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 (203 Česká republika, garant), Vaclav CAPEK (203 Česká republika), Marie BRAJEROVA (203 Česká republika), Eva SMELIKOVA (203 Česká republika), Oto MELTER (203 Česká republika), Tamara BERGEROVA (203 Česká republika), Sylvia POLIVKOVA (203 Česká republika), Magda BALEJOVA (203 Česká republika), Marketa HANSLIANOVA (203 Česká republika), Daniela FACKOVA (203 Česká republika), Katerina NERADOVA (203 Česká republika), Renata TEJKALOVÁ (203 Česká republika, domácí), Iva VAGNEROVA (203 Česká republika), Natasa BARTONIKOVA (203 Česká republika), Eva CHMELAROVA (203 Česká republika), Pavel DREVINEK (203 Česká republika) a Marcela KRUTOVA (203 Česká republika)
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
Kód RIV
RIV/00216224:14110/21:00121695
Organizační jednotka
Lékařská fakulta
UT WoS
000620811500006
Klíčová slova anglicky
molecular epidemiology; methicillin-resistant Staphylococcus aureus
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.