The changing pattern of methicillin-resistant staphylococcus aureus clones in Latin America: implications for clinical practice in the region

Methicillin-resistant Staphylococcus aureus (MRSA) clones belonging to the Brazilian, Pediatric, Cordobes/Chilean and New York/Japan clonal complexes are widely distributed across Latin America, although their individual distribution patterns and resistance to antimicrobial drugs are constantly changing. Furthermore, clones with increased virulence are beginning to appear more frequently both in hospital and community settings, and there is evidence that virulence factors can be transferred between hospital- and community-associated clones through recombination. These changing patterns have significant implications for clinical practice in the region. Most importantly, clinicians need to be aware of the changing antimicrobial resistance profile of circulating MRSA clones in their region in order to choose the most appropriate empiric antimicrobial therapy. Thus, regional molecular epidemiology programs are required across the region to provide accurate identification and characterization of circulating MRSA clones

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Main Authors: Rodríguez-Noriega,Eduardo, Seas,Carlos
Format: Digital revista
Language:English
Published: Brazilian Society of Infectious Diseases 2010
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702010000800004
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spelling oai:scielo:S1413-867020100008000042011-01-05The changing pattern of methicillin-resistant staphylococcus aureus clones in Latin America: implications for clinical practice in the regionRodríguez-Noriega,EduardoSeas,Carlos MRSA clones molecular epidemiology Latin America Methicillin-resistant Staphylococcus aureus (MRSA) clones belonging to the Brazilian, Pediatric, Cordobes/Chilean and New York/Japan clonal complexes are widely distributed across Latin America, although their individual distribution patterns and resistance to antimicrobial drugs are constantly changing. Furthermore, clones with increased virulence are beginning to appear more frequently both in hospital and community settings, and there is evidence that virulence factors can be transferred between hospital- and community-associated clones through recombination. These changing patterns have significant implications for clinical practice in the region. Most importantly, clinicians need to be aware of the changing antimicrobial resistance profile of circulating MRSA clones in their region in order to choose the most appropriate empiric antimicrobial therapy. Thus, regional molecular epidemiology programs are required across the region to provide accurate identification and characterization of circulating MRSA clonesinfo:eu-repo/semantics/openAccessBrazilian Society of Infectious DiseasesBrazilian Journal of Infectious Diseases v.14 suppl.2 20102010-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702010000800004en10.1590/S1413-86702010000800004
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country Brasil
countrycode BR
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region America del Sur
libraryname SciELO
language English
format Digital
author Rodríguez-Noriega,Eduardo
Seas,Carlos
spellingShingle Rodríguez-Noriega,Eduardo
Seas,Carlos
The changing pattern of methicillin-resistant staphylococcus aureus clones in Latin America: implications for clinical practice in the region
author_facet Rodríguez-Noriega,Eduardo
Seas,Carlos
author_sort Rodríguez-Noriega,Eduardo
title The changing pattern of methicillin-resistant staphylococcus aureus clones in Latin America: implications for clinical practice in the region
title_short The changing pattern of methicillin-resistant staphylococcus aureus clones in Latin America: implications for clinical practice in the region
title_full The changing pattern of methicillin-resistant staphylococcus aureus clones in Latin America: implications for clinical practice in the region
title_fullStr The changing pattern of methicillin-resistant staphylococcus aureus clones in Latin America: implications for clinical practice in the region
title_full_unstemmed The changing pattern of methicillin-resistant staphylococcus aureus clones in Latin America: implications for clinical practice in the region
title_sort changing pattern of methicillin-resistant staphylococcus aureus clones in latin america: implications for clinical practice in the region
description Methicillin-resistant Staphylococcus aureus (MRSA) clones belonging to the Brazilian, Pediatric, Cordobes/Chilean and New York/Japan clonal complexes are widely distributed across Latin America, although their individual distribution patterns and resistance to antimicrobial drugs are constantly changing. Furthermore, clones with increased virulence are beginning to appear more frequently both in hospital and community settings, and there is evidence that virulence factors can be transferred between hospital- and community-associated clones through recombination. These changing patterns have significant implications for clinical practice in the region. Most importantly, clinicians need to be aware of the changing antimicrobial resistance profile of circulating MRSA clones in their region in order to choose the most appropriate empiric antimicrobial therapy. Thus, regional molecular epidemiology programs are required across the region to provide accurate identification and characterization of circulating MRSA clones
publisher Brazilian Society of Infectious Diseases
publishDate 2010
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702010000800004
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