Distribution of mecA among methicillin-resistant clinical staphylococcal strains isolated at hospitals in Naples, Italy

Eur J Epidemiol. 2003;18(2):139-45. doi: 10.1023/a:1023067930211.

Abstract

Two hundred and twenty strains of Staphylococcus isolated in Naples, Italy, were surveyed for the distribution of the mecA, the structural gene for penicillin-binding protein 2a, which is the genetic determinant for methicillin-resistance in staphylococci. Screening by a cloned mecA, revealed that of 220 strains, 43 were methicillin-resistant (19.5%) and 177 were methicillin-susceptible (80.5%). Among the 43 resistant strains 23 (53.5%) carried mecA in their genome and 20 (46.5%) did not carry mecA, in spite of their resistance to methicillin. Every group was submitted to the AP-PCR profiling. A quantitative analysis of the patterns divided strains into four different clusters for methicillin-resistant mecA-negative and two different clusters for methicillin-resistant mecA-positive with primer 1, while no clusters were noted with primer 7. We conclude that these clinical isolates from our area, were not found to belong to a single clone, although the predominance of four methicillin-resistant mecA-negative genotypes were noted.

MeSH terms

  • Bacterial Proteins*
  • Blotting, Southern
  • Carrier Proteins / isolation & purification*
  • Clone Cells
  • DNA Fingerprinting
  • Electrophoresis, Agar Gel
  • Genome, Bacterial
  • Hexosyltransferases*
  • Italy
  • Methicillin Resistance
  • Molecular Epidemiology
  • Muramoylpentapeptide Carboxypeptidase / isolation & purification*
  • Penicillin-Binding Proteins
  • Penicillins / isolation & purification*
  • Peptidyl Transferases*
  • Polymerase Chain Reaction / methods
  • Staphylococcus / genetics*

Substances

  • Bacterial Proteins
  • Carrier Proteins
  • Penicillin-Binding Proteins
  • Penicillins
  • Peptidyl Transferases
  • Hexosyltransferases
  • Muramoylpentapeptide Carboxypeptidase