2019
DOI: 10.1111/tbed.13170
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What is behind phylogenetic analysis of hospital‐, community‐ and livestock‐associated methicillin‐resistantStaphylococcus aureus?

Abstract: Summary Methicillin‐resistant Staphylococcus aureus (MRSA) has been shown to be the predominant life‐threatening pathogen in Egypt. MRSA is a major cause of severe healthcare‐associated (HA) infections. During the last decades, the incidence of community‐associated (CA) MRSA infections has a complex epidemiology arising from the circulation of different strains in the general population. Moreover, livestock‐associated (LA) MRSA emerged recently becomes an emerging threat to public health. Therefore, it is impo… Show more

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Cited by 27 publications
(32 citation statements)
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“…The emerging and increasing prevalence of resistance to multiple antimicrobial agents among pathogenic bacteria [18][19][20] and fungi [21] has become a public health challenge [22] due to the limitation in the therapeutic options for those strains. Unfortunately, this crisis has grown until the appearance of both XDR and pandrug-resistant (PDR) strains [23].…”
Section: Discussionmentioning
confidence: 99%
“…The emerging and increasing prevalence of resistance to multiple antimicrobial agents among pathogenic bacteria [18][19][20] and fungi [21] has become a public health challenge [22] due to the limitation in the therapeutic options for those strains. Unfortunately, this crisis has grown until the appearance of both XDR and pandrug-resistant (PDR) strains [23].…”
Section: Discussionmentioning
confidence: 99%
“…Numerous different diseases are associated with S. aureus infection. This has been attributed to the expression of a large repertoire of virulence genes such as coagulase ( coa ), S. aureus protein A ( spa ), Panton–Valentine leucocidin ( pvl ), toxic shock syndrome toxin ( tst ), exfoliative toxins A ( eta ) and B ( etb ), and staphylococcal enterotoxins A–G ( sea – seg ), which cause harmful toxic effects to the host [ 2 , 3 ]. The staphylococcal virulence factors are under the control of the accessory gene regulator ( agr ) quorum sensing (QS) system.…”
Section: Introductionmentioning
confidence: 99%
“…Marked genetic similarities were found between CA-MRSA and LA-MRSA as both clades share the lineages ST239 and ST398, both contain SCCmec IV and V, while exhibiting little differences in their staphylococcal protein a (spa) types [22][23][24]35,37,39]. This suggests that dissemination occurs in a bidirectional manner; from animals to humans and vice versa, with specifically high prevalence of LA-MRSA between veterinarians, farmers and those in close contact with animals [23,25,39].…”
Section: Clonal Relation Between Ca-mrsa and La-mrsamentioning
confidence: 99%