J 2021

The molecular epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) in the Czech Republic

TKADLEC, Jan; Vaclav CAPEK; Marie BRAJEROVA; Eva SMELIKOVA; Oto MELTER et al.

Základní údaje

Originální název

The molecular epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) in the Czech Republic

Autoři

TKADLEC, Jan; Vaclav CAPEK; Marie BRAJEROVA; Eva SMELIKOVA; Oto MELTER; Tamara BERGEROVA; Sylvia POLIVKOVA; Magda BALEJOVA; Marketa HANSLIANOVA; Daniela FACKOVA; Katerina NERADOVA; Renata TEJKALOVÁ; Iva VAGNEROVA; Natasa BARTONIKOVA; Eva CHMELAROVA; Pavel DREVINEK a Marcela KRUTOVA

Vydání

Journal of Antimicrobial Chemotherapy, OXFORD, Oxford University Press, 2021, 0305-7453

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

10606 Microbiology

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 5.758

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/21:00121695

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

molecular epidemiology; methicillin-resistant Staphylococcus aureus

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 2. 6. 2021 13:23, Mgr. Tereza Miškechová

Anotace

V originále

Objectives: To gain data on the current molecular epidemiology and resistance of MRSA in the Czech Republic. Methods: Between September 2017 and January 2018, a total of 441 single-patient MRSA isolates were collected from 11 Czech hospitals and analysed by spa typing, SCCmec typing, antibiotic susceptibility testing, detection of the PVL toxin and the arcA gene. Results: Of all MRSA isolates, 81.41% (n = 359) belonged to the CC5-MRSA clone represented by the spa types t003 (n = 136), t586 (n = 92), t014 (n = 81), t002 (n = 20) and other spa types (n = 30); a majority of the CC5 isolates (n = 348, 96.94%) carried SCCmec type II. The occurrence of CC5-MRSA was more Likely in older inpatients and associated with a healthcare origin (P< 0.001). The CC5-MRSA isolates were resistant to more antimicrobial drugs compared with the other MRSAs (P< 0.001). Interestingly, t586 was detected in blood samples more often than the other spa types and, contrary to other spa types belonging to CC5-MRSA, t586 was not associated with patients of advanced age. Other frequently found Lineages were CC8 (n = 17), CC398 (n = 11) and CC59 (n = 10). The presence of the PVL was detected in 8.62% (n = 38) of the MRSA isolates. Conclusions: The healthcare-associated CC5-MRSA-II Lineage (t003, t586, t014) was found to be predominant in the Czech Republic. t586 is a newly emerging spa type in the Czech Republic, yet reported rarely in other countries. Our observations stress the need for MRSA surveillance in the Czech Republic in order to monitor changes in MRSA epidemiology.