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Diversity of community acquired MRSA carrying the PVL gene in Queensland and New South Wales, Australia

Abstract

Emergence and dissemination of community acquired methicillin resistant Staphylococcus aureus (CA-MRSA) strains are being reported with increasing frequency in Australia and worldwide. These strains of CA-MRSA are genetically diverse and distinct in Australia. Genotyping of CA-MRSA using eight highly-discriminatory single nucleotide polymorphisms (SNPs) is a rapid and robust method for monitoring the dissemination of these strains in the community. In this study, a SNP genotyping method was used to investigate the molecular epidemiology of 249 community acquired non-multiresistant MRSA (nm-MRSA) isolates over a 12-month period from routine diagnostic specimens. A real-time PCR for the presence of Panton-Valentine leukocidin (PVL) was also performed on these isolates. The CA-MRSA isolates were sourced from a large private laboratory in Brisbane, Australia that serves a wide geographic region encompassing Queensland and Northern New South Wales. This study identified 16 different STs and 98% of the CA-MRSA isolates were positive for the PVL gene. The most common ST was ST93 with 41% of isolates testing positive for this clone.

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References

  1. Chambers HF (2005) Community-associated MRSA-resistance and virulence converge. N Engl J Med 352:1485–1487

    PubMed  Article  CAS  Google Scholar 

  2. Chambers HF (2001) The changing epidemiology of Staphylococcus aureus? Emerg Infect Dis 7:178–182

    PubMed  Article  CAS  Google Scholar 

  3. Chambers HF (1997) Methicillin resistance in staphylococci: molecular and biochemical basis and clinical implications. Clin Microbiol Rev 10:781–791

    PubMed  CAS  Google Scholar 

  4. Coombs GW, Nimmo GR, Pearson JC, Christiansen KJ, Bell JM, Collignon PJ, McLaws ML, Australian Group for Antimicrobial Resistance (2009) Prevalence of MRSA strains among Staphylococcus aureus isolated from outpatients. Commun Dis Intell 1:10–20

    Google Scholar 

  5. Coombs G, Nimmo G, Bell J, Huygens F, O’Brien F, Malkowski M, Pearson J, Stephens A, Giffard P (2004) Genetic diversity among community methicillin-resistant Staphylococcus aureus strains causing outpatient infections in Australia. J Clin Microbiol 42:4735–474

    Article  Google Scholar 

  6. Deurenberg RH, Stobberingh EE (2008) The evolution of Staphylococcus aureus. Infect Genet Evol 468:1348–1367

    Google Scholar 

  7. Diep BA, Stone GG, Basuino L, Graber CJ, Miller A, des Etages SA, Jones A, Palazzolo-Balance AM, Perdreau-Remington F, Sensabaugh GF, DeLeo FR, Chambers HF (2008) The Arginine catabolic mobile element and staphylococcal chromosomal cassette mec linkage: convergence of virulence and resistance in the USA300 clone of methicillin-resistant Staphylococcus aureus. J Infect Dis 197:1523–1530

    PubMed  Article  CAS  Google Scholar 

  8. Diep BA, Otto M (2008) The role of virulence determinants in community-associated MRSA pathogenesis. Trends Microbiol 16:361–369

    PubMed  Article  CAS  Google Scholar 

  9. Diep BA, Carleton HA, Chang RF, Sensabaugh GF, Perdreau-Remington F (2006) Roles of 34 virulence genes in the evolution of hospital-and community-associated strains of methicillin-resistant Staphylococcus aureus. J Infect Dis 193:1495–1503

    PubMed  Article  CAS  Google Scholar 

  10. Diep BA, Gill SR, Chang RF, HaiVan Phan T, Chen JH, Davidson MG, Lin F, Lin J, Carleton HA, Mongodin EF, Sensabaugh GF, Perdreau-Remington F (2006) Complete genome sequence of USA300, an epidemic clone of community-acquired methicillin-resistant Staphylococcus aureus. Lancet 367:731–739

    PubMed  Article  CAS  Google Scholar 

  11. Diep BA, Sensabaugh GF, Somboona NS, Carleton HA, Perdreau-Remington F (2004) Widespread skin and soft-tissue infections due to two methicillin-resistant Staphylococcus aureus strains harboring the genes for Panton-Valentine leucocidin. J Clin Microbiol 42:2080–2084

    PubMed  Article  Google Scholar 

  12. Enright MC, Robinson DA, Randle G, Feil EJ, Grundmann H, Spratt B (2002) The evolutionary history of methicillin-resistant Staphylococcus aureus (MRSA). Proc Natl Acad Sci 99:7687–7692

