Evidence map›Paper›PMID 31689288›Full record

ArticlePloS one2019

Characterisation of a novel SCCmec VI element harbouring fusC in an emerging Staphylococcus aureus strain from the Arabian Gulf region.

Abiola Senok, Peter Slickers, Helmut Hotzel, Samar Boswihi, Sascha D Braun, Darius Gawlik, Elke Müller, Anju Nabi, Rania Nassar, Hedda Nitschke and 7 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Emergence of livestock-associated MRSA in the Egyptian Nile Delta that carry the exfoliative toxin gene etA: a case for enhanced surveillance.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  5. Mechanisms of fusidic acid resistance.Biochemical Society transactions · 2025
    Review
  6. Methicillin-ResistantAntibiotics (Basel, Switzerland) · 2025
    Article
  7. Genomic analysis of theFrontiers in microbiology · 2025
    Article
  8. Molecular epidemiology of methicillin-resistantFrontiers in microbiology · 2025
    Review
  9. Methicillin-resistantVeterinary world · 2024
    Review
  10. Characterisation of Methicillin-ResistantAntibiotics (Basel, Switzerland) · 2023
    Article
  11. Article
  12. Methicillin-ResistantVeterinary sciences · 2022
    Review
  13. Article
  14. Article
  15. Lateral Flow Immunoassay for the Detection of Panton-Valentine Leukocidin inFrontiers in cellular and infection microbiology · 2021
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 9 institutions in 4 countries.

Abiola SenokCollege of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
Peter SlickersInfectoGnostics Research Campus Jena, Jena, Germany.
Helmut HotzelFriedrich-Loeffler-Institut (Federal Research Institute for Animal Health), Institute of Bacterial Infections and Zoonoses, Jena, Germany.
Samar BoswihiDepartment of Microbiology, Faculty of Medicine, Kuwait University, Jabriya, Kuwait.
Sascha D BraunInfectoGnostics Research Campus Jena, Jena, Germany.
Darius GawlikPTC - Phage Technology Center GmbH, Bönen, Germany.
Elke MüllerInfectoGnostics Research Campus Jena, Jena, Germany.
Anju NabiMicrobiology & Infection Control Unit, Pathology Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
Rania NassarCollege of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
Hedda NitschkeDepartment of Laboratory Medicine, Hospital Dresden-Neustadt, Dresden, Germany.
Annett ReissigInfectoGnostics Research Campus Jena, Jena, Germany.
Antje Ruppelt-LorzInstitute for Medical Microbiology and Hygiene, Medical Faculty "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany.
Joseph MafofoAgiomix FZ-LLC, Dubai Science Park Warehouse Complex, Dubai, United Arab Emirates.
Ali M SomilyDepartment of Pathology and Laboratory Medicine, College of Medicine, King Khalid University Hospital and King Saud University, Riyadh, Saudi Arabia.
Edet UdoDepartment of Microbiology, Faculty of Medicine, Kuwait University, Jabriya, Kuwait.
Ralf EhrichtInfectoGnostics Research Campus Jena, Jena, Germany.
Stefan MoneckeInfectoGnostics Research Campus Jena, Jena, Germany.ORCID 0000-0003-4368-8709
Leibniz Institute of Photonic Technology · DEKuwait University · KWMohammed Bin Rashid University of Medicine and Health Sciences · AEAbbott (Germany) · DEDubai Health Authority · AEFriedrich-Loeffler-Institut · DEInstitute of Medical Microbiology and Hygiene · DEKing Saud University · SAStädtisches Klinikum Dresden · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fusidic acid is a steroid antibiotic known since the 1960s. It is frequently used in topical preparations, i.e., ointments, for the treatment of skin and soft tissue infections caused by Staphylococcus aureus. There is an increasing number of methicillin-resistant S. aureus (MRSA) strains that harbour plasmid-borne fusB/far1 or fusC that is localised on SCC elements. In this study we examined a series of related CC30-MRSA isolates from the Arabian Gulf countries that presented with SCCmec elements and fusC, including a variant that-to the best of our knowledge-has not yet formally been described. It consisted of a class B mec complex and ccrA/B-4 genes. The fusidic acid resistance gene fusC was present, but contrary to the previously sequenced element of HDE288, it was not accompanied by tirS. This element was identified in CC30 MRSA from Kuwait, Saudi Arabia and the United Arab Emirates that usually also harbour the Panton-Valentin leukocidin (PVL) genes. It was also identified in CC8 and ST834 isolates. In addition, further CC30 MRSA strains with other SCCmec VI elements harbouring fusC were found to circulate in the Arabian Gulf region. It can be assumed that MRSA strains with SCCmec elements that include fusC have a selective advantage in both hospital and community settings warranting a review of the use of topical antibiotics and indicating the necessity of reducing over-the-counter sale of antibiotics, including fusidic acid, without prescription.

Indexed as

Anti-Bacterial AgentsBacterial ProteinsDrug Resistance, BacterialFusidic AcidGenes, BacterialGenetic VariationHumansKuwaitMethicillin-Resistant Staphylococcus aureusOligonucleotide Array Sequence AnalysisPlasmidsSaudi ArabiaUnited Arab EmiratesAnti-Bacterial AgentsBacterial ProteinsFusidic Acid

Identifiers

PMID31689288
PMCPMC6830749
OpenAlexW2988250764

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.