Stability of genomic DNA fragment patterns in methicillin resistant Staphylococcus aureus (MRSA) during the course of intra- and interhospital spread

Eur J Epidemiol. 1994 Dec;10(6):743-8. doi: 10.1007/BF01719292.

Abstract

The analysis of genomic DNA fragment patterns has revealed as a powerful tool for strain discrimination in Staphylococcus aureus; for use as an epidemiological marker, stability during the course of an outbreak is an essential prerequisite. Genomic DNA fragment patterns (SmaI restriction, pulsed-field electrophoresis) of four different epidemic MRSA strains were compared along with intra- and interhospital and country-wide spread over more than 12 months in Germany. Strain I was isolated from infections in 8 hospitals. In one hospital a subclone arised which differed from the original strain by 4 fragments. Strain II was spread among 4 hospitals, isolates from three of these hospitals exhibited a variability of one to three fragments in the 150-200 kb range. Two hospitals in the Hannover-area were affected by strain III; in 17 isolates of this strain a variability up to three fragments was found in the 170-200 kb range. Strain IV was isolated from 19 cases of infections in 3 hospitals in Berlin. The fragment patterns were completely stable. When S. aureus strains are typed by genomic DNA fragment patterns, a variability in a definite range of molecular masses during the course of an epidemic should be taken into consideration.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Cross Infection / epidemiology
  • Cross Infection / genetics*
  • DNA, Bacterial / genetics*
  • Disease Outbreaks
  • Drug Resistance, Multiple / genetics
  • Genome, Bacterial*
  • Germany / epidemiology
  • Humans
  • Methicillin Resistance / genetics*
  • Phenotype
  • Sequence Analysis, DNA
  • Staphylococcal Infections / epidemiology
  • Staphylococcal Infections / genetics*
  • Staphylococcus aureus / classification
  • Staphylococcus aureus / genetics*
  • Surgery Department, Hospital
  • Urology Department, Hospital

Substances

  • DNA, Bacterial