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BACTERIAL EPIDEMIOLOGY AND TYPING |



*Universidade Federal do Rio de Janeiro, Instituto de Microbiologia Prof. Paulo de Góes, Laboratório de Biologia Molecular de Bactérias, CCS, Bloco I, Cidade Universitária, Rio de Janeiro, RJ 21941-590,
Universidade Federal do Piauí, CCS, Departamento de Parasitologia e Microbiologia, SG16, Teresina, PI 64049-550 and
Universidade Federal Fluminense, Departamento de Tecnologia Farmacêutica, Faculdade de Farmácia, Niterói, Rio de Janeiro, RJ 24241-002, Brazil
Corresponding author: Dr A.M.S. Figueiredo (e-mail address: immmasf{at}microbio.ufrj.br).
Received 24 July 2000; revised version accepted 24 Jan. 2001.
Abstract
The extensive geographic spread of MRSA isolates belonging to the Brazilian epidemic clone (BEC) limited the value of pulsed-field gel electrophoresis (PFGE) in epidemiological studies of outbreaks caused by these strains. Thus, the discriminatory power of eight different molecular methods was evaluated in an attempt to establish a methodology for genotyping BEC isolates involved in intra-hospital outbreaks. BEC isolates from five hospitals in Teresina City, Piauí State were genotyped by conventional electrophoresis or PFGE of ClaI- or SmaI-digested genomic DNA hybridised with specific labelled mecA, Tn554, IS257 and IS256 probes. The combination of PFGE with ClaI/mecA, ClaI/Tn554, ClaI/IS257, SmaI/mecA and SmaI/IS257 probe-fingerprinting techniques provided a very poor discriminatory power for BEC strains. Although ClaI/IS256 fingerprinting discriminated 17 different polymorphisms among the isolates displaying PFGE A1 pattern, this strategy was not reproducible. In contrast, the combination of PFGE and SmaI/IS256 polymorphisms differentiated BEC isolates into nine stable polymorphisms. Thus combination of PFGE and hybridisation with IS256 probe may be recommended as a useful means of typing BEC strains involved in intra-hospital infections.
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