Evaluation of double locus (clfB and spa) sequence typing for studying molecular epidemiology of methicillin-resistant Staphylococcus aureus in Taiwan

Autor: Chi Yuan Li, Cheng Mao Ho, Hui Chen Chen, Chen Cheng Huang, Ni Tien, Jang Jih Lu, Mao Cheng Ge, Hsiu Mei Fan
Jazyk: angličtina
Předmět:
0301 basic medicine
Microbiology (medical)
DNA
Bacterial

Methicillin-Resistant Staphylococcus aureus
Genotype
030106 microbiology
Taiwan
lcsh:QR1-502
Biology
medicine.disease_cause
lcsh:Microbiology
Microbiology
03 medical and health sciences
0302 clinical medicine
Immunology and Microbiology(all)
medicine
Pulsed-field gel electrophoresis
Immunology and Allergy
Humans
030212 general & internal medicine
Typing
Adhesins
Bacterial

Genetics
Antigens
Bacterial

Molecular Epidemiology
General Immunology and Microbiology
Molecular epidemiology
Base Sequence
SCCmec
General Medicine
Staphylococcal Infections
biochemical phenomena
metabolism
and nutrition

bacterial infections and mycoses
Methicillin-resistant Staphylococcus aureus
Electrophoresis
Gel
Pulsed-Field

Infectious Diseases
Staphylococcus aureus
Staphylococcus
Multilocus Sequence Typing
double locus sequence typing
Zdroj: Journal of Microbiology, Immunology and Infection, Vol 50, Iss 5, Pp 604-612 (2017)
ISSN: 1684-1182
DOI: 10.1016/j.jmii.2015.10.002
Popis: Background Pulsed-field gel electrophoresis (PFGE) is the "gold standard" for epidemiological investigation of methicillin-resistant Staphylococcus aureus (MRSA), but several DNA sequence-based methods have been developed in MRSA typing because of the unambiguous results. Methods Ninety-one MRSA isolates were collected from the blood cultures of different patients from July 2008 to December 2008 in central Taiwan. The molecular characteristics of each isolate, including double locus sequence typing (DLST; spa and clfB typing), Staphylococcus cassette chromosome mec (SCCmec), and PFGE were determined for comparison. Results Five major clfB types (types A–E), 18 spa types, 33 DLST genotypes, five SCCmec types, 17 pulsotypes have been observed. Three major DLST genotypes (A1-t002, C0-t037, and B1-t437) and two major pulsotypes (6 and 8) were identified. Most clfB type A isolates (97.1%) were SCCmec type II and all clfB type C isolates (100%) were SCCmec type III. Most clfB type B isolates (88.9%) were SCCmec type IV (59.3%) and V T (29.6%). All (100%) clfB subtypes A1, A2, and C isolates and 70.4% of clfB type B isolates belonged to healthcare-associated-MRSA. The average congruence was 57.7% between DLST and PFGE, and 96.6% between clfB and SCCmec type. The index of discrimination of SCCmec, clfB , spa , PFGE, and DLST was 0.72, 0.79, 0.80, 0.81, and 0.87, respectively. Conclusion ClfB type has high congruence with SCCmec type. The DLST method in this study yielded a higher discriminatory power than PFGE in local investigation of molecular epidemiology of MRSA and a promising alternative to PFGE.
Databáze: OpenAIRE