.31%, n = 57), while no type V was detected. Antibiotic resistance profiles revealed the highest resistance towards ciprofloxacin (78.62%), while high susceptibility rates were recorded for ceftaroline (95.17%), quinupristin/dalfopristin (93.79%), and linezolid (91.03%). Ciprofloxacin resistance was significantly associated with SCCmec type III. Type I SCCmec was associated considerably with samples originating from clinical sources.
Conclusions:
Prevalence of MRSA and the types of SCCmec are on the rise. Because of the high prevalence of multiresistant type III cassettes, antibiotic resistance is also increasing. The high occurrence of community-specific SCCmec in hospital settings suggests implementing infection control practices to prevent severe MRSA infection and the rise in antibiotic resistance.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) strains show increasing antibiotic resistance. SCCmec type III is predominant, linked to ciprofloxacin resistance, highlighting the need for infection control to curb MRSA spread.
Area of Science:
- Microbiology
- Infectious Diseases
- Molecular Epidemiology
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) is a major cause of hospital and community infections.
- Antimicrobial resistance poses a growing global health threat.
- Staphylococcal Cassette Chromosome mec (SCCmec) typing helps predict MRSA genetic background and antibiotic resistance levels.
Purpose of the Study:
- To compare predominant SCCmec types in hospital versus community settings.
- To determine the antibiotic resistance patterns associated with different SCCmec types.
- To assess the burden of antibiotic resistance in MRSA isolates.
Main Methods:
- MRSA isolates were identified from hospital and community settings.
- Biochemical tests and cefoxitin disc diffusion were used for MRSA screening.
- Multiplex PCR was employed for SCCmec typing (I-VI) and mecA gene detection.
Main Results:
- SCCmec type III was the most prevalent (39.31%), with no type V detected.
- High resistance rates were observed for ciprofloxacin (78.62%).
- Ciprofloxacin resistance showed a significant association with SCCmec type III.
Conclusions:
- The prevalence of MRSA and specific SCCmec types, particularly type III, is increasing.
- High rates of multiresistant MRSA, especially type III, contribute to rising antibiotic resistance.
- The presence of community-specific SCCmec types in hospitals necessitates enhanced infection control measures.
Related Concept Videos
Clinical Significance of Antibiotic Resistance
Mechanism of Antibiotic Resistance in MRSA
Modern Molecular Taxonomy
Staphylococcal Skin Infections
Applications of Molecular Taxonomy
Rapid Identification of Pathogens