原创力文档the dissemination of st80-sccmec-iv community-associated methicillin resistant staphylococcus aureus clone in kuwait hospitals的传播st80-sccmec-iv community-associated耐甲氧西林金黄色葡萄球菌克隆在科威特医院.pdfVIP
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the dissemination of st80-sccmec-iv community-associated methicillin resistant staphylococcus aureus clone in kuwait hospitals的传播st80-sccmec-iv community-associated耐甲氧西林金黄色葡萄球菌克隆在科威特医院
Udo and Sarkhoo Annals of Clinical Microbiology and Antimicrobials 2010, 9:31
/content/9/1/31
RESEARCH Open Access
The dissemination of ST80-SCCmec-IV
community-associated methicillin resistant
Staphylococcus aureus clone in Kuwait hospitals
*
Edet E Udo , Eiman Sarkhoo
Abstract
Background: Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) is a global healthcare
problem. The purpose of this study was to characterize CA-MRSA clones and their distribution in Kuwait hospitals.
Methods: In total, 135 CA-MRSA isolates, carrying the SCCmec IV or V genetic elements, isolated in eight hospitals
were characterized using antibiogram, pulsed-field gel electrophoresis, multilocus sequence typing, and carriage of
genes for Panton-Valentine Leukocidin (PVL), capsular polysaccharides types (cap) 5 and 8, accessory genes
regulators (agr), Staphylococcal enterotoxins (SE) and toxic shock syndrome toxin 1 (tst).
Results: They were susceptible to vancomycin, teicoplanin and linezolid but resistant to kanamycin (62%), fusidic
acid (42.2%), tetracycline (39.3%), erythromycin and clindamycin (21.5%), gentamicin (5.9%), streptomycin (6.7%),
trimethoprim (5.9%), mupirocin (6.6%) and cadmium acetate (82.2%). They consisted of 10 pulsotypes with the
majority belonging to PFGE type I (51.1%), type II (22.2%), type IV (13.3%) and type III (3.7%). They belonged to 10
sequence types (ST) comprising ST80 (51.1%), ST30 (22.2%), ST5 (14.1%), ST1 (4.45), ST6 (3.7%), ST88 (1.5%), ST834
(1.5%), ST8 (0.7%), ST46 (0.7%) and ST950 (0.7%). Genes for PVL, cap 8, cap 5 and agr III, agr I and agr II were
detected in 61.5%, 77.3%, 20.7% and 62.2%, 17% and 8.1% of the isolates respectively. Nine (6.7%) isolates
contained tst while 103 isolates were positive for SE genes with sei (63.0%), seg (41.5%) and sed
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