TY  - JOUR
AU  - Rakonjac, B.
AU  - Lepšanović, Z.
AU  - Šuljagić, V.
AU  - Jovčić, Branko
AU  - Kojić, Milan
AU  - Larsen, A.R.
AU  - Urić, M.
AU  - Ćirković, I.
PY  - 2022
UR  - https://imagine.imgge.bg.ac.rs/handle/123456789/1544
AB  - Epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) is continually changing. Frequency of genotypes typical for community-associated MRSA (CA-MRSA) is increasing in hospitals, as well as resistance to antimicrobial agents. Moreover, different clones predominate in different geographic regions, and temporal shifts occur in the predominant clonal type. The aim of this study was to estimate the prevalence of MRSA, CAMRSA and PVL-positive MRSA isolates from patients hospitalised in the Military Medical Academy (MMA) and from outpatients, and to perform genotyping of PVL-positive MRSA isolates. MRSA isolates were obtained by standard microbiological techniques. PVL-positive MRSA were detected by single PCR. Determination of SCCmec types in MRSA isolates was done using multiplex PCR and genotyping of PVL-positive MRSA by PFGE, MLST and spa typing. The prevalence of MRSA among S. aureus isolates from different clinical specimens was 43.4%. In outpatients the prevalence of MRSA was 3.2%. SCCmec types specific for CA-MRSA were found in 26% of MRSA isolates from hospitalised patients. In groups, hospitalised patients and outpatients, the prevalence of PVL-positive MRSA isolates was 4%, and all of them harboured SCCmec type V genetic element. PFGE revealed minor differences between four groups of PVL-positive MRSA isolates, but all of them belonged to ST152, and all except one were of the t355 spa type. High prevalence of MRSA and CAMRSA in MMA, especially the presence of PVL-positive CA-MRSA, represent a serious health threat for patients. Genotype t355/ST152/SCCmec V is the dominant MRSA clone among PVL-positive CA-MRSA.
PB  - Public Library of Science
T2  - PLoS One
T1  - Predominance of t355/ST152/SCCmec V clonal type among PVL-positive MRSA isolates in a tertiary care hospital in Belgrade, Serbia
IS  - 9 September
VL  - 17
DO  - 10.1371/journal.pone.0273474
ER  - 

@article{
author = "Rakonjac, B. and Lepšanović, Z. and Šuljagić, V. and Jovčić, Branko and Kojić, Milan and Larsen, A.R. and Urić, M. and Ćirković, I.",
year = "2022",
abstract = "Epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) is continually changing. Frequency of genotypes typical for community-associated MRSA (CA-MRSA) is increasing in hospitals, as well as resistance to antimicrobial agents. Moreover, different clones predominate in different geographic regions, and temporal shifts occur in the predominant clonal type. The aim of this study was to estimate the prevalence of MRSA, CAMRSA and PVL-positive MRSA isolates from patients hospitalised in the Military Medical Academy (MMA) and from outpatients, and to perform genotyping of PVL-positive MRSA isolates. MRSA isolates were obtained by standard microbiological techniques. PVL-positive MRSA were detected by single PCR. Determination of SCCmec types in MRSA isolates was done using multiplex PCR and genotyping of PVL-positive MRSA by PFGE, MLST and spa typing. The prevalence of MRSA among S. aureus isolates from different clinical specimens was 43.4%. In outpatients the prevalence of MRSA was 3.2%. SCCmec types specific for CA-MRSA were found in 26% of MRSA isolates from hospitalised patients. In groups, hospitalised patients and outpatients, the prevalence of PVL-positive MRSA isolates was 4%, and all of them harboured SCCmec type V genetic element. PFGE revealed minor differences between four groups of PVL-positive MRSA isolates, but all of them belonged to ST152, and all except one were of the t355 spa type. High prevalence of MRSA and CAMRSA in MMA, especially the presence of PVL-positive CA-MRSA, represent a serious health threat for patients. Genotype t355/ST152/SCCmec V is the dominant MRSA clone among PVL-positive CA-MRSA.",
publisher = "Public Library of Science",
journal = "PLoS One",
title = "Predominance of t355/ST152/SCCmec V clonal type among PVL-positive MRSA isolates in a tertiary care hospital in Belgrade, Serbia",
number = "9 September",
volume = "17",
doi = "10.1371/journal.pone.0273474"
}

Rakonjac, B., Lepšanović, Z., Šuljagić, V., Jovčić, B., Kojić, M., Larsen, A.R., Urić, M.,& Ćirković, I.. (2022). Predominance of t355/ST152/SCCmec V clonal type among PVL-positive MRSA isolates in a tertiary care hospital in Belgrade, Serbia. in PLoS One
Public Library of Science., 17(9 September).
https://doi.org/10.1371/journal.pone.0273474

Rakonjac B, Lepšanović Z, Šuljagić V, Jovčić B, Kojić M, Larsen A, Urić M, Ćirković I. Predominance of t355/ST152/SCCmec V clonal type among PVL-positive MRSA isolates in a tertiary care hospital in Belgrade, Serbia. in PLoS One. 2022;17(9 September).
doi:10.1371/journal.pone.0273474 .

Rakonjac, B., Lepšanović, Z., Šuljagić, V., Jovčić, Branko, Kojić, Milan, Larsen, A.R., Urić, M., Ćirković, I., "Predominance of t355/ST152/SCCmec V clonal type among PVL-positive MRSA isolates in a tertiary care hospital in Belgrade, Serbia" in PLoS One, 17, no. 9 September (2022),
https://doi.org/10.1371/journal.pone.0273474 . .