目的探讨临床分离携带psm-mec基因耐甲氧西林表皮葡萄球菌(MRSE)的SCCmec型别。方法收集临床分离并经全自动微生物鉴定系统准确鉴定的表皮葡萄球菌165株,通过PCR扩增esp和mecA基因准确鉴定MRSE,扩增psm-mec、fudoh和p221片段鉴定携带psm...目的探讨临床分离携带psm-mec基因耐甲氧西林表皮葡萄球菌(MRSE)的SCCmec型别。方法收集临床分离并经全自动微生物鉴定系统准确鉴定的表皮葡萄球菌165株,通过PCR扩增esp和mecA基因准确鉴定MRSE,扩增psm-mec、fudoh和p221片段鉴定携带psm-mec菌株。采用多重PCR对携带psm-mec基因的MRSE的mec、ccr和SCCmec进行分型。结果 138株MRSE菌株中,29株携带psm-mec基因,携带率为17.58%。多重PCR对mec和ccr分型结果显示,携带psm-mec基因MRSE均为Class A mec,但ccr型别存在明显的多样性。多重PCR对SCCmec分型结果显示,所有菌株均可扩增出Ⅱ型和/或Ⅲ型SCCmec条带,且为混合型别。结论临床分离携带psm-mec基因的MRSE的SCCmec具有同源性,以含Class A mec的携带Ⅱ型和/或Ⅲ型SCCmec为主。展开更多
Data from a prospective, randomized, open-label, active-controlled, multicenter, Phase 4 study comparing oral or intravenous linezolid with intravenous vancomycin for treatment of complicated skin and soft-tissue infe...Data from a prospective, randomized, open-label, active-controlled, multicenter, Phase 4 study comparing oral or intravenous linezolid with intravenous vancomycin for treatment of complicated skin and soft-tissue infections caused by methicillin resistant Staphylococcus aureus was used to determine the association between staphylococcal cassette chromosome mec (SCCmec) type and patient’s clinical presentation, infection severity, intravenous therapy duration and length of stay (LOS). Compared to SCCmec types I, II, and III, SCCmec type IV, PVL+ was associated with more frequent presentation of abscesses, lower severity scores, and shorter intravenous therapy duration and LOS in both treatment groups.展开更多
MRSA is able to generate a modified variety of penicillin binding protein named as PBP2a instead of PBP which makes it resistant against penicillin and methicillin. Production of PBP2a is due to the presence of a gene...MRSA is able to generate a modified variety of penicillin binding protein named as PBP2a instead of PBP which makes it resistant against penicillin and methicillin. Production of PBP2a is due to the presence of a gene on Staphylococcal cassette chromosome or SCC termed as “mec-A gene”. SCC is a mobile genetic element carrying many resistance genes. It is because of current antibiotic selection pressure that by now there are eight types (I - VIII) of SCCmec. This research has been designed to determine frequency of SCCmec type IV and V in clinical isolates of MRSA. A total of 70 presumptive MRSA isolates collected from a tertiary care hospital of Lahore were cultured on blood agar, incubated overnight at 37°C aerobically. Next day, they were examined for cultural characteristics, colonial morphology, gram stain, and biochemical profile. Confirmation of MRSA was done by phenotypic disk diffusion method according to (CLSI) 2013 guidelines. mecA gene was also detected at molecular level. Molecular identification of SCCmec type IV and V was done by Nested PCR strategy. A total of 50 isolates were confirmed to be MRSA Molecular detection of SCCmec type IV and V revealed that 11 isolates (22%) possess SCCmec type IV and only 2 isolate (4%) carries SCCmec type V. It is obvious from results that SCCmec type IV and V are present in our population too. Larger study (with larger sample size) might be undertaken to find out actual emergence of SCCmec type IV and V in our population.展开更多
文摘目的探讨临床分离携带psm-mec基因耐甲氧西林表皮葡萄球菌(MRSE)的SCCmec型别。方法收集临床分离并经全自动微生物鉴定系统准确鉴定的表皮葡萄球菌165株,通过PCR扩增esp和mecA基因准确鉴定MRSE,扩增psm-mec、fudoh和p221片段鉴定携带psm-mec菌株。采用多重PCR对携带psm-mec基因的MRSE的mec、ccr和SCCmec进行分型。结果 138株MRSE菌株中,29株携带psm-mec基因,携带率为17.58%。多重PCR对mec和ccr分型结果显示,携带psm-mec基因MRSE均为Class A mec,但ccr型别存在明显的多样性。多重PCR对SCCmec分型结果显示,所有菌株均可扩增出Ⅱ型和/或Ⅲ型SCCmec条带,且为混合型别。结论临床分离携带psm-mec基因的MRSE的SCCmec具有同源性,以含Class A mec的携带Ⅱ型和/或Ⅲ型SCCmec为主。
文摘Data from a prospective, randomized, open-label, active-controlled, multicenter, Phase 4 study comparing oral or intravenous linezolid with intravenous vancomycin for treatment of complicated skin and soft-tissue infections caused by methicillin resistant Staphylococcus aureus was used to determine the association between staphylococcal cassette chromosome mec (SCCmec) type and patient’s clinical presentation, infection severity, intravenous therapy duration and length of stay (LOS). Compared to SCCmec types I, II, and III, SCCmec type IV, PVL+ was associated with more frequent presentation of abscesses, lower severity scores, and shorter intravenous therapy duration and LOS in both treatment groups.
文摘MRSA is able to generate a modified variety of penicillin binding protein named as PBP2a instead of PBP which makes it resistant against penicillin and methicillin. Production of PBP2a is due to the presence of a gene on Staphylococcal cassette chromosome or SCC termed as “mec-A gene”. SCC is a mobile genetic element carrying many resistance genes. It is because of current antibiotic selection pressure that by now there are eight types (I - VIII) of SCCmec. This research has been designed to determine frequency of SCCmec type IV and V in clinical isolates of MRSA. A total of 70 presumptive MRSA isolates collected from a tertiary care hospital of Lahore were cultured on blood agar, incubated overnight at 37°C aerobically. Next day, they were examined for cultural characteristics, colonial morphology, gram stain, and biochemical profile. Confirmation of MRSA was done by phenotypic disk diffusion method according to (CLSI) 2013 guidelines. mecA gene was also detected at molecular level. Molecular identification of SCCmec type IV and V was done by Nested PCR strategy. A total of 50 isolates were confirmed to be MRSA Molecular detection of SCCmec type IV and V revealed that 11 isolates (22%) possess SCCmec type IV and only 2 isolate (4%) carries SCCmec type V. It is obvious from results that SCCmec type IV and V are present in our population too. Larger study (with larger sample size) might be undertaken to find out actual emergence of SCCmec type IV and V in our population.
