Molecular characteristics of community-associated methicillin-resistant Staphylococcus aureus strains for clinical medicine

Arch Microbiol. 2010 Aug;192(8):603-17. doi: 10.1007/s00203-010-0594-4. Epub 2010 Jun 11.

Abstract

Infections caused by methicillin-resistant S. aureus strains are mainly associated with a hospital setting. However, nowadays, the MRSA infections of non-hospitalized patients are observed more frequently. In order to distinguish them from hospital-associated methicillin-resistant S. aureus (HA-MRSA) strains, given them the name of community-associated methicillin-resistant S. aureus (CA-MRSA). CA-MRSA strains most commonly cause skin infections, but may lead to more severe diseases, and consequently the patient's death. The molecular markers of CA-MRSA strains are the presence of accessory gene regulator (agr) of group I or III, staphylococcal cassette chromosome mec (SCCmec) type IV, V or VII and genes encoding for Panton-Valentine leukocidin (PVL). In addition, CA-MRSA strains show resistance to beta-lactam antibiotics. Studies on the genetic elements of CA-MRSA strains have a key role in the unambiguous identification of strains, monitoring of infections, improving the treatment, work on new antimicrobial agents and understanding the evolution of these pathogens.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • DNA, Bacterial / genetics
  • Drug Resistance, Multiple, Bacterial / genetics*
  • Evolution, Molecular
  • Gene Expression Regulation, Bacterial
  • Genes, Bacterial
  • Genes, Regulator
  • Humans
  • Leukocidins / genetics
  • Methicillin-Resistant Staphylococcus aureus / classification
  • Methicillin-Resistant Staphylococcus aureus / genetics*
  • Polymorphism, Genetic
  • Staphylococcal Infections / microbiology*

Substances

  • DNA, Bacterial
  • Leukocidins