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Staphylococcus aureus spa type t437: identification of the most dominant community-associated clone from Asia across Europe

C. Glasner, G. Pluister, H. Westh, JP. Arends, J. Empel, E. Giles, F. Laurent, F. Layer, L. Marstein, A. Matussek, A. Mellmann, M. Pérez-Vásquez, E. Ungvári, X. Yan, H. Žemličková, H. Grundmann, JM. van Dijl,

. 2015 ; 21 (2) : 163.e1-8. [pub] 20141029

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc16010576

Methicillin-resistant Staphylococcus aureus (MRSA) belonging to the multilocus sequence type clonal complex 59 (MLST CC59) is the predominant community-associated MRSA clone in Asia. This clone, which is primarily linked with the spa type t437, has so far only been reported in low numbers among large epidemiological studies in Europe. Nevertheless, the overall numbers identified in some Northern European reference laboratories have increased during the past decade. To determine whether the S. aureus t437 clone is present in other European countries, and to assess its genetic diversity across Europe, we analysed 147 S. aureus t437 isolates from 11 European countries collected over a period of 11 years using multiple locus variable number tandem repeat fingerprinting/analysis (MLVF/MLVA) and MLST. Additionally 16 S. aureus t437 isolates from healthy carriers and patients from China were included. Most isolates were shown to be monophyletic with 98% of the isolates belonging to the single MLVA complex 621, to which nearly all included isolates from China also belonged. More importantly, all MLST-typed isolates belonged to CC59. Our study implies that the European S. aureus t437 population represents a genetically tight cluster, irrespective of the year, country and site of isolation. This underpins the view that S. aureus CC59 has been introduced into several European countries, not being restricted to particular geographical regions or specific host environments. The European S. aureus t437 isolates thus bear the general hallmarks of a high-risk clone.

Bacterial Surveillance and Response Center for Infectious Disease Control National Institute of Public Health and the Environment Bilthoven The Netherlands

Centre National de Référence des Staphylocoques Université de Lyon INSERM U851 Lyon France

Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases Hangzhou China

Department of Clinical Microbiology Hvidovre Hospital Hvidovre Denmark

Department of Laboratory Services County Hospital Ryhov Jönköping Sweden

Department of Medical Microbiology MRSA Reference Laboratory St Olavs Hospital Trondheim University Hospital Norway

Department of Medical Microbiology University of Groningen and University Medical Center Groningen Groningen The Netherlands

Department of Microbiology Scottish MRSA Reference Laboratory Glasgow United Kingdom

Department of Molecular Microbiology National Medicines Institute Warsaw Poland

Department of Phage Typing and Molecular Epidemiology National Center for Epidemiology Budapest Hungary

Faculty of Medical Sciences University of Copenhagen Copenhagen Denmark

Institute for Hygiene University Hospital Münster Münster Germany

National Institute of Public Health Prague Czech Republic

National Reference Centre for Staphylococci and Enterococci Division Nosocomial Pathogens and Antibiotic Resistances Department of Infectious Diseases Robert Koch Institute Wernigerode Germany

Servicio de Bacteriología Centro Nacional de Microbiología Instituto de Salud Carlos 3 Majadahonda Madrid Spain

State Key Laboratory for Infectious Disease Prevention and Control National Institute for Communicable Disease Control and Prevention Chinese Center for Disease Control and Prevention Beijing China

Citace poskytuje Crossref.org

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$a Methicillin-resistant Staphylococcus aureus (MRSA) belonging to the multilocus sequence type clonal complex 59 (MLST CC59) is the predominant community-associated MRSA clone in Asia. This clone, which is primarily linked with the spa type t437, has so far only been reported in low numbers among large epidemiological studies in Europe. Nevertheless, the overall numbers identified in some Northern European reference laboratories have increased during the past decade. To determine whether the S. aureus t437 clone is present in other European countries, and to assess its genetic diversity across Europe, we analysed 147 S. aureus t437 isolates from 11 European countries collected over a period of 11 years using multiple locus variable number tandem repeat fingerprinting/analysis (MLVF/MLVA) and MLST. Additionally 16 S. aureus t437 isolates from healthy carriers and patients from China were included. Most isolates were shown to be monophyletic with 98% of the isolates belonging to the single MLVA complex 621, to which nearly all included isolates from China also belonged. More importantly, all MLST-typed isolates belonged to CC59. Our study implies that the European S. aureus t437 population represents a genetically tight cluster, irrespective of the year, country and site of isolation. This underpins the view that S. aureus CC59 has been introduced into several European countries, not being restricted to particular geographical regions or specific host environments. The European S. aureus t437 isolates thus bear the general hallmarks of a high-risk clone.
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