Global epidemiology of community-associated methicillin resistant Staphylococcus aureus (CA-MRSA)

被引:316
作者
Mediavilla, Jose R. [1 ]
Chen, Liang [1 ]
Mathema, Barun [1 ]
Kreiswirth, Barry N. [1 ]
机构
[1] Univ Med & Dent New Jersey, Int Ctr Publ Hlth, Publ Hlth Res Inst, TB Ctr, Newark, NJ 07103 USA
关键词
USA300; EMERGENCE; VIRULENCE; CLONE; EVOLUTION; LINEAGE; STRAIN; COLONIZATION; ORIGIN; SKIN;
D O I
10.1016/j.mib.2012.08.003
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
During the 1990s, various reports of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infections appeared in the literature, caused by novel strains genetically distinct from traditional healthcare-associated MRSA (HA-MRSA). Numerous lineages of CA-M RSA have since emerged on every continent, several of which have spread internationally, most notably USA300. CA-MRSA strains are increasingly implicated in nosocomial infections, and may eventually displace HA-MRSA strains in hospitals. Consequently, distinctions based on clinical epidemiology and susceptibility are becoming less relevant, arguing in favor of genotypic definitions. We review the current molecular epidemiology of CA-MRSA with respect to genetic diversity, global distribution, and factors related to its emergence and spread.
引用
收藏
页码:588 / 595
页数:8
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