Re-emergence of early pandemic Staphylococcus aureus as a community-acquired meticillin-resistant clone

被引:200
作者
Robinson, DA
Kearns, AM
Holmes, A
Morrison, D
Grundmann, H
Edwards, G
O'Brien, FG
Tenover, FC
McDougal, LK
Monk, AB
Enright, MC [1 ]
机构
[1] Univ Bath, Dept Biol & Biochem, Bath BA2 7AY, Avon, England
[2] Hlth Protect Agcy, Lab Healthcare Associated Infect, Specialist & Reference Microbiol Div, London, England
[3] Stobhill Hosp, Dept Microbiol, Scottish MRSA Reference Lab, Glasgow, Lanark, Scotland
[4] Natl Inst Publ Hlth & Environm, RIVM, Dept Infect Dis Epidemiol, NL-3720 BA Bilthoven, Netherlands
[5] Curtin Univ Technol, Sch Biomed Sci, Perth, WA 6001, Australia
[6] Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA USA
基金
英国惠康基金;
关键词
D O I
10.1016/S0140-6736(05)74814-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
During the 1950s, the notorious penicillin-resistant clone of Staphylococcus aureus known as phage type 80/81 emerged and caused serious hospital-acquired and community-acquired infections worldwide. This clone was largely eliminated in the 1960s, concurrent with the widespread use of penicillinase-resistant beta lactams. We investigated whether early 80/81 isolates had the genes for Panton-Valentine leucocidin, a toxin associated with virulence in healthy young people. Multilocus sequence analysis suggested that descendants of 80/81 have acquired meticillin resistance, are re-emerging as a community-acquired meticillin-resistant S aureus (MRSA) clone, and represent a sister lineage to pandemic hospital-acquired MRSA.
引用
收藏
页码:1256 / 1258
页数:3
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