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Cited by 301

The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.

The Evolution of Pandemic Clones of Methicillin-Resistant Staphylococcus aureus : Identification of Two Ancestral Genetic Backgrounds and the Associated mec Elements

Oliveira, Duarte C., Tomasz, Alexander, de Lencastre, Hermínia·2001·Microbial Drug Resistance

Abstract

Previous surveillance studies carried out by our laboratories, primarily in Southern and Eastern Europe, Latin America, and the United States, have characterized 3,067 methicillin-resistant Staphylococcus aureus (MRSA) hospital isolates by a combination of molecular typing methods. Nearly 70% of these isolates could be classified into five clonal types showing extensive geographic spread. Representative isolates of these clonal types were now reexamined for their genetic relatedness by multilocus sequence typing (MLST) and by sequencing the polymorphic region of protein A ( spaA typing), and also for the type of the Staphylococcal Chromosomal Cassette (SCC mec ) resident in the bacteria. Three of the previously classified clonal types (Iberian, Brazilian, and Hungarian clones) shared a common or closely related genetic background A, which was the same as the background of the earliest European isolates of MRSA from England and Denmark. The Pediatric and New York/Japan clones belonged to a completely different genetic background B. The three recently described SCC mec types were specifically associated with different pandemic clones: types I and III with isolates of genetic background A and type II with isolates of genetic background B. A novel SCC mec related to type I, called SCC mec type IV, was identified in some MRSA strains belonging to genetic background A as well as B. Structural variations in SCC mec types I and III were also observed. The data allow tentative identification of an evolutionary pathway for the emergence of pandemic MRSA clones and also provide evidence for the multiple, yet restricted, numbers of acquisition of the mec element by S. aureus .

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Metadata

Authors
Oliveira, D. C., Tomasz, A., & de Lencastre, H.
Venue
Microbial Drug Resistance
Published
2001-12
Volume
7
Issue
4
Pages
349-361
ISSN
  • 1076-6294 (ISSN-L)
  • 1931-8448
OpenAlex
W2134366416
Cited by
301
References
42
FWCI
10.95
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The Evolution of Pandemic Clones of Methicillin-Resistant Staphylococcus aureus : Identification of Two Ancestral Genetic Backgrounds and the Associated mec Elements. https://app.cochat.ai/papers/10.1089/10766290152773365
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Oliveira, D. C., Tomasz, A., & de Lencastre, H. (2001). The Evolution of Pandemic Clones of Methicillin-Resistant Staphylococcus aureus : Identification of Two Ancestral Genetic Backgrounds and the Associated mec Elements. Microbial Drug Resistance. https://doi.org/10.1089/10766290152773365

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