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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/12533
Title: Spread of methicillin-resistant Staphylococcus aureus between the community and the hospitals in Asian countries: An ANSORP study
Authors: Jae Hoon Song
Po Ren Hsueh
Doo Ryeon Chung
Kwan Soo Ko
Cheol In Kang
Kyong Ran Peck
Joon Sup Yeom
Shin Woo Kim
Hyun Ha Chang
Yeon Sook Kim
Sook In Jung
Jun Seong Son
Thomas Man-Kit So
M. K. Lalitha
Yonghong Yang
Shao Guang Huang
Hui Wang
Quan Lu
Celia C. Carlos
Jennifer A. Perera
Cheng Hsun Chiu
Jien Wei Liu
Anan Chongthaleong
Visanu Thamlikitkul
Pham Hung Van
SungKyunKwan University, School of Medicine
Asia Pacific Foundation for Infectious Diseases (APFID)
National Taiwan University Hospital
Kyungpook National University Hospital
Chungnam National University, College of Medicine
Chonnam National University, College of Medicine
Kyung Hee Medical Center
Princess Margaret Hospital Hong Kong
Christian Medical College, Vellore
Beijing Children's Hospital
Ruijin Hospital
Peking Union Medical College
Shanghai Children's Medical Center
Gokila
University of Colombo
Chang Gung Children's Hospital
Chang Gung University College of Medicine
Chulalongkorn University
Mahidol University
University of Medicine and Pharmacy
Keywords: Medicine;Pharmacology, Toxicology and Pharmaceutics
Issue Date: 1-May-2011
Citation: Journal of Antimicrobial Chemotherapy. Vol.66, No.5 (2011), 1061-1069
Abstract: Objectives: Methicillin-resistant Staphylococcus aureus (MRSA) is highly prevalent in hospitals in many Asian countries. Recent emergence of community-associated (CA) MRSA worldwide has added another serious concern to the epidemiology of S. aureus infections. To understand the changing epidemiology of S. aureus infections in Asian countries, we performed a prospective, multinational surveillance study with molecular typing analysis. Methods: We evaluated the prevalence of methicillin resistance in S. aureus isolates in CA and healthcareassociated (HA) infections, and performed molecular characterization and antimicrobial susceptibility tests of MRSA isolates. Results: MRSA accounted for 25.5% of CA S. aureus infections and 67.4% of HA infections. Predominant clones of CA-MRSA isolates were ST59-MRSA-SCCmec type IV-spa type t437, ST30-MRSA-SCCmec type IV-spa type t019 and ST72-MRSA-SCCmec type IV-spa type t324. Previously established nosocomial MRSA strains including sequence type (ST) 239 and ST5 clones were found among CA-MRSA isolates from patients without any risk factors for HA-MRSA infection. CA-MRSA clones such as ST59, ST30 and ST72 were also isolated from patients with HA infections. Conclusions: Our findings confirmed that MR SA infections in the community have been increasing in Asian countries. Data also suggest that various MRSA clones have spread between the community and hospitals as well as between countries. © The Author 2011. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=79954590115&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/12533
ISSN: 14602091
03057453
Appears in Collections:Scopus 2011-2015

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