論文

査読有り 招待有り
2010年8月

Community-acquired methicillin-resistant Staphylococcus aureus: community transmission, pathogenesis, and drug resistance

JOURNAL OF INFECTION AND CHEMOTHERAPY
  • Tatsuo Yamamoto
  • ,
  • Akihito Nishiyama
  • ,
  • Tomomi Takano
  • ,
  • Shizuka Yabe
  • ,
  • Wataru Higuchi
  • ,
  • Olga Razvina
  • ,
  • Da Shi

16
4
開始ページ
225
終了ページ
254
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s10156-010-0045-9
出版者・発行元
ELSEVIER SCIENCE BV

Methicillin-resistant Staphylococcus aureus (MRSA) is able to persist not only in hospitals (with a high level of antimicrobial agent use) but also in the community (with a low level of antimicrobial agent use). The former is called hospital-acquired MRSA (HA-MRSA) and the latter community-acquired MRSA (CA-MRSA). It is believed MRSA clones are generated from S. aureus through insertion of the staphylococcal cassette chromosome mec (SCCmec), and outbreaks occur as they spread. Several worldwide and regional clones have been identified, and their epidemiological, clinical, and genetic characteristics have been described. CA-MRSA is likely able to survive in the community because of suitable SCCmec types (type IV or V), a clone-specific colonization/infection nature, toxin profiles (including Pantone-Valentine leucocidin, PVL), and narrow drug resistance patterns. CA-MRSA infections are generally seen in healthy children or young athletes, with unexpected cases of diseases, and also in elderly inpatients, occasionally surprising clinicians used to HA-MRSA infections. CA-MRSA spreads within families and close-contact groups or even through public transport, demonstrating transmission cores. Re-infection (including multifocal infection) frequently occurs, if the cores are not sought out and properly eradicated. Recently, attention has been given to CA-MRSA (USA300), which originated in the US, and is growing as HA-MRSA and also as a worldwide clone. CA-MRSA infection in influenza season has increasingly been noted as well. MRSA is also found in farm and companion animals, and has occasionally transferred to humans. As such, the epidemiological, clinical, and genetic behavior of CA-MRSA, a growing threat, is focused on in this study.

リンク情報
DOI
https://doi.org/10.1007/s10156-010-0045-9
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000280649400001&DestApp=WOS_CPL
ID情報
  • DOI : 10.1007/s10156-010-0045-9
  • ISSN : 1341-321X
  • eISSN : 1437-7780
  • Web of Science ID : WOS:000280649400001

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