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Antimicrobial Agents and Chemotherapy, March 2006, p. 1001-1012, Vol. 50, No. 3
0066-4804/06/$08.00+0     doi:10.1128/AAC.50.3.1001-1012.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.

Staphylococcal Cassette Chromosome mec (SCCmec) Typing of Methicillin-Resistant Staphylococcus aureus Strains Isolated in 11 Asian Countries: a Proposal for a New Nomenclature for SCCmec Elements

Piriyaporn Chongtrakool,1,3 Teruyo Ito,1,2* Xiao Xue Ma,1 Yoko Kondo,2 Suwanna Trakulsomboon,1,3 Chuntima Tiensasitorn,1,3 Mantana Jamklang,1,3 Tavinun Chavalit,1,3 Jae-Hoon Song,4 and Keiichi Hiramatsu1,2

Department of Bacteriology, Juntendo University, Tokyo, Japan,1 Department of Infection Control Science, Graduate School of Medicine, Juntendo University, Tokyo, Japan,2 Mahidol University, Bangkok, Thailand,3 Samsung Medical Center, Sungkyunkwan University, Seoul, Korea4

Received 5 August 2005/ Returned for modification 16 October 2005/ Accepted 31 December 2005

A description of staphylococcal cassette chromosome mec (SCCmec) elements carried by 615 methicillin-resistant Staphylococcus aureus (MRSA) strains isolated in 11 Asian countries is reported, and a novel nomenclatural system based on their structures is proposed. The 615 strains were classified as type 3A (370 strains), type 2A (207 strains), type 2B (32 strains), type 1B (1 strain), and nontypeable (5 strains). The previously reported type III SCCmec (DDBJ/EMBL/GenBank accession no. AB037671) carried by the MRSA strain 85/2082 was ascertained to be composed of two SCC elements, type 3A SCCmec and SCCmercury. PCR analysis indicated that 310 of 370 type 3A SCCmec strains carried both SCC elements. These strains were prevalent in eight countries: Thailand, Sri Lanka, Indonesia, Vietnam, Philippines, Saudi Arabia, India, and Singapore. The remaining 60 type 3A SCCmec strains differed with respect to the left extremity polymorphism or to the presence of ccrC. Among these, two were identified as carrying only type 3A SCCmec elements, but their left extremities differed. Type 2A SCCmec strains predominated in Korea and Japan, although the frequency of the presence of ant(4')-1 gene downstream of mecA varied (53% for Korean strains; 93% for Japanese strains). Various SCCmec elements were identified in the tested strains, and limited numbers were identified by their multilocus sequence typing genotypes. These data suggest that numerous MRSA clones are disseminated in Asian hospitals, and these consist of minor clones that are presumed to have arisen locally and major clones that are presumed to have been introduced from other countries.

* Corresponding author. Mailing address: Department of Bacteriology, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo, Japan 113-8421. Phone: 81-3-5802-1041. Fax: 81-3-5684-7830. E-mail: teruybac{at}med.juntendo.ac.jp.

Antimicrobial Agents and Chemotherapy, March 2006, p. 1001-1012, Vol. 50, No. 3
0066-4804/06/$08.00+0     doi:10.1128/AAC.50.3.1001-1012.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.



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