Community-acquired methicillin-resistant Staphylococcus aureus carrying Panton-Valentine leukocidin genes: Worldwide emergence

Infections caused by community-acquired (CA)-methicillin-resistant Staphylococcus aureus (MRSA) have been reported worldwide. We assessed whether any common genetic markers existed among 117 CA-MRSA isolates from the United States, France, Switzerland, Australia, New Zealand, and Western Samoa by performing polymerase chain reaction for 24 virulence factors and the methicillin-resistance determinant. The genetic background of the strain was analyzed by pulsed-field gel electrophoresis (PFGE) and multi-locus sequence typing (MLST). The CA-MRSA strains shared a type IV SCCmec cassette and the Panton-Valentine leukocidin locus, whereas the distribution of the other toxin genes was quite specific to the strains from each continent. PFGE and MLST analysis indicated distinct genetic backgrounds associated with each geographic origin, although predominantly restricted to the agr3 background. Within each continent, the genetic background of CA-MRSA strains did not correspond to that of the hospital-acquired MRSA.

Upper level, C House, Coorparoo, Brisbane

View along North-West elevation upper level.

Iwan, C House, Coorparoo, Brisbane

As seen from pool deck.

The Nest, C House, Coorparoo, Brisbane

Timber deck with built-in seat overlooking greater landscape beyond.

Pool deck, C House, Coorparoo, Brisbane

View back towards house from deck. with Iwan (right) and filter room (left).

The Nest, C House, Coorparoo, Brisbane

Concrete framework for The Nest (North-West elevation), with timber framework yet to be added.

North-West elevation, C House, Cooparoo, Brisbane

Entry stair in foreground.

Pool deck, C House, Coorparoo, Brisbane

As seen from The Nest above

Outdoor room, C House, Coorparoo, Brisbane

As seen from upper level of house.

Lower level interior, C House, Coorparoo, Brisbane

View to landcape beyond from lower level interior.

Pool deck, C House, Coorparoo, Brisbane

View towards house from pool deck. Iwan on right and stone clad filter room on left.

The Nest, C House, Coorparoo, Brisbane

Concrete framework for The Nest (North-west elevation), with timber framing yet to be added.