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Emerging variants of methicillin-resistant Staphylococcus aureus genotypes in Kuwait hospitals
by
Mathew, Bindu
, Tappa, Sajida B.
, Noronha, Bobby
, Boswihi, Samar S.
, Monecke, Stefan
, Verghese, Tina
, Udo, Edet E.
in
Acid resistance
/ Acids
/ Antibiotics
/ Biology and life sciences
/ Chromosomes
/ Cloning
/ Cross Infection
/ Deoxyribonucleic acid
/ DNA
/ DNA microarrays
/ Drug resistance
/ Epidemiology
/ Fusidic acid
/ Genes, Bacterial
/ Genetic aspects
/ Genetic Variation
/ Genomes
/ Genotype
/ Genotypes
/ Health care
/ Health facilities
/ Hospitals
/ Humans
/ Infections
/ Kuwait - epidemiology
/ Medicine
/ Medicine and health sciences
/ Methicillin
/ Methicillin-Resistant Staphylococcus aureus - classification
/ Methicillin-Resistant Staphylococcus aureus - genetics
/ Microbial drug resistance
/ Multilocus Sequence Typing
/ Nosocomial infections
/ Pathogens
/ People and Places
/ Public health
/ Research and Analysis Methods
/ Staphylococcal Infections - epidemiology
/ Staphylococcal Infections - microbiology
/ Staphylococcus aureus
/ Staphylococcus epidermidis
/ Staphylococcus infections
/ Studies
/ Virulence - genetics
2018
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Emerging variants of methicillin-resistant Staphylococcus aureus genotypes in Kuwait hospitals
by
Mathew, Bindu
, Tappa, Sajida B.
, Noronha, Bobby
, Boswihi, Samar S.
, Monecke, Stefan
, Verghese, Tina
, Udo, Edet E.
in
Acid resistance
/ Acids
/ Antibiotics
/ Biology and life sciences
/ Chromosomes
/ Cloning
/ Cross Infection
/ Deoxyribonucleic acid
/ DNA
/ DNA microarrays
/ Drug resistance
/ Epidemiology
/ Fusidic acid
/ Genes, Bacterial
/ Genetic aspects
/ Genetic Variation
/ Genomes
/ Genotype
/ Genotypes
/ Health care
/ Health facilities
/ Hospitals
/ Humans
/ Infections
/ Kuwait - epidemiology
/ Medicine
/ Medicine and health sciences
/ Methicillin
/ Methicillin-Resistant Staphylococcus aureus - classification
/ Methicillin-Resistant Staphylococcus aureus - genetics
/ Microbial drug resistance
/ Multilocus Sequence Typing
/ Nosocomial infections
/ Pathogens
/ People and Places
/ Public health
/ Research and Analysis Methods
/ Staphylococcal Infections - epidemiology
/ Staphylococcal Infections - microbiology
/ Staphylococcus aureus
/ Staphylococcus epidermidis
/ Staphylococcus infections
/ Studies
/ Virulence - genetics
2018
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Emerging variants of methicillin-resistant Staphylococcus aureus genotypes in Kuwait hospitals
by
Mathew, Bindu
, Tappa, Sajida B.
, Noronha, Bobby
, Boswihi, Samar S.
, Monecke, Stefan
, Verghese, Tina
, Udo, Edet E.
in
Acid resistance
/ Acids
/ Antibiotics
/ Biology and life sciences
/ Chromosomes
/ Cloning
/ Cross Infection
/ Deoxyribonucleic acid
/ DNA
/ DNA microarrays
/ Drug resistance
/ Epidemiology
/ Fusidic acid
/ Genes, Bacterial
/ Genetic aspects
/ Genetic Variation
/ Genomes
/ Genotype
/ Genotypes
/ Health care
/ Health facilities
/ Hospitals
/ Humans
/ Infections
/ Kuwait - epidemiology
/ Medicine
/ Medicine and health sciences
/ Methicillin
/ Methicillin-Resistant Staphylococcus aureus - classification
/ Methicillin-Resistant Staphylococcus aureus - genetics
/ Microbial drug resistance
/ Multilocus Sequence Typing
/ Nosocomial infections
/ Pathogens
/ People and Places
/ Public health
/ Research and Analysis Methods
/ Staphylococcal Infections - epidemiology
/ Staphylococcal Infections - microbiology
/ Staphylococcus aureus
/ Staphylococcus epidermidis
/ Staphylococcus infections
/ Studies
/ Virulence - genetics
2018
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Emerging variants of methicillin-resistant Staphylococcus aureus genotypes in Kuwait hospitals
Journal Article
Emerging variants of methicillin-resistant Staphylococcus aureus genotypes in Kuwait hospitals
2018
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Overview
Frequent changes in the epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) occurring worldwide demand regular surveillance to study their composition and distribution in healthcare facilities. We investigated the genotypic characteristics of MRSA obtained in Kuwait hospitals to better understand their clonal distribution.
A total of 1,327 MRSA isolates obtained from clinical samples in 13 Kuwait hospitals from 1 January to 31 December 2016 were investigated using antibiogram, SCCmec typing, spa typing and DNA microarray.
The isolates belonged to six SCCmec types with the majority belonging to type IV (658; 49.5%) and type V (355; 26.7%). Two hundred and sixty-one spa types were identified with spa types t688, t304, t860, t127, t044, t311, t002, t223, t267, t019, t3841, t005, t084, t852, and t657 constituting 51.0% (n = 677) of the isolates. Among the 1,327 MRSA isolates, 102 (7.68%) isolates were identified as novel variants of internationally recognized MRSA clones. These 102 isolates were investigated further and belonged to 14 clonal complexes (CCs) with CC361 (32; 32.3%), CC30 (15; 14.7%), CC22 (13; 12.7%) and CC1 (11, 10.7%) as the dominant CCs. Eighty-one (79.4%) of the novel isolates harbored SCCmec IV or V+fusC composite genetic elements. Four isolates (3.9%) harbored unusual combinations of ccr and mec complexes comprising of CC6-MRSA [IV+fusC+ccrC], CC97-MRSA [V/VT+fusC+ccrAB2], CC121-MRSA [V/VT+fusC+ccrB4] and CC1-MRSA-pseudoSCCmec [class B mec+fusc+ccrAB1]. Forty-six (45.1%) of these isolates were positive for PVL and 89 (87.2%) were resistant to fusidic acid mediated by fusC.
The study showed the emergence of novel variants of previously recognized MRSA genotypes with unusual genetic characteristics including high prevalence of PVL and fusidic acid resistance in Kuwait hospitals. This has added to the dynamic lists of known variations in MRSA genomes which can impose serious challenges for infection control and treatment of MRSA infections.
Publisher
Public Library of Science,Public Library of Science (PLoS)
Subject
/ Acids
/ Cloning
/ DNA
/ Genomes
/ Genotype
/ Humans
/ Medicine
/ Medicine and health sciences
/ Methicillin-Resistant Staphylococcus aureus - classification
/ Methicillin-Resistant Staphylococcus aureus - genetics
/ Research and Analysis Methods
/ Staphylococcal Infections - epidemiology
/ Staphylococcal Infections - microbiology
/ Studies
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