title: Clonal spread of methicillin-resistant Staphylococcus aureus in a large geographic area of the United States.
abstract: Methicillin resistance in Staphylococcus aureus has rapidly increased over the last two decades. This increase is paralleled by the emergence of unique multi-resistant MRSA clones. In Brazil, Argentina, Uruguay, Portugal and Czech Republic a specific MRSA clone is widely spread, the so-called Brazilian epidemic clone. Another epidemic clone, the Iberian clone, is disseminated in Spain, Portugal, Belgium, Scotland, Italy, Germany and New York. Thus, a large number of hospital-acquired infections have been caused by specific MRSA clones. Using different molecular techniques for MRSA typing, we verified that two unique epidemic clones are spread over large geographic area in the US. In addition, we showed that a previously described MRSA clone type, the New York clone (I::A:A), is widely spread beyond the New York frontiers.
authors.affiliation: Hospital de Força Aérea do Galeão, Rio de Janeiro, Brazil. immmasf@microbio.ufrj.br
authors.forename: M V
authors.initials: MV
authors.lastname: da Silva Coimbra
authors.forename: M C
authors.initials: MC
authors.lastname: Silva-Carvalho
authors.forename: H
authors.initials: H
authors.lastname: Wisplinghoff
authors.forename: G O
authors.initials: GO
authors.lastname: Hall
authors.forename: S
authors.initials: S
authors.lastname: Tallent
authors.forename: S
authors.initials: S
authors.lastname: Wallace
authors.forename: M B
authors.initials: MB
authors.lastname: Edmond
authors.forename: A M S
authors.initials: AM
authors.lastname: Figueiredo
authors.forename: R P
authors.initials: RP
authors.lastname: Wenzel
mesh_terms: D003001:Cloning, Molecular / Q000379:methods; D016521:Electrophoresis, Gel, Pulsed-Field; D006801:Humans; D016106:Methicillin Resistance / Q000235:genetics*; D008826:Microbial Sensitivity Tests; D011110:Polymorphism, Genetic; D013203:Staphylococcal Infections / Q000097:blood / Q000453:epidemiology*; D013211:Staphylococcus aureus / Q000145:classification / Q000187:drug effects* / Q000302:isolation & purification; D014481:United States / Q000453:epidemiology