Previous Article | Next Article 
Journal of Clinical Microbiology, September 1998, p. 2590-2596, Vol. 36, No. 9
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Intercontinental Spread of a Multidrug-Resistant
MethicillinResistant Staphylococcus aureus
Clone
M. Aires
de
Sousa,1
I. Santos
Sanches,1,2
M. L.
Ferro,3
M. J.
Vaz,4
Z.
Saraiva,5
T.
Tendeiro,5
J.
Serra,5 and
H.
de
Lencastre1,2,6,*
Unidade de Genética Molecular,
Instituto de Tecnologia Química e Biológica da
Universidade Nova de Lisboa (ITQB/UNL),
Oeiras,1
Faculdade de Ciências e
Tecnologia, Universidade Nova de Lisboa (FCT/UNL), Monte da
Caparica,2
Hospital de São
João, Oporto,4 and
Hospital de
São José3 and
Instituto
Português de Oncologia de Francisco
Gentil,5 Lisbon, Portugal, and
Laboratory of Microbiology, The Rockefeller University, New
York, New York6
Received 6 April 1998/Returned for modification 15 May
1998/Accepted 28 May 1998
Two hundred ten methicillin-resistant Staphylococcus
aureus (MRSA) isolates recovered between 1990 and 1997 from three
Portuguese hospitals located in Lisbon and Oporto were analyzed by
molecular fingerprinting techniques. The hybridization of
ClaI restriction digests with the mecA- and
Tn554-specific DNA probes combined with
pulsed-field gel electrophoresis documented the abrupt appearance and
extensive intrahospital spread of the Brazilian epidemic MRSA clone in
the 1995 samples of each one of the three hospitals
analyzed
suggesting the intercontinental transfer of this strain
from Brazil to Portugal. The appearance of this clone may challenge the
dominance of another highly epidemic imported clone
the Iberian MRSA,
currently the most widely spread MRSA clone in Portuguese hospitals.
*
Corresponding author. Mailing address: The Rockefeller
University, 1230 York Ave., New York, NY 10021. Phone: (212) 327-8278. Fax: (212) 327-8688. E-mail:
lencash{at}rockvax.rockefeller.edu.
Journal of Clinical Microbiology, September 1998, p. 2590-2596, Vol. 36, No. 9
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
This article has been cited by other articles:
-
Conceicao, T., Aires de Sousa, M., de Lencastre, H.
(2009). Staphylococcal Interspersed Repeat Unit Typing of Staphylococcus aureus: Evaluation of a New Multilocus Variable-Number Tandem-Repeat Analysis Typing Method. J. Clin. Microbiol.
47: 1300-1308
[Abstract]
[Full Text]
-
Mulvey, M. R. PhD, Simor, A. E. MD
(2009). Antimicrobial resistance in hospitals: How concerned should we be?. CMAJ
180: 408-415
[Full Text]
-
Gould, S. W. J., Rollason, J., Hilton, A. C., Cuschieri, P., McAuliffe, L., Easmon, S. L., Fielder, M. D.
(2008). UK epidemic strains of meticillin-resistant Staphylococcus aureus in clinical samples from Malta. J Med Microbiol
57: 1394-1398
[Abstract]
[Full Text]
-
Aires-de-Sousa, M., Correia, B., de Lencastre, H., and the Multilaboratory Project Collaborators,
(2008). Changing Patterns in Frequency of Recovery of Five Methicillin-Resistant Staphylococcus aureus Clones in Portuguese Hospitals: Surveillance over a 16-Year Period. J. Clin. Microbiol.
46: 2912-2917
[Abstract]
[Full Text]
-
Feil, E. J., Nickerson, E. K., Chantratita, N., Wuthiekanun, V., Srisomang, P., Cousins, R., Pan, W., Zhang, G., Xu, B., Day, N. P. J., Peacock, S. J.
(2008). Rapid Detection of the Pandemic Methicillin-Resistant Staphylococcus aureus Clone ST 239, a Dominant Strain in Asian Hospitals. J. Clin. Microbiol.
