Novel mutations in penicillin-binding protein genes in clinical Staphylococcus aureus isolates that are methicillin resistant on susceptibility testing, but lack the mec gene

Xiaoliang Ba, Ewan M Harrison, Giles F Edwards, Matthew T G Holden, Anders Rhod Larsen, Andreas Petersen, Robert L Skov, Sharon J Peacock, Julian Parkhill, Gavin K Paterson, Mark A Holmes

Research output: Contribution to journalArticlepeer-review

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is an important global health problem. MRSA resistance to β-lactam antibiotics is mediated by the mecA or mecC genes, which encode an alternative penicillin-binding protein (PBP) 2a that has a low affinity to β-lactam antibiotics. Detection of mec genes or PBP2a is regarded as the gold standard for the diagnosis of MRSA. We identified four MRSA isolates that lacked mecA or mecC genes, but were still phenotypically resistant to pencillinase-resistant β-lactam antibiotics.
Original languageEnglish
Pages (from-to)594-7
Number of pages4
JournalJournal of Antimicrobial Chemotherapy
Volume69
Issue number3
Early online date11 Nov 2013
DOIs
Publication statusPublished - Mar 2014

Keywords

  • β-lactams
  • MRSA
  • mecA
  • mecC

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