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Infection and Immunity, January 2001, p. 345-352, Vol. 69, No. 1
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.1.345-352.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Clonal Associations among Staphylococcus
aureus Isolates from Various Sites of Infection
Mary C.
Booth,1,*
Lisa M.
Pence,1
Param
Mahasreshti,1
Michelle C.
Callegan,1 and
Michael
S.
Gilmore1,2
Department of
Ophthalmology,1 and Department of
Microbiology and Immunology,2 The University
of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma
Received 24 July 2000/Returned for modification 29 August
2000/Accepted 25 October 2000
A molecular epidemiological analysis was undertaken to identify
lineages of Staphylococcus aureus that may be
disproportionately associated with infection. Pulsed-field gel
electrophoresis analysis of 405 S. aureus clinical isolates
collected from various infection types and geographic locations was
performed. Five distinct S. aureus lineages (SALs 1, 2, 4, 5, and 6) were identified, which accounted for 19.01, 9.14, 22.72, 10.12, and 4.69% of isolates, respectively. In addition, 85 lineages
which occurred with frequencies of <2.5% were identified and were
termed "sporadic." The most prevalent lineage was
methicillin-resistant S. aureus (SAL 4). The second most
prevalent lineage, SAL 1, was also isolated at a high frequency from
the anterior nares of healthy volunteers, suggesting that its
prevalence among clinical isolates may be a consequence of high
carriage rates in humans. Gene-specific PCR was carried out to detect
genes for a number of staphylococcal virulence traits. tst
and cna were found to be significantly associated with
prevalent lineages compared to sporadic lineages. When specific infection sites were examined, SAL 4 was significantly associated with
respiratory tract infection, while SAL 2 was enriched among blood
isolates. SAL 1 and SAL 5 were clonally related to SALs shown by others
to be widespread in the clinical isolate population. We conclude from
this study that at least five phylogenetic lineages of S. aureus are highly prevalent and widely distributed among clinical
isolates. The traits that confer on these lineages a propensity to
infect may suggest novel approaches to antistaphylococcal therapy.
*
Corresponding author. Mailing address: C/o Michael S. Gilmore, University of Oklahoma Health Sciences Center, BRC 356, P.O. Box 26901, Oklahoma City, OK 73190. Phone: (405) 271-1084. Fax: (405)
271-8781. E-mail: mgilmore{at}aardvark.ou.edu.
Infection and Immunity, January 2001, p. 345-352, Vol. 69, No. 1
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.1.345-352.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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