46: 1520-1522
[Abstract]
[Full Text]
-
Blanc, D. S., Petignat, C., Wenger, A., Kuhn, G., Vallet, Y., Fracheboud, D., Trachsel, S., Reymond, M., Troillet, N., Siegrist, H. H., Oeuvray, S., Bes, M., Etienne, J., Bille, J., Francioli, P., Zanetti, G.
(2007). Changing Molecular Epidemiology of Methicillin-Resistant Staphylococcus aureus in a Small Geographic Area over an Eight-Year Period. J. Clin. Microbiol.
45: 3729-3736
[Abstract]
[Full Text]
-
Tenover, F. C., Vaughn, R. R., McDougal, L. K., Fosheim, G. E., McGowan, J. E. Jr.
(2007). Multiple-Locus Variable-Number Tandem-Repeat Assay Analysis of Methicillin-Resistant Staphylococcus aureus Strains. J. Clin. Microbiol.
45: 2215-2219
[Abstract]
[Full Text]
-
Goering, R. V., McDougal, L. K., Fosheim, G. E., Bonnstetter, K. K., Wolter, D. J., Tenover, F. C.
(2007). Epidemiologic Distribution of the Arginine Catabolic Mobile Element among Selected Methicillin-Resistant and Methicillin-Susceptible Staphylococcus aureus Isolates. J. Clin. Microbiol.
45: 1981-1984
[Abstract]
[Full Text]
-
Hallin, M., Deplano, A., Denis, O., De Mendonca, R., De Ryck, R., Struelens, M. J.
(2007). Validation of Pulsed-Field Gel Electrophoresis and spa Typing for Long-Term, Nationwide Epidemiological Surveillance Studies of Staphylococcus aureus Infections. J. Clin. Microbiol.
45: 127-133
[Abstract]
[Full Text]
-
Petersdorf, S., Oberdorfer, K., Wendt, C.
(2006). Longitudinal Study of the Molecular Epidemiology of Methicillin-Resistant Staphylococcus aureus at a University Hospital. J. Clin. Microbiol.
44: 4297-4302
[Abstract]
[Full Text]
-
Kuhn, G., Francioli, P., Blanc, D. S.
(2006). Evidence for Clonal Evolution among Highly Polymorphic Genes in Methicillin-Resistant Staphylococcus aureus. J. Bacteriol.
188: 169-178
[Abstract]
[Full Text]
-
Wisplinghoff, H., Ewertz, B., Wisplinghoff, S., Stefanik, D., Plum, G., Perdreau-Remington, F., Seifert, H.
(2005). Molecular Evolution of Methicillin-Resistant Staphylococcus aureus in the Metropolitan Area of Cologne, Germany, from 1984 to 1998. J. Clin. Microbiol.
43: 5445-5451
[Abstract]
[Full Text]
-
Ip, M., Yung, R. W. H., Ng, T. K., Luk, W. K., Tse, C., Hung, P., Enright, M., Lyon, D. J.
(2005). Contemporary Methicillin-Resistant Staphylococcus aureus Clones in Hong Kong. J. Clin. Microbiol.
43: 5069-5073
[Abstract]
[Full Text]
-
Wannet, W. J. B., Spalburg, E., Heck, M. E. O. C., Pluister, G. N., Tiemersma, E., Willems, R. J. L., Huijsdens, X. W., de Neeling, A. J., Etienne, J.
(2005). Emergence of Virulent Methicillin-Resistant Staphylococcus aureus Strains Carrying Panton-Valentine Leucocidin Genes in The Netherlands. J. Clin. Microbiol.
43: 3341-3345
[Abstract]
[Full Text]
-
Wylie, J. L., Nowicki, D. L.
(2005). Molecular Epidemiology of Community- and Health Care-Associated Methicillin-Resistant Staphylococcus aureus in Manitoba, Canada. J. Clin. Microbiol.
43: 2830-2836
[Abstract]
[Full Text]
-
Gomes, A. R., Vinga, S., Zavolan, M., de Lencastre, H.
(2005). Analysis of the Genetic Variability of Virulence-Related Loci in Epidemic Clones of Methicillin-Resistant Staphylococcus aureus. Antimicrob. Agents Chemother.
49: 366-379
[Abstract]
[Full Text]
-
Perez-Roth, E., Lorenzo-Diaz, F., Batista, N., Moreno, A., Mendez-Alvarez, S.
