Predominant Dissemination of PVL-Negative CC89 MRSA with SCCmec Type II in Children with Impetigo in Japan

Background. The ratio of CA-MRSA in children with impetigo has been increasing in Japan. Methods. Antimicrobial susceptibilities of 136 S. aureus isolates from children with impetigo were studied. Furthermore, molecular epidemiological analysis and virulence gene analysis were performed. Results. Of...

Full description

Saved in:
Bibliographic Details
Main Authors: H. Kikuta, M. Shibata, S. Nakata, T. Yamanaka, H. Sakata, K. Akizawa, K. Kobayashi
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2011/143872
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832552770727575552
author H. Kikuta
M. Shibata
S. Nakata
T. Yamanaka
H. Sakata
K. Akizawa
K. Kobayashi
author_facet H. Kikuta
M. Shibata
S. Nakata
T. Yamanaka
H. Sakata
K. Akizawa
K. Kobayashi
author_sort H. Kikuta
collection DOAJ
description Background. The ratio of CA-MRSA in children with impetigo has been increasing in Japan. Methods. Antimicrobial susceptibilities of 136 S. aureus isolates from children with impetigo were studied. Furthermore, molecular epidemiological analysis and virulence gene analysis were performed. Results. Of the 136 S. aureus isolates, 122 (89.7%) were MSSA and 14 (10.3%) were MRSA. Of the 14 MRSA strains, 11 belonged to CC89 (ST89, ST91, and ST2117) and carried diverse types of SCCmec: type II (IIb: 3 strains; unknown subtype: 4 strains), type IVa (2 strains), and unknown type (2 strains). The remaining three strains exhibited CC8 (ST-8)-SCCmec type VIa, CC121 (ST121)-SCCmec type V, and CC5 (ST5)-nontypeable SCCmec element, respectively. None were lukS-PV-lukF-PV gene positive. Gentamicin- and clarithromycin-resistant strains were frequently found in both MRSA and MSSA. Conclusions. PVL-negative CC89-SCCmec type II strains are the most predominant strains among the CA-MRSA strains circulating in the community in Japan.
format Article
id doaj-art-548a2b1dccdf4053b2074b791b1ed9df
institution Kabale University
issn 1687-9740
1687-9759
language English
publishDate 2011-01-01
publisher Wiley
record_format Article
series International Journal of Pediatrics
spelling doaj-art-548a2b1dccdf4053b2074b791b1ed9df2025-02-03T05:57:45ZengWileyInternational Journal of Pediatrics1687-97401687-97592011-01-01201110.1155/2011/143872143872Predominant Dissemination of PVL-Negative CC89 MRSA with SCCmec Type II in Children with Impetigo in JapanH. Kikuta0M. Shibata1S. Nakata2T. Yamanaka3H. Sakata4K. Akizawa5K. Kobayashi6Pediatric Clinic, Touei Hospital, N-41, E-16, Higashi-ku, Sapporo 007-0841, JapanDepartment of Pediatrics, Health Sciences University of Hokkaido, Kita-ku, Sapporo 002-8072, JapanNakata Pediatric Clinic, Shiroishi-ku, Sapporo 003-0023, JapanYamanaka Tatsuru Pediatrics, Shiroishi-ku, Sapporo 003-0022, JapanDepartment of Pediatrics, Asahikawa Kosei Hospital, Asahikawa 078-8211, JapanDepartment of Laboratory Medicine, Hokkaido University Medical Hospital, Kita-ku, Sapporo 060-0814, JapanDepartment of Pediatrics, Sapporo Hokuyu Hospital, Shiroishi-ku, Sapporo 003-0006, JapanBackground. The ratio of CA-MRSA in children with impetigo has been increasing in Japan. Methods. Antimicrobial susceptibilities of 136 S. aureus isolates from children with impetigo were studied. Furthermore, molecular epidemiological analysis and virulence gene analysis were performed. Results. Of the 136 S. aureus isolates, 122 (89.7%) were MSSA and 14 (10.3%) were MRSA. Of the 14 MRSA strains, 11 belonged to CC89 (ST89, ST91, and ST2117) and carried diverse types of SCCmec: type II (IIb: 3 strains; unknown subtype: 4 strains), type IVa (2 strains), and unknown type (2 strains). The remaining three strains exhibited CC8 (ST-8)-SCCmec type VIa, CC121 (ST121)-SCCmec type V, and CC5 (ST5)-nontypeable SCCmec element, respectively. None were lukS-PV-lukF-PV gene positive. Gentamicin- and clarithromycin-resistant strains were frequently found in both MRSA and MSSA. Conclusions. PVL-negative CC89-SCCmec type II strains are the most predominant strains among the CA-MRSA strains circulating in the community in Japan.http://dx.doi.org/10.1155/2011/143872
spellingShingle H. Kikuta
M. Shibata
S. Nakata
T. Yamanaka
H. Sakata
K. Akizawa
K. Kobayashi
Predominant Dissemination of PVL-Negative CC89 MRSA with SCCmec Type II in Children with Impetigo in Japan
International Journal of Pediatrics
title Predominant Dissemination of PVL-Negative CC89 MRSA with SCCmec Type II in Children with Impetigo in Japan
title_full Predominant Dissemination of PVL-Negative CC89 MRSA with SCCmec Type II in Children with Impetigo in Japan
title_fullStr Predominant Dissemination of PVL-Negative CC89 MRSA with SCCmec Type II in Children with Impetigo in Japan
title_full_unstemmed Predominant Dissemination of PVL-Negative CC89 MRSA with SCCmec Type II in Children with Impetigo in Japan
title_short Predominant Dissemination of PVL-Negative CC89 MRSA with SCCmec Type II in Children with Impetigo in Japan
title_sort predominant dissemination of pvl negative cc89 mrsa with sccmec type ii in children with impetigo in japan
url http://dx.doi.org/10.1155/2011/143872
work_keys_str_mv AT hkikuta predominantdisseminationofpvlnegativecc89mrsawithsccmectypeiiinchildrenwithimpetigoinjapan
AT mshibata predominantdisseminationofpvlnegativecc89mrsawithsccmectypeiiinchildrenwithimpetigoinjapan
AT snakata predominantdisseminationofpvlnegativecc89mrsawithsccmectypeiiinchildrenwithimpetigoinjapan
AT tyamanaka predominantdisseminationofpvlnegativecc89mrsawithsccmectypeiiinchildrenwithimpetigoinjapan
AT hsakata predominantdisseminationofpvlnegativecc89mrsawithsccmectypeiiinchildrenwithimpetigoinjapan
AT kakizawa predominantdisseminationofpvlnegativecc89mrsawithsccmectypeiiinchildrenwithimpetigoinjapan
AT kkobayashi predominantdisseminationofpvlnegativecc89mrsawithsccmectypeiiinchildrenwithimpetigoinjapan