title: Genetic diversity of methicillin-resistant Staphylococcus aureus in a tertiary hospital in The Netherlands between 2002 and 2006.
abstract: The aim of this study was to investigate the methicillin-resistant Staphylococcus aureus (MRSA) clones isolated in a Dutch university hospital, situated near the borders of Belgium and Germany, between 2002 and 2006. MRSA strains (n = 175) were characterized using spa and SCCmec typing. The presence of Panton Valentine leukocidin (PVL) was determined. Between 2002 and 2005, ST5-MRSA-IV was predominant, and the spa type of ST5-MRSA-IV changed from t002 to t447. ST5-MRSA-I, ST5-MRSA-II, ST228-MRSA-I, and ST247-MRSA-I were also observed in this period. From 2004, the MRSA genetic background became more diverse, and in 2006, ST5-MRSA-IV was only sporadically observed. From 2005, ST5-MRSA-II, ST8-MRSA-IV, ST22-MRSA-IV, and ST45-MRSA-IV were increasingly observed. Several other MRSA clones, such as ST239-MRSA-III, were found sporadically. Four PVL-positive MRSA isolates were observed, associated with ST80-MRSA-IV and ST8-MRSA-IV. ST5-MRSA-I, ST5-MRSA-II, ST5-MRSA-IV, and ST228-MRSA-I have not been described previously in The Netherlands.
authors.affiliation: Department of Medical Microbiology, General Hospital Sint Jan, Ruddesrhove 10, 8000, Brugge, Belgium.
authors.forename: E
authors.initials: E
authors.lastname: Nulens
authors.forename: E E
authors.initials: EE
authors.lastname: Stobberingh
authors.forename: E
authors.initials: E
authors.lastname: Smeets
authors.forename: H
authors.initials: H
authors.lastname: van Dessel
authors.forename: M A
authors.initials: MA
authors.lastname: Welling
authors.forename: S
authors.initials: S
authors.lastname: Sebastian
authors.forename: F H
authors.initials: FH
authors.lastname: van Tiel
authors.forename: P S
authors.initials: PS
authors.lastname: Beisser
authors.forename: R H
authors.initials: RH
authors.lastname: Deurenberg
mesh_terms: D001427:Bacterial Toxins / Q000235:genetics; D015373:Bacterial Typing Techniques / Q000379:methods; D016000:Cluster Analysis; D016172:DNA Fingerprinting / Q000379:methods; D004269:DNA, Bacterial / Q000235:genetics*; D005098:Exotoxins / Q000235:genetics; D014644:Genetic Variation; D005838:Genotype; D006761:Hospitals; D006801:Humans; D007956:Leukocidins / Q000235:genetics; D055624:Methicillin-Resistant Staphylococcus aureus / Q000145:classification* / Q000235:genetics* / Q000302:isolation & purification; D017720:Molecular Epidemiology; D009426:Netherlands / Q000453:epidemiology; D013203:Staphylococcal Infections / Q000453:epidemiology* / Q000382:microbiology*
chemical_list: D001427:Bacterial Toxins; D004269:DNA, Bacterial; D005098:Exotoxins; D007956:Leukocidins; C078284:Panton-Valentine leukocidin