The methicillin-resistant Staphylococcus aureus (MRSA) strains, which characterize for being resistant to multiple antibiotics, have become one of the most important nosocomial pathogens causing considerable morbidity and mortality in hospitals (Hiramatsu et al. 2001). Clinical isolates of MRSA carry the mecA gene that codes for a penicillin-binding protein (PBP) referred to PBP2a or PBP2', an inducible 78-kDa PBP. In susceptible strains there is no mecA gene homolog (Chambers 1997). The transmission of some important nosocomial pathogens including MRSA has been linked to environmental contamination and since outbreaks of hospital infections due to MRSA first became a serious problem, counter measures have concentrated on the prevention of infection rather than on medical treatment (Noguchi et al. 1999).One of the essential measures of hospital infection control is the use of disinfectants for inanimate objects and surfaces, and antiseptics for topical living tissue applications (McDonnell & Russell 1999). Disinfectants and antiseptics containing quaternary ammonium compounds (QAC) are extensively used in health care settings, and some data suggest that MRSA strains may exhibit decreased susceptibility to QAC by qac determinants, which confer resistance through efflux pumps that are membrane-bound, proton-motive force-dependent cation export protein (Chapman 2003). In clinical staphylococci, qac resistance determinants have been detected on plasmids carrying various antibiotic resistance genes. The large numbers of chemotherapeutic agents employed into clinical practice resulted in the development and spread of antibiotic resistance determinants among bacterial populations. Concerns have arisen regarding the potential emergence of cross-resistance and co-resistance between widely used disinfectants and antibiotics (Noguchi et al. 1999).The purpose of the present study was to investigate the qacA/B determinant distribution among 74 clinical MRSA isolated from Hospitals RJ-A, RJ-B, and RJ-C located in Rio de Janeiro during the years of 2002 and 2003.To identify the isolates, after Gram staining, coagulase and catalase detection, the staphylococci were characterized to the species level on the basis of a APIStaph kit (bioMérieux, France).Total genomic DNA of the microorganisms in this study was extracted using Dneasy Tissue Kit (Qiagen Inc., Valencia, CA). The MRSA strains were confirmed through the presence of mecA gene by polymerase chain reaction (PCR) technique that is so far regarded as the gold standard method for the detection of methicillin resistance. The nucleotide sequences of the primers used for this detection are listed in the Table and S. aureus ATCC 25923 and ATCC 33591 were used respectively as negative and positive control organisms for mecA gene in PCR. The mecA gene was detected in all 74 isolates (100%), which confirms that they were MRSA.Concerning to the detection of qacA/B gene the nucleotide sequences of the primers are listed in the Table. The qacA/B gene was found in 59 (80%) of the 74 MR...