A Novel Methicillin-Resistance Cassette in Community-Acquired Methicillin-Resistant Staphylococcus aureus Isolates of Diverse Genetic Backgrounds

RS Daum, T Ito, K Hiramatsu, F Hussain… - The Journal of …, 2002 - academic.oup.com
RS Daum, T Ito, K Hiramatsu, F Hussain, K Mongkolrattanothai, M Jamklang, S Boyle-Vavra
The Journal of infectious diseases, 2002academic.oup.com
Until recently, it has been unclear whether community-acquired (CA) methicillin-resistant
Staphylococcus aureus (MRSA) isolates represent the spread of hospital MRSA isolates into
the community. In 2 CA-MRSA isolates, a novel genetic element, designated staphylococcal
cassette chromosome mec (SCC mec) type IV, was found; it differs from SCC mec types I–III
in its small size and absence of non–β-lactam genetic-resistance determinants. To study the
prevalence of type IV SCC mec polymerase chain reaction characterization of SCC mec was …
Abstract
Until recently, it has been unclear whether community-acquired (CA) methicillin-resistant Staphylococcus aureus (MRSA) isolates represent the spread of hospital MRSA isolates into the community. In 2 CA-MRSA isolates, a novel genetic element, designated staphylococcal cassette chromosome mec (SCCmec) type IV, was found; it differs from SCCmec types I–III in its small size and absence of non–β-lactam genetic-resistance determinants. To study the prevalence of type IV SCCmec polymerase chain reaction characterization of SCCmec was performed on DNA from 12 CA-MRSA isolates. The 12 CA-MRSA isolates were from diverse genetic backgrounds, as evidenced by their stratification into 5 pulsed-field gel electrophoresis types, 4 coagulase types, and 2 ribotypes. Eleven of the 12 isolates contained the novel SCCmec type IV element. Ten were resistant only to β-lactam antibiotics. SCCmec type IV is present on the genome of CA-MRSA isolates. Its relatively small size and presence in isolates of diverse genetic backgrounds suggest that it may spread among S. aureus isolates
Oxford University Press