Background
Staphylococcus aureus
is among the most common causes of health care- and community-associated infections worldwide. The distributions of different
S. aureus
clones change over time and also vary geographically. The purpose of this study was to determine the molecular type and antimicrobial resistance profiles of clinical
S. aureus
strains isolated in Urumqi, Northwestern China.
Methods
A total of 605 clinical
S. aureus
isolates were collected from Xinjiang Military General Hospital, in Urumqi. Protein A-encoding (
spa
) typing, multilocus sequence typing, staphylococcal chromosomal cassette
mec
typing, Panton-Valentine leucocidin (
pvl)
gene detection, and antimicrobial resistance profiling were performed.
Results
Among these strains, 271 isolates (44.7%) were methicillin-resistant
S. aureus
(MRSA) and 334 (55.3%) were methicillin-susceptible
S. aureus
(MSSA). The MRSA strains consisted of 22
spa
types and 14 sequence types (STs). ST239-MRSA-III-t030 (73.1%, 198/271) and ST59-MRSA-IV-t437 (11.8%, 32/271) were the most common, and ST22-MRSA-IV-t309 was the rarest (2.02%, 6/271). The MSSA strains consisted of 93
spa
types and 29 STs. ST22, ST121, ST398, ST5, ST7, ST188, and ST15 were the main MSSA STs, and ST22-MSSA-t309 was most common (26.0%, 87/334). The
pvl
gene was present in 20.3% of all
S.aureus
strains, and 80.8% (88/99) of ST22-MSSA strains harbored the
pvl
gene. A total of 85.7%
pvl
-positive ST22-MSSA strains were
spa
t309 (85/99), and 87.5% of
pvl
-positive ST22-MSSA strains were from abscesses or wounds (skin and soft tissue infections). All ST239-MRSA strains were resistant to gentamicin (GEN), levofloxacin (LEV), ciprofloxacin (CIP), moxifloxacin (MXF), rifampicin (RIF), and tetracycline (TET). Among the ST59-MRSA strains, over 70.0% were resistant to erythromycin (ERY), clindamycin (CLI), and TET. ST22-MSSA remained susceptible to most antibiotics, but was resistant to PEN (97.0%), ERY (57.6%), and CLI (15.2%).
Conclusion
Our major results indicated that the antimicrobial resistance profiles and
pvl
genes of
S. aureus
isolates from Urumqi were closely associated with clonal lineage. ST239-MRSA-III-t030 and
pvl
-positive ST22-MSSA-t309 were the most common clones in this region of Northwestern China.