(2004). Tracking Methicillin-Resistant Staphylococcus aureus Clones during a 5-Year Period (1998 to 2002) in a Spanish Hospital. J. Clin. Microbiol.
42: 4649-4656
[Abstract]
[Full Text]
-
Wannet, W. J. B., Spalburg, E., Heck, M. E. O. C., Pluister, G. N., Willems, R. J. L., de Neeling, A. J.
(2004). Widespread Dissemination in The Netherlands of the Epidemic Berlin Methicillin-Resistant Staphylococcus aureus Clone with Low-Level Resistance to Oxacillin. J. Clin. Microbiol.
42: 3077-3082
[Abstract]
[Full Text]
-
Robinson, D. A., Enright, M. C.
(2004). Evolution of Staphylococcus aureus by Large Chromosomal Replacements. J. Bacteriol.
186: 1060-1064
[Abstract]
[Full Text]
-
Huang, Y.-C., Su, L.-H., Wu, T.-L., Liu, C.-E., Young, T.-G., Chen, P.-Y., Hseuh, P.-R., Lin, T.-Y.
(2004). Molecular Epidemiology of Clinical Isolates of Methicillin-Resistant Staphylococcus aureus in Taiwan. J. Clin. Microbiol.
42: 307-310
[Abstract]
[Full Text]
-
Robinson, D. A., Enright, M. C.
(2003). Evolutionary Models of the Emergence of Methicillin-Resistant Staphylococcus aureus. Antimicrob. Agents Chemother.
47: 3926-3934
[Abstract]
[Full Text]
-
Lee, J. H.
(2003). Methicillin (Oxacillin)-Resistant Staphylococcus aureus Strains Isolated from Major Food Animals and Their Potential Transmission to Humans. Appl. Environ. Microbiol.
69: 6489-6494
[Abstract]
[Full Text]
-
Ip, M., Lyon, D. J., Chio, F., Enright, M. C., Cheng, A. F.
(2003). Characterization of Isolates of Methicillin-Resistant Staphylococcus aureus from Hong Kong by Phage Typing, Pulsed-Field Gel Electrophoresis, and Fluorescent Amplified-Fragment Length Polymorphism Analysis. J. Clin. Microbiol.
41: 4980-4985
[Abstract]
[Full Text]
-
Melter, O., Aires de Sousa, M., Urbaskova, P., Jakubu, V., Zemlickova, H., de Lencastre, H.
(2003). Update on the Major Clonal Types of Methicillin-Resistant Staphylococcus aureus in the Czech Republic. J. Clin. Microbiol.
41: 4998-5005
[Abstract]
[Full Text]
-
Branger, C., Gardye, C., Galdbart, J.-O., Deschamps, C., Lambert, N.
(2003). Genetic Relationship between Methicillin-Sensitive and Methicillin-Resistant Staphylococcus aureus Strains from France and from International Sources: Delineation of Genomic Groups. J. Clin. Microbiol.
41: 2946-2951
[Abstract]
[Full Text]
-
Aires de Sousa, M., Bartzavali, C., Spiliopoulou, I., Santos Sanches, I., Crisostomo, M. I., de Lencastre, H.
(2003). Two International Methicillin-Resistant Staphylococcus aureus Clones Endemic in a University Hospital in Patras, Greece. J. Clin. Microbiol.
41: 2027-2032
[Abstract]
[Full Text]
-
Aires de Sousa, M., Crisostomo, M. I., Santos Sanches, I., Wu, J. S., Fuzhong, J., Tomasz, A., de Lencastre, H.
(2003). Frequent Recovery of a Single Clonal Type of Multidrug-Resistant Staphylococcus aureus from Patients in Two Hospitals in Taiwan and China. J. Clin. Microbiol.
41: 159-163
[Abstract]
[Full Text]
-
Wielders, C. L. C., Fluit, A. C., Brisse, S., Verhoef, J., Schmitz, F. J.
(2002). mecA Gene Is Widely Disseminated in Staphylococcus aureus Population. J. Clin. Microbiol.
40: 3970-3975
[Abstract]
[Full Text]
-
Huygens, F., Nimmo, G. R., Schooneveldt, J., Munckhof, W. J., Giffard, P. M.
