2002
DOI: 10.1073/pnas.122108599
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The evolutionary history of methicillin-resistant Staphylococcus aureus (MRSA)

Abstract: Methicillin-resistant Staphylococcus aureus (MRSA) is a major cause of hospital-acquired infections that are becoming increasingly difficult to combat because of emerging resistance to all current antibiotic classes. The evolutionary origins of MRSA are poorly understood, no rational nomenclature exists, and there is no consensus on the number of major MRSA clones or the relatedness of clones described from different countries. We resolve all of these issues and provide a more thorough and precise analysis of … Show more

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Cited by 1,415 publications
(1,317 citation statements)
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References 26 publications
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“…In our study ST8 was associated with two SCCmec types (I and IV), a finding which supports the hypothesis of Enright et al (14). These authors proposed that ST239, which is mainly associated with SCCmec III, was derived from ST8-III by an arcC recombination (14).…”
Section: Discussionsupporting
confidence: 91%
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“…In our study ST8 was associated with two SCCmec types (I and IV), a finding which supports the hypothesis of Enright et al (14). These authors proposed that ST239, which is mainly associated with SCCmec III, was derived from ST8-III by an arcC recombination (14).…”
Section: Discussionsupporting
confidence: 91%
“…Enright et al (14) reported that ST8 was associated with the four types of SCCmec, and therefore ST8-MRSA clones could have emerged by multiple independent introductions of SCCmec into the successful ST8-MSSA clone (wherein MSSA refers to methicillin-susceptible S. aureus). In our study ST8 was associated with two SCCmec types (I and IV), a finding which supports the hypothesis of Enright et al (14).…”
Section: Discussionmentioning
confidence: 99%
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“…This, in turn, depends on the particular question being addressed, as some questions require more discrimination among specimens than others. To use the clinical setting as an example: very high resolution is necessary for the detection of outbreaks and the investigation of within-patient variation 43 ; lower resolution is required to determine the membership of a particular clonal complex or lineage 61 ; and even lower resolution is sufficient for determining the species causing an infection 37,62,63 . The gene-bygene approach is inherently hierarchical and scalable, as fewer genes can be used for lowerresolution typing, whereas higher levels of resolution can be attained by increasing the number of genes included in the analysis.…”
Section: Post-wgs Cataloguing Of Diversitymentioning
confidence: 99%