Abstract
Six methicillin-resistant Staphylococcus aureus MRSA strains from two nosocomial infection cases described in a previous study [15], of which two ocurred in March and the other four in May, 2005, were found to possess one copy of class 1 integron with aadA2 gene cassette located on chromosomes by Southern hybridization. Polymerase chain reaction (PCR) detection of mecA and pvl, SCCmec typing, multilocus sequence typing (MLST), spaA typing and coa typing were also performed. The results revealed 6 MRSA fell into the ST239-MRSA-III group (clonal complex 8), with the spaA type GKAOMQ and coa type HIJKL, whereas the pvl locus was not detected. DNA fingerprinting analysis by random amplified polymorphic DNA–PCR using three different assays were also performed, and all strains exhibited identical patterns, indicating that they were clonally related and might be mainly due to a specific clone in the hospital. This was the first time, to our knowledge, that class 1 integron-bearing MRSA (I-MRSA), simultaneously carrying two mobile genetic elements was confirmed: class 1 integron and SCCmec.
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References
Chang S, Sun C, Yang L, Luh K, Hsieh W (1997) Increasing nosocomial infections of methicillin-resistant Staphylococcus aureus at a teaching hospital in Taiwan. Int J Antimicrob Agents 8:109–114
Centers For Disease Control (1972) Outline for surveillance and control of nosocomial infections, revised. US Department of Health, Education and Welfare, Public Health Service, Washington, DC
Deplano A, Vaneechoutte M, Verschraegen G, Struelens MJ (1997) Typing of Staphylococcus aureus and Staphylococcus epidermidis strains by PCR analysis of Inter-IS256 spacer length polymorphisms. J Clin Microbiol 35:2580–2587
Hisata K, Kuwahara-Arai K, Yamanoto M et al (2005) Dissemination of methicillin-resistant Staphylococci among healthy Japanese children. J Clin Microbiol 43:364–3372
Ito T, Katayama Y, Asada K et al (2001) Structural comparison of three types of staphylococcal cassette chromosome mec integrated in the chromosome in methicillin-resistant Staphylococcus aureus. Antimicrob Agents Chemother 45:1323–1336
Lina G, Piemont Y, Godail-Gamot F et al (1999) Involvement of Panton-Valentine leukocidin-producing Staphylococcus aureus in primary skin infections and pneumonia. Clin Infect Dis 29:1128–1132
Nakatomi Y, Sugiyama J (1998) A rapid latex agglutination assay for the detection of penicillin-binding protein 2′. Microbiol Immunol 42:739–743
Nesvera J, Hochmannova J, Patek M (1998) An integron of class 1 is present on the plasmid pCG4 from gram-positive bacterium Corynebacterium glutamicum. FEMS Microbiol Lett 169:391–395
Oliveira DC, Lencastre H (2002) Multiplex PCR strategy for rapid identification of structural types and variants of the mec element in methicillin-resistant Staphylococcus aureus. Antimicrob Agents Chemother 46:2155–2161
Recchia GD, Hall RM (1997) Origins of the mobile gene cassettes found in integrons. Trends Microbiol 5:389–394
Shopsin B, Gomez M, Montgomery SO et al (1999) Evaluation of protein A gene polymorphic region DNA sequencing for typing of Staphylococcus aureus strains. J Clin Microbiol 37:3556–3563
Shopsin B, Gomez M, Waddington M, Riehman M, Kreiswirth BN (2000) Use of coagulase gene (coa) repeat region nucleotide sequences for typing of methicillin-resistant Staphylococcus aureus strains. J Clin Microbiol 38:3453–3456
Sun XG, Wang ZQ, Chen L, Luo SY, Jin XY, Zhang WH (2002) Etiological analysis on bacterial ocular disease in northern China (1989–1998). Chin Med J 115:933–935
Van Belkum A, Kluytmans J, Van Leeuwen W et al (1995) Multicenter evaluation of arbitrarily primed PCR for typing of Staphylococcus aureus strains. J Clin Microbiol 33:1537–1547
Xu Z, Shi L, Zhang C et al (2007) Nosocomial infection caused by class 1 integron-carrying Staphylococcus aureus in a hospital in South China. Clin Microbiol Infect 13:980–984
Xu Z, Shi L, Alam MJ, Li L, Yamasaki S (2008) Integron-bearing methicillin-resistant coagulase-negative staphylococci in South China, 2001-2004. FEMS Microbiol Lett 278:223–230
Zhang H, Shi L, Li L et al (2004) Identification and characterization of class 1 integron resistance gene cassettes among Salmonella strains isolated from healthy humans in China. Microbiol Immunol 48:639–645
Acknowledgments
We thank T. Ito and K. Hiramatsu for providing us the SCCmec type strains of MRSA.
This work was supported by National Natural Science Foundation of China (20436020).
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Xu, Z., Li, L., Alam, M.J. et al. First Confirmation of Integron-Bearing Methicillin-Resistant Staphylococcus aureus . Curr Microbiol 57, 264–268 (2008). https://doi.org/10.1007/s00284-008-9187-8
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DOI: https://doi.org/10.1007/s00284-008-9187-8