    PubMed  Article  CAS  Google Scholar 

  13. Huygens F, Inman-Bamber J, Nimmo G, Munckhof W, Schooneveldt J, Harrison B, McMahon J, Giffard P (2006) Staphyloccus aureus genotyping using novel real-time PCR formats. J Clin Microbiol 44:3712–3719

    PubMed  Article  CAS  Google Scholar 

  14. Huygens F, Stephens AJ, Nimmo GR, Giffard PM (2004) mecA locus diversity in methicillin-resistant Staphylococcus aureus isolates in Brisbane, Australia, and the development of a novel diagnostic procedure for the Western Samoan phage pattern clone. J Clin Microbiol 42:1947–1955

    PubMed  Article  CAS  Google Scholar 

  15. McDonald M, Dougall A, Holt D, Huygens F, Oppedisano F, Giffard P, Inman-Bamber J, Stephens A, Towers R, Carapetis J, Currie B (2006) Use of a single-nucleotide polymorphism genotyping system to demonstrate the unique epidemiology of methicillin-resistant Staphylococcus aureus in remote aboriginal communities. J Clin Microbiol 44:3720–3727

    PubMed  Article  CAS  Google Scholar 

  16. Munckhof WJ, Schooneveldt JM, Schlebusch S, Stephens AJ, Willians G, Huygens F, Giffard P (2009) Nasal carriage of Staphylococcus aureus, including community-associated methicillin-resistant strains, in Queensland adults. Clin Microbiol Infect 15:149–155

    PubMed  Article  CAS  Google Scholar 

  17. Munckhof WJ, Schooneveldt J, Coombs GW, Hoare J, Nimmo GR (2003) Emergence of community-acquired methicillin-resistant Staphylococcus aureus (MRSA) infection in Queensland, Australia. Int J Infect Dis 7:259–267

    PubMed  Article  Google Scholar 

  18. Munckhof WJ, Nimmo GR, Caney J, Schooneveldt JM, Huygens F, Inman-bamber J, Tong E, Morton A, Giffard P (2008) Methicillin-susceptible, non-multiresistant methicillin-resistant and mulitresistant methicillin-resistant Staphylococcus aureus infections: a clinical, epidemiological and microbiological comparative study. Eur J Clin Microbiol 27:355–364

    Article  CAS  Google Scholar 

  19. Nimmo GR, Coombs GW (2008) Community-associated methicillin-resistant Staphylococcus aureus (MRSA) in Australia. Int J Antimicrob Agents 31:401–410

    PubMed  Article  CAS  Google Scholar 

  20. Nimmo GR, Coombs GW, Pearson JC, O'Brien FG, Christiansen KJ, Turnidge JD, Gosbell IB, Collignon P, McLaws ML (2006) Methicillin-resistant Staphylococcus aureus in the Australian community: an evolving epidemic. Med J Aust 184:384–388

    PubMed  Google Scholar 

  21. Nimmo GR, Schooneveldt J, O’Kane G, McCall B, Vickery A (2000) Community acquisition of gentamicin-sensitive methicillin-resistant Staphylococcus aureus in Southeast Queensland Australia. J Clin Microbiol 38:3926–3931

    PubMed  CAS  Google Scholar 

  22. O’Hara F, Guex N, Word J, Miller L, Becker J, Walsh S, Scangarella N, West J, Shawar R, Amrine-Madsen H (2008) A geographic variant of the Staphyloccus aureus Panton-Valentine leukocidin toxin and the origin of community-associated methicillin-resistant S. aureus USA300. J Infect Dis 197:187–194

    PubMed  Article  Google Scholar 

  23. Stephens A, Huygens F, Inman-bamber J, Price EP, Nimmo GR, Schooneveldt J, Munckhof W, Giffard P (2006) Methicillin-resistant Staphylococcus aureus genotyping using a small set of polymorphisms. J Med Microbiol 55:43–51

    PubMed  Article  CAS  Google Scholar 

  24. Vandenesch F, Naimi T, Enright M, Lina G, Nimmo G, Heffenman H, Liassine N, Bes M, Greenland T, Reverdy M, Etienne J (2003) Community-acquired methicillin-resistant Staphylococcus aureus carrying Panton-Valentine leukocidin genes: worldwide emergence. Emerg Infect Dis 9:978–984

    PubMed  Google Scholar 

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Correspondence to F. Huygens.

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Costello, ME., Huygens, F. Diversity of community acquired MRSA carrying the PVL gene in Queensland and New South Wales, Australia. Eur J Clin Microbiol Infect Dis 30, 1163–1167 (2011). https://doi.org/10.1007/s10096-011-1203-4

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  • DOI: https://doi.org/10.1007/s10096-011-1203-4

Keywords

  • Nursing Home Resident
  • Soft Tissue Infection
  • ST93 Strain
  • South East Queensland
  • Antimicrobial Disc Susceptibility Testing