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Bacteriology

Establishment of ST30 as the Predominant Clonal Type among Community-Associated Methicillin-Resistant Staphylococcus aureus Isolates in Singapore

Li-Yang Hsu, Yin-Ling Koh, Nidhi Loomba Chlebicka, Thean-Yen Tan, Prabha Krishnan, Raymond Tzer-Pin Lin, Nancy Tee, Timothy Barkham, Tse-Hsien Koh
Li-Yang Hsu
1Singapore General Hospital, Singapore
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  • For correspondence: liyang_hsu@yahoo.com
Yin-Ling Koh
1Singapore General Hospital, Singapore
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Nidhi Loomba Chlebicka
1Singapore General Hospital, Singapore
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Thean-Yen Tan
2Changi General Hospital, Singapore
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Prabha Krishnan
3Tan Tock Seng Hospital, Singapore
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Raymond Tzer-Pin Lin
4National University Hospital, Singapore
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Nancy Tee
5Kandang Kerbau Women's and Children's Hospital, Singapore, Singapore
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Timothy Barkham
3Tan Tock Seng Hospital, Singapore
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Tse-Hsien Koh
1Singapore General Hospital, Singapore
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DOI: 10.1128/JCM.44.3.1090-1093.2006
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    FIG. 1.

    Comparison of 42 local community-associated methicillin-resistant Staphylococcus aureus isolates (2001 to June 2005), using MLVA, multilocus sequence typing (MLST), SCCmec typing, PFGE, and determination of the presence of PVL genes. Isolates were considered to be related according to PFGE if gel patterns demonstrated 80% or greater similarity upon analysis using the Dice coefficient and the unweighted-pair group method using average linkages.

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    FIG. 2.

    Distribution of virulence genes among 27 ST30 community-associated methicillin-resistant Staphylococcus aureus isolates. All isolates tested negative for the following genes: toxic shock syndrome toxin 1 (tsst-1), exfoliatin A and B, epidermal cell differentiation inhibitor (EDIN) A, and variant gamma-hemolysin. Positive PCR controls were not available for tsst-1, exfoliatin A and B, and EDIN-A.

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  • TABLE 1.

    Antibiotic resistance profiles of 37 community-associated methicillin-resistant Staphylococcus aureus isolates stratified by year of isolation and multilocus ST

    ProfileResistance to non-β-lactam antibiotics testedaST (no. of isolates)
    2004 (May-December)2005 (January-June)
    I30 (13)8 (2)
    571 (1)30 (13)
    88 (1)
    IIS, T188 (1)
    IIIE, Cc7 (1)
    78 (1)
    IVE, T59 (1)
    VCi, E, G45 (1)
    VIE, Ci, T573 (2)
    • ↵ a Cc, constitutive clindamycin resistance; Ci, inducible clindamycin resistance; E, erythromycin resistance; G, gentamicin resistance; S, sulfamethoxazole resistance; T, tetracycline resistance. All isolates were susceptible to ciprofloxacin, fusidic acid, rifampin, and vancomycin upon testing.

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Establishment of ST30 as the Predominant Clonal Type among Community-Associated Methicillin-Resistant Staphylococcus aureus Isolates in Singapore
Li-Yang Hsu, Yin-Ling Koh, Nidhi Loomba Chlebicka, Thean-Yen Tan, Prabha Krishnan, Raymond Tzer-Pin Lin, Nancy Tee, Timothy Barkham, Tse-Hsien Koh
Journal of Clinical Microbiology Mar 2006, 44 (3) 1090-1093; DOI: 10.1128/JCM.44.3.1090-1093.2006

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Establishment of ST30 as the Predominant Clonal Type among Community-Associated Methicillin-Resistant Staphylococcus aureus Isolates in Singapore
Li-Yang Hsu, Yin-Ling Koh, Nidhi Loomba Chlebicka, Thean-Yen Tan, Prabha Krishnan, Raymond Tzer-Pin Lin, Nancy Tee, Timothy Barkham, Tse-Hsien Koh
Journal of Clinical Microbiology Mar 2006, 44 (3) 1090-1093; DOI: 10.1128/JCM.44.3.1090-1093.2006
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