Community-acquired methicillin-resistant Staphylococcus aureus infections: an emerging threat in Spain.
Infectious Diseases Service, Hospital Universitari de Bellvitge, L'Hospitalet Llobregat, Barcelona, Spain. admanzur@yahoo.com.ar
Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) has not been recognised previously as a cause of MRSA infections in Spain. Nineteen patients carrying Panton-Valentine leukocidin (PVL)-positive MRSA were identified in a Barcelona hospital, of whom 15 were immigrants, mostly from South America. Twelve developed skin and soft-tissue infections. The associated isolates carried the PVL gene and staphylococcal chromosomal cassette (SCC)mecIV. A dominant clone belonging to sequence type (ST)8 and related to the USA300 clone was identified by pulsed-field gel electrophoresis. This clone is emerging in Spain, primarily among immigrants from South America, but dissemination to the native Spanish population could increase.
PMID: 18190565 [PubMed - indexed for MEDLINE]