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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Jundishapur+J+Microbiol
2016 ; 9
(1
): e28291
Nephropedia Template TP
gab.com Text
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English Wikipedia
Staphylococcus aureus Isolates Carrying Panton-Valentine Leucocidin Genes: Their
Frequency, Antimicrobial Patterns, and Association With Infectious Disease in
Shahrekord City, Southwest Iran
#MMPMID27099685
Shariati L
; Validi M
; Hasheminia AM
; Ghasemikhah R
; Kianpour F
; Karimi A
; Nafisi MR
; Tabatabaiefar MA
Jundishapur J Microbiol
2016[Jan]; 9
(1
): e28291
PMID27099685
show ga
BACKGROUND: A diversity of virulence factors work together to create the
pathogenicity of Staphylococcus aureus. These factors include cell surface
components that promote adherence to surfaces as well as exoproteins such as
Panton-Valentine leukocidin (PVL), encoded by the luk-PV genes, that invade or
bypass the immune system and are toxic to the host, thereby enhancing the
severity of infections caused by methicillin-resistant Staphylococcus aureus
(MRSA). OBJECTIVES: The aim of this study was to determine the frequency of
PVL-positive MRSA strains by real-time PCR and their antibiotic susceptibility
patterns by phenotypic test. MATERIALS AND METHODS: In total, 284 Staphylococcus
isolates, identified by phenotypic methods from clinical samples of Shahrekord
University Hospitals, Shahrekord, Iran, were tested for nuc, mecA, and PVL genes
by TaqMan real-time PCR. The antibiotic susceptibility patterns of PVL-containing
MRSA strains were determined via the disk diffusion method. RESULTS: In total,
196 isolates (69%) were nuc positive (i.e., S. aureus); of those isolates, 96
(49%) were mecA positive (MRSA). Eighteen (18.8%) of the 96 MRSA positive and 3
(3%) of the 100 methicillin-susceptible Staphylococcus aureus (MSSA) strains were
PVL positive. PVL-positive MRSA strains were mostly recovered from tracheal
specimens. Eight PVL-positive MRSA strains were resistant to all the tested
antibiotics except vancomycin. A significant correlation (P = 0.001) was found
between the mecA positivity and the presence of luk-PV genes. CONCLUSIONS:
Community acquired (CA)-MRSA is becoming a public health concern in many parts of
the world, including Asian countries. The variable prevalence of luk-PV-positive
MRSA isolates in different regions and their rather high frequency in pneumonia
necessitate the application of rapid diagnostic methods such as real-time PCR to
improve treatment effectiveness.