(2002). Genotyping of Methicillin-Resistant Staphylococcus aureus by Assaying for the Presence of Variable Elements Associated with mecA. J. Clin. Microbiol.
40: 3093-3097
[Abstract]
[Full Text]
-
Senna, J. P. M., Pinto, C. A., Carvalho, L. P. S., Santos, D. S.
(2002). Comparison of Pulsed-Field Gel Electrophoresis and PCR Analysis of Polymorphisms on the mec Hypervariable Region for Typing Methicillin-Resistant Staphylococcus aureus. J. Clin. Microbiol.
40: 2254-2256
[Abstract]
[Full Text]
-
Enright, M. C., Robinson, D. A., Randle, G., Feil, E. J., Grundmann, H., Spratt, B. G.
(2002). The evolutionary history of methicillin-resistant Staphylococcus aureus (MRSA). Proc. Natl. Acad. Sci. USA
99: 7687-7692
[Abstract]
[Full Text]
-
Sola, C., Gribaudo, G., Vindel, A., Patrito, L., Bocco, J. L.
(2002). Identification of a Novel Methicillin-Resistant Staphylococcus aureus Epidemic Clone in Cordoba, Argentina, Involved in Nosocomial Infections. J. Clin. Microbiol.
40: 1427-1435
[Abstract]
[Full Text]
-
Donnio, P.-Y., Louvet, L., Preney, L., Nicolas, D., Avril, J.-L., Desbordes, L.
(2002). Nine-Year Surveillance of Methicillin-Resistant Staphylococcus aureus in a Hospital Suggests Instability of mecA DNA Region in an Epidemic Strain. J. Clin. Microbiol.
40: 1048-1052
[Abstract]
[Full Text]
-
Blanc, D. S., Struelens, M. J., Deplano, A., De Ryck, R., Hauser, P. M., Petignat, C., Francioli, P.
(2001). Epidemiological Validation of Pulsed-Field Gel Electrophoresis Patterns for Methicillin-Resistant Staphylococcus aureus. J. Clin. Microbiol.
39: 3442-3445
[Abstract]
[Full Text]
-
Groom, A. V., Wolsey, D. H., Naimi, T. S., Smith, K., Johnson, S., Boxrud, D., Moore, K. A., Cheek, J. E.
(2001). Community-Acquired Methicillin-Resistant Staphylococcus aureus in a Rural American Indian Community. JAMA
286: 1201-1205
[Abstract]
[Full Text]
-
SOARES, M. J. D. S., TEIXEIRA, L. A., NUNES, M. D. R., CARVALHO, M. C. D. S., FERREIRA-CARVALHO, B. T., FIGUEIREDO, A. M S.
(2001). Analysis of different molecular methods for typing methicillin-resistant Staphylococcus aureus isolates belonging to the Brazilian epidemic clone. J Med Microbiol
50: 732-742
[Abstract]
[Full Text]
-
Aires de Sousa, M., Miragaia, M., Santos Sanches, I., Avila, S., Adamson, I., Casagrande, S. T., Brandileone, M. C. C., Palacio, R., Dell'Acqua, L., Hortal, M., Camou, T., Rossi, A., Velazquez-Meza, M. E., Echaniz-Aviles, G., Solorzano-Santos, F., Heitmann, I., de Lencastre, H.
(2001). Three-Year Assessment of Methicillin-Resistant Staphylococcus aureus Clones in Latin America from 1996 to 1998. J. Clin. Microbiol.
39: 2197-2205
[Abstract]
[Full Text]
-
Tenover, F. C., Mohammed, M. J., Stelling, J., O'Brien, T., Williams, R.
(2001). Ability of Laboratories To Detect Emerging Antimicrobial Resistance: Proficiency Testing and Quality Control Results from the World Health Organization's External Quality Assurance System for Antimicrobial Susceptibility Testing. J. Clin. Microbiol.
39: 241-250
[Abstract]
[Full Text]
-
Geddes, A.
(2000). Infection in the twenty-first century: predictions and postulates. J Antimicrob Chemother
46: 873-877
[Abstract]
[Full Text]
-
NOVAK, F.R., DA SILVA, A.V., HAGLER, A.N., FIGUEIREDO, A.M. S.
