bThe multiresistance gene cfr was found in 8/231 porcine methicillin-resistant Staphylococcus aureus isolates. They were characterized by multilocus sequence typing, spa typing, dru typing, and staphylococcal cassette chromosome mec (SCCmec) typing as ST627-t002-dt12w-IVb, ST6-t304-dt12w-IVb, ST9-t899-dt12w-IVb, ST9-t899-dt12ae-IVb, or ST63-t899-dt12v-IVb. Different cfr gene regions were detected on plasmids of ca. 35 kb in seven isolates. For the first time, an ISEnfa4-cfr-IS256 fragment was found to be inserted upstream of the ccr genes in a chromosomal SCCmec IVb element of the remaining isolate.
Livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) strains mainly play a role as colonizers of foodproducing animals and humans who have occupational and otherwise close contact with these animals (1-5). However, they can also cause infections in humans (6) and animals (7,8). The important LA-MRSA clones are usually of the multilocus sequence type 398 (ST398) in the United States (1, 2) and European countries (9) and/or of ST9 in Asian countries (10), including China. LA-MRSA strains have acquired a number of novel and unusual antimicrobial resistance genes (11-15), including multiresistance genes that confer resistance to critically and highly important antimicrobial agents in human medicine (16). One such gene is the gene cfr, which confers resistance to phenicols, lincosamides, oxazolidinones, pleuromutilins, and streptogramin A (17). Oxazolidinones are last resort antimicrobial agents for the control of serious infections caused by MRSA and vancomycin-resistant enterococci in humans. Although cfr-carrying MRSA strains have been reported in human medicine (18,19), cfr-carrying LA-MRSA strains of animal origin have been reported rarely (20,21).The 231 porcine MRSA isolates included in this study were collected in August 2012 and August 2013 from nasal swabs of healthy pigs at farms (n ϭ 7) and slaughterhouses (n ϭ 3) in the provinces of Henan (n ϭ 119) and Shandong (n ϭ 45) and in Shanghai (n ϭ 15) and from the lungs of diseased pigs at an animal hospital in the Guangdong province (n ϭ 52). All isolates were screened for the presence of cfr using previously described primers (22). Only eight (3.5%) of the MRSA isolates were positive for cfr. All cfr-carrying MRSA isolates had linezolid MICs of 4 mg/liter, which classifies them as borderline susceptible based on the current CLSI-approved breakpoints (23). cfr-positive staphylococci and enterococci with linezolid MICs of 4 mg/liter have been reported before (24, 25). The carriage rates for cfr differed geographically, with 5/15 (33.3%) cfr-positive isolates observed in Shanghai, followed by 2/52 (3.84%) in the Guangdong Province and 1/119 (0.84%) in the Henan Province. None of the isolates from Shandong contained cfr.The eight cfr-carrying isolates were subjected to staphylococcal chromosomal cassette mec (SCCmec) typing, multilocus sequence typing (MLST) (http://saureus.mlst.net), spa typing (http: //spaserver.ridom.de), dru typing (http://dr...