Surveillance of methicillin-resistant Staphylococcus aureus in a pediatric hospital in Mexico City during a 7-year period (1997 to 2003): clonal evolution and impact of infection control.
Between 1997 and 2000 a single multidrug-susceptible methicillin-resistant Staphylococcus aureus clone, M (sequence type 30 [ST30]-staphylococcal cassette chromosome mec [SCCmec] type IV), was present in a pediatric hospital in Mexico City, Mexico. In 2001 the international multidrug-resistant New York-Japan clone (ST5-SCCmec type II) was introduced into the hospital, completely replacing clone M by 2002.
Instituto Nactional de Salud Pública, Centro de Investigaciónes Sobre Enfermedades Infecciosas, Cuernavaca, Morelos, México.
M E
ME
Velazquez-Meza
M
M
Aires de Sousa
G
G
Echaniz-Aviles
F
F
Solórzano-Santos
G
G
Miranda-Novales
J
J
Silva-Sanchez
H
H
de Lencastre
D002648:Child; D016521:Electrophoresis, Gel, Pulsed-Field; D006776:Hospitals, Pediatric; D006801:Humans; D016106:Methicillin Resistance / Q000235:genetics*; D008800:Mexico / Q000453:epidemiology; D010802:Phylogeny; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000517:prevention & control*; D013211:Staphylococcus aureus / Q000145:classification / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification*; D014774:Virulence / Q000235:genetics