Evidence map›Paper›PMID 33854075›Full record

ArticleScientific reports2021

Characterisation of S. aureus/MRSA CC1153 and review of mobile genetic elements carrying the fusidic acid resistance gene fusC.

Stefan Monecke, Elke Müller, Sascha D Braun, Marc Armengol-Porta, Michèle Bes, Samar Boswihi, Maged El-Ashker, Ines Engelmann, Darius Gawlik, Mayada Gwida and 8 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 18% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. 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
  10. Article
  11. Methicillin-ResistantAntibiotics (Basel, Switzerland) · 2025
    Article
  12. Article
  13. Article
  14. Sequencing a CC239-MRSA-III with a novel composite SCC mec element from Kuwait.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  15. Methicillin-resistantVeterinary world · 2024
    Review
  16. Clonal Flux and Spread ofMicroorganisms · 2023
    Article
  17. Characterisation of Methicillin-ResistantAntibiotics (Basel, Switzerland) · 2023
    Article
  18. Article
  19. Sequence Analysis of NovelInternational journal of molecular sciences · 2022
    Article
  20. 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

18 authors at 11 institutions in 7 countries.

Stefan MoneckeLeibniz Institute of Photonic Technology (IPHT), Jena, Germany. stefan.monecke@leibniz-ipht.de.
Elke MüllerLeibniz Institute of Photonic Technology (IPHT), Jena, Germany.
Sascha D BraunLeibniz Institute of Photonic Technology (IPHT), Jena, Germany.
Marc Armengol-PortaInstitute for Clinical Chemistry and Laboratory Medicine, Municipal Hospital Dresden, Dresden, Germany.
Michèle BesCentre National de Référence des Staphylocoques, Institut des Agents Infectieux, Hospices Civils de Lyon, Lyon, France.
Samar BoswihiDepartment of Microbiology, Faculty of Medicine, Kuwait University, Jabriya, Kuwait.
Maged El-AshkerDepartment of Internal Medicine and Infectious Diseases, Faculty of Veterinary Medicine, Mansoura University, Mansoura, Egypt.
Ines EngelmannBLINK AG, Jena, Germany.
Darius GawlikPTC-Phage Technology Center GmbH, Bönen, Germany.
Mayada GwidaDepartment of Hygiene and Zoonoses, Faculty of Veterinary Medicine, Mansoura University, Mansoura, Egypt.
Helmut HotzelFormerly Friedrich-Loeffler-Institut (Federal Research Institute for Animal Health), Institute of Bacterial Infections and Zoonoses, Jena, Germany.
Rania NassarCollege of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
Annett ReissigLeibniz Institute of Photonic Technology (IPHT), Jena, Germany.
Antje Ruppelt-LorzInstitute for Medical Microbiology and Hygiene, Medical Faculty "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany.
Abiola SenokCollege of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
Ali M SomilyDepartment of Pathology and Laboratory Medicine, College of Medicine, King Saud University Medical City and King Saud University, Riyadh, Saudi Arabia.
Edet E UdoDepartment of Microbiology, Faculty of Medicine, Kuwait University, Jabriya, Kuwait.
Ralf EhrichtLeibniz Institute of Photonic Technology (IPHT), Jena, Germany.
InfectoGnostics Research Campus Jena · DEKuwait University · KWLeibniz Institute of Photonic Technology · DEMansoura University · EGMohammed Bin Rashid University of Medicine and Health Sciences · AEFriedrich-Loeffler-Institut · DEFriedrich Schiller University Jena · DEHospices Civils de Lyon · FRKing Saud University · SAStädtisches Klinikum Dresden · DETU Dresden · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While many data on molecular epidemiology of MRSA are available for North America, Western Europe and Australia, much less is known on the distribution of MRSA clones elsewhere. Here, we describe a poorly known lineage from the Middle East, CC1153, to which several strains from humans and livestock belong. Isolates were characterised using DNA microarrays and one isolate from the United Arab Emirates was sequenced using Nanopore technology. CC1153 carries agr II and capsule type 5 genes. Enterotoxin genes are rarely present, but PVL is common. Associated spa types include t504, t903 and t13507. PVL-positive CC1153-MSSA were found in Egyptian cattle suffering from mastitis. It was also identified among humans with skin and soft tissue infections in Saudi Arabia, France and Germany. CC1153-MRSA were mainly observed in Arabian Gulf countries. Some isolates presented with a previously unknown SCCmec/SCCfus chimeric element in which a mec B complex was found together with the fusidic acid resistance gene fusC and accompanying genes including ccrA/B-1 recombinase genes. Other isolates carried SCCmec V elements that usually also included fusC. Distribution and emergence of CC1153-MRSA show the necessity of molecular characterization of MRSA that are resistant to fusidic acid. These strains pose a public health threat as they combine resistance to beta-lactams used in hospitals as well as to fusidic acid used in the community. Because of the high prevalence of fusC-positive MRSA in the Middle East, sequences and descriptions of SCC elements harbouring fusC and/or mecA are reviewed. When comparing fusC and its surrounding regions from the CC1153 strain to available published sequences, it became obvious that there are four fusC alleles and five distinct types of fusC gene complexes reminiscent to the mec complexes in SCCmec elements. Likewise, they are associated with different sets of ccrA/B recombinase genes and additional payload that might include entire mec complexes or SCCmec elements.

Indexed as

Drug Resistance, BacterialInterspersed Repetitive SequencesAnimalsBacterial ProteinsCattleFusidic AcidHumansMethicillin-Resistant Staphylococcus aureusMiddle EastNanopore SequencingOligonucleotide Array Sequence AnalysisPhylogenySequence Analysis, DNAWhole Genome SequencingBacterial ProteinsFusidic Acid

Identifiers

PMID33854075
PMCPMC8046974
OpenAlexW3155357560

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.