Journal article
Non-multiresistant methicillin-resistant Staphylococcus aureus bacteraemia in Sydney, Australia: emergence of EMRSA-15, Oceania, Queensland and Western Australian MRSA strains
Pathology, Vol.38(3), pp.239-244
2006
Abstract
Aims: To describe clinical features and molecular epidemiology of non-multiresistant methicillin-resistant Staphylococcus aureus (MRSA) bacteraemia. Methods: Patients with non-multiresistant MRSA isolated from blood at South Western Area Pathology Service from 1 January 1999 to 31 December 2001 were enrolled. Pulsed field gel electrophoresis, phage typing, and (selected instances) multilocus sequence and staphylococcal cassette chromosome typing was performed. PCR was used to detect Panton-Valentine leukocidin (PVL), toxic shock syndrome toxin-1 (TSST-1), and enterotoxin genes. Results: Sixteen patients were detected: eight with UK EMRSA-15 (ST22-MRSA-IV), three with Oceania (South-West Pacific/Western Samoan phage pattern) (ST30-MRSA-IV), two with WA MRSA-5 (ST8-MRSA-IV), and one each with WA MRSA-1 (ST1-MRSA-IV), Queensland strain (ST93-MRSA-IV), and WA MRSA-15 (ST59-MRSA-IV). Prior hospital admissions occurred with six of the eight patients with UK EMRSA-15, none of the three with Oceania, and three of the five with other strains. Thirteen of 16 patients had underlying disease. Three of the three patients with Oceania strain bacteraemia were Polynesians; 11 of 13 of the others were Caucasians. PVL genes were detected in four of 16 isolates (all Oceania and Queensland strains). ent C was detected in two EMRSA-15 strains; ent A in one Oceania, two WA MRSA-5 and the WA MRSA-1 strain, with ent A and ent B in the WA MRSA-15 strain. tst was not detected. Conclusions: Multiple epidemic strains cause non-multiresistant MRSA bacteraemia. Most patients had risk factors. Oceania and Queensland strains possess the PVL gene.
Details
- Title
- Non-multiresistant methicillin-resistant Staphylococcus aureus bacteraemia in Sydney, Australia: emergence of EMRSA-15, Oceania, Queensland and Western Australian MRSA strains
- Authors/Creators
- I.B. Gosbell (Author/Creator) - UNSW SydneyT. Barbagiannakos (Author/Creator) - SWAPS Staphylococcal Reference Facility, South Western Area Pathology Service, LiverpoolS.A. Neville (Author/Creator) - SWAPS Staphylococcal Reference Facility, South Western Area Pathology Service, LiverpoolJ.L. Mercer (Author/Creator) - SWAPS Staphylococcal Reference Facility, South Western Area Pathology Service, LiverpoolA.M. Vickery (Author/Creator) - SWAPS Staphylococcal Reference Facility, South Western Area Pathology Service, LiverpoolF.G. O’Brien (Author/Creator)G.W. Coombs (Author/Creator) - Royal Perth HospitalM.J. Malkowski (Author/Creator) - Royal Perth HospitalJ.C. Pearson (Author/Creator) - Royal Perth Hospital
- Publication Details
- Pathology, Vol.38(3), pp.239-244
- Publisher
- Taylor & Francis
- Identifiers
- 991005543591407891
- Copyright
- © 2006 Royal College of Pathologists of Australasia.
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.23 Antibiotics & Antimicrobials
- 1.23.173 MRSA and VRE
- Web Of Science research areas
- Pathology
- ESI research areas
- Clinical Medicine