(2000). Contamination of expressed human breast milk with an epidemic multiresistant Staphylococcus aureus clone. J Med Microbiol
49: 1109-1117
[Abstract]
[Full Text]
-
Brisse, S., Milatovic, D., Fluit, A. C., Kusters, K., Toelstra, A., Verhoef, J., Schmitz, F.-J.
(2000). Molecular Surveillance of European Quinolone-Resistant Clinical Isolates of Pseudomonas aeruginosa and Acinetobacter spp. Using Automated Ribotyping. J. Clin. Microbiol.
38: 3636-3645
[Abstract]
[Full Text]
-
Oliveira, D. C., Wu, S. W., de Lencastre, H.
(2000). Genetic Organization of the Downstream Region of the mecA Element in Methicillin-Resistant Staphylococcus aureus Isolates Carrying Different Polymorphisms of This Region. Antimicrob. Agents Chemother.
44: 1906-1910
[Abstract]
[Full Text]
-
Killgore, G. E., Holloway, B., Tenover, F. C.
(2000). A 5' Nuclease PCR (TaqMan) High-Throughput Assay for Detection of the mecA Gene in Staphylococci. J. Clin. Microbiol.
38: 2516-2519
[Abstract]
[Full Text]
-
Enright, M. C., Day, N. P. J., Davies, C. E., Peacock, S. J., Spratt, B. G.
(2000). Multilocus Sequence Typing for Characterization of Methicillin-Resistant and Methicillin-Susceptible Clones of Staphylococcus aureus. J. Clin. Microbiol.
38: 1008-1015
[Abstract]
[Full Text]
-
Fisher, M. C., Koenig, G. L., White, T. J., Taylor, J. W.
(2000). Pathogenic Clones versus Environmentally Driven Population Increase: Analysis of an Epidemic of the Human Fungal Pathogen Coccidioides immitis. J. Clin. Microbiol.
38: 807-813
[Abstract]
[Full Text]
-
COIMBRA, M. V. D. S., TEIXEIRA, L. A., RAMOS, R. L. B., PREDARI, S. C., CASTELLO, L., FAMIGLIETTI, A., VAY, C., KLAN, L., FIGUEIREDO, A. M. S.
(2000). Spread of the Brazilian epidemic clone of a multiresistant MRSA in two cities in Argentina. J Med Microbiol
49: 187-192
[Abstract]
[Full Text]
-
Lelièvre, H., Lina, G., Jones, M. E., Olive, C., Forey, F., Roussel-Delvallez, M., Nicolas-Chanoine, M.-H., Bébéar, C. M., Jarlier, V., Andremont, A., Vandenesch, F., Etienne, J.
(1999). Emergence and Spread in French Hospitals of Methicillin-Resistant Staphylococcus aureus with Increasing Susceptibility to Gentamicin and Other Antibiotics. J. Clin. Microbiol.
37: 3452-3457
[Abstract]
[Full Text]
-
Melter, O., Santos Sanches, I., Schindler, J., Aires de Sousa, M., Mato, R., Kovárova, V., Zemlicková, H., de Lencastre, H.
(1999). Methicillin-Resistant Staphylococcus aureus Clonal Types in the Czech Republic. J. Clin. Microbiol.
37: 2798-2803
[Abstract]
[Full Text]
-
Sá-Leão, R., Santos Sanches, I., Dias, D., Peres, I., Barros, R. M., de Lencastre, H.
(1999). Detection of an Archaic Clone of Staphylococcus aureus with Low-Level Resistance to Methicillin in a Pediatric Hospital in Portugal and in International Samples: Relics of a Formerly Widely Disseminated Strain?. J. Clin. Microbiol.
37: 1913-1920
[Abstract]
[Full Text]
-
Leski, T., Oliveira, D., Trzcinski, K., Sanches, I. S., de Sousa, M. A., Hryniewicz, W., de Lencastre, H.
(1998). Clonal Distribution of Methicillin-Resistant Staphylococcus aureus in Poland. J. Clin. Microbiol.
36: 3532-3539
[Abstract]
[Full Text]