Antibiograms and molecular subtypes of methicillin-resistant Staphylococcus aureus in local teaching hospital, Malaysia

The objectives of this study were to determine the antibiotypes, SCCmec subtypes, PVL carriage, and genetic diversity of MRSA strains from a tertiary hospital. Sixtysix MRSA strains were selected randomly (2003, 2004, and 2007) and tested for the Panton-Valentine leukocidin gene, mecA gene, and SCCm...

Full description

Bibliographic Details
Main Authors: Thong, Kwai Lin, Junnie, J., Liew, F.Y., Yusof, M.Y., Hanifah, Y.A.
Format: Article
Language:English
Published: The Korean Society for Applied Microbiology 2009
Subjects:
Online Access:http://eprints.um.edu.my/1166/1/2.php%3Bjpg
_version_ 1825718514055380992
author Thong, Kwai Lin
Junnie, J.
Liew, F.Y.
Yusof, M.Y.
Hanifah, Y.A.
author_facet Thong, Kwai Lin
Junnie, J.
Liew, F.Y.
Yusof, M.Y.
Hanifah, Y.A.
author_sort Thong, Kwai Lin
collection UM
description The objectives of this study were to determine the antibiotypes, SCCmec subtypes, PVL carriage, and genetic diversity of MRSA strains from a tertiary hospital. Sixtysix MRSA strains were selected randomly (2003, 2004, and 2007) and tested for the Panton-Valentine leukocidin gene, mecA gene, and SCCmec type via a PCR. The antibiograms were determined using a standard disc diffusion method, and the genetic diversity of the isolates was determined by PFGE. Thirty-four antibiograms were obtained, with 55% of the 66 strains exhibiting resistance to more than 4 antimicrobials. All the isolates remained susceptible to vancomycin, and low resistance rates were noted for fusidic acid (11%), rifampicin (11%), and clindamycin acid (19%). The MRSA isolates that were multisensitive (n=12) were SCCmec type IV, whereas the rest (multiresistant) were SCCmec type III. Only two isolates (SCCmec type IV) tested positive for PVL, whereas all the isolates were mecA-positive. The PFGE was very discriminative and subtyped the 66 isolates into 55 pulsotypes (F=0.31-1.0). The multisensitive isolates were distinctly different from the multidrug-resistant MRSA. In conclusion, no vancomycin-resistant isolate was observed. The Malaysian MDR MRSA isolates were mostly SCCmec type III and negative for PVL. These strains were genetically distinct from the SCCmec type IV strains, which were sensitive to SXT, tetracycline, and erythromycin. Only two strains were SCCmec IV and PVL-positive. The infections in the hospital concerned were probably caused by multiple subtypes of MRSA.
first_indexed 2024-03-06T05:05:42Z
format Article
id um.eprints-1166
institution Universiti Malaya
language English
last_indexed 2024-03-06T05:05:42Z
publishDate 2009
publisher The Korean Society for Applied Microbiology
record_format dspace
spelling um.eprints-11662018-10-15T04:19:30Z http://eprints.um.edu.my/1166/ Antibiograms and molecular subtypes of methicillin-resistant Staphylococcus aureus in local teaching hospital, Malaysia Thong, Kwai Lin Junnie, J. Liew, F.Y. Yusof, M.Y. Hanifah, Y.A. R Medicine The objectives of this study were to determine the antibiotypes, SCCmec subtypes, PVL carriage, and genetic diversity of MRSA strains from a tertiary hospital. Sixtysix MRSA strains were selected randomly (2003, 2004, and 2007) and tested for the Panton-Valentine leukocidin gene, mecA gene, and SCCmec type via a PCR. The antibiograms were determined using a standard disc diffusion method, and the genetic diversity of the isolates was determined by PFGE. Thirty-four antibiograms were obtained, with 55% of the 66 strains exhibiting resistance to more than 4 antimicrobials. All the isolates remained susceptible to vancomycin, and low resistance rates were noted for fusidic acid (11%), rifampicin (11%), and clindamycin acid (19%). The MRSA isolates that were multisensitive (n=12) were SCCmec type IV, whereas the rest (multiresistant) were SCCmec type III. Only two isolates (SCCmec type IV) tested positive for PVL, whereas all the isolates were mecA-positive. The PFGE was very discriminative and subtyped the 66 isolates into 55 pulsotypes (F=0.31-1.0). The multisensitive isolates were distinctly different from the multidrug-resistant MRSA. In conclusion, no vancomycin-resistant isolate was observed. The Malaysian MDR MRSA isolates were mostly SCCmec type III and negative for PVL. These strains were genetically distinct from the SCCmec type IV strains, which were sensitive to SXT, tetracycline, and erythromycin. Only two strains were SCCmec IV and PVL-positive. The infections in the hospital concerned were probably caused by multiple subtypes of MRSA. The Korean Society for Applied Microbiology 2009-10 Article PeerReviewed application/postscript en http://eprints.um.edu.my/1166/1/2.php%3Bjpg Thong, Kwai Lin and Junnie, J. and Liew, F.Y. and Yusof, M.Y. and Hanifah, Y.A. (2009) Antibiograms and molecular subtypes of methicillin-resistant Staphylococcus aureus in local teaching hospital, Malaysia. Journal of Microbiology and Biotechnology, 19 (10). pp. 1265-70. ISSN 1017-7825, DOI 19884790. http://www.ncbi.nlm.nih.gov/pubmed/19884790 19884790
spellingShingle R Medicine
Thong, Kwai Lin
Junnie, J.
Liew, F.Y.
Yusof, M.Y.
Hanifah, Y.A.
Antibiograms and molecular subtypes of methicillin-resistant Staphylococcus aureus in local teaching hospital, Malaysia
title Antibiograms and molecular subtypes of methicillin-resistant Staphylococcus aureus in local teaching hospital, Malaysia
title_full Antibiograms and molecular subtypes of methicillin-resistant Staphylococcus aureus in local teaching hospital, Malaysia
title_fullStr Antibiograms and molecular subtypes of methicillin-resistant Staphylococcus aureus in local teaching hospital, Malaysia
title_full_unstemmed Antibiograms and molecular subtypes of methicillin-resistant Staphylococcus aureus in local teaching hospital, Malaysia
title_short Antibiograms and molecular subtypes of methicillin-resistant Staphylococcus aureus in local teaching hospital, Malaysia
title_sort antibiograms and molecular subtypes of methicillin resistant staphylococcus aureus in local teaching hospital malaysia
topic R Medicine
url http://eprints.um.edu.my/1166/1/2.php%3Bjpg
work_keys_str_mv AT thongkwailin antibiogramsandmolecularsubtypesofmethicillinresistantstaphylococcusaureusinlocalteachinghospitalmalaysia
AT junniej antibiogramsandmolecularsubtypesofmethicillinresistantstaphylococcusaureusinlocalteachinghospitalmalaysia
AT liewfy antibiogramsandmolecularsubtypesofmethicillinresistantstaphylococcusaureusinlocalteachinghospitalmalaysia
AT yusofmy antibiogramsandmolecularsubtypesofmethicillinresistantstaphylococcusaureusinlocalteachinghospitalmalaysia
AT hanifahya antibiogramsandmolecularsubtypesofmethicillinresistantstaphylococcusaureusinlocalteachinghospitalmalaysia