Evidence map›Paper›PMID 39143496›Full record

ArticleBMC medical genomics2024

Genomic characterization of methicillin-resistant Staphylococcus aureus isolated from patients attending regional referral hospitals in Tanzania.

Mujungu A Geofrey, Elingarami Sauli, Livin E Kanje, Melkiory Beti, Mariana J Shayo, Davis Kuchaka, Marco van Zwetselaar, Boaz Wadugu, Blandina Mmbaga, Sixbert Isdory Mkumbaye and 2 more

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Article in BMC medical genomics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

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8citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

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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

12 authors.

Mujungu A Geofrey *Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania. mujungugeofrey3@gmail.com.
Elingarami SauliNelson Mandela African Institution of Science and Technology, Arusha, Tanzania.
Livin E KanjeKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.
Melkiory BetiKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.
Mariana J ShayoKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.
Davis KuchakaKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.
Marco van ZwetselaarKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.
Boaz WaduguKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.
Blandina MmbagaKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.
Sixbert Isdory MkumbayeKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.
Happiness Kumburu *Kilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.
Tolbert SondaKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.

Funding

Danish International Development Agency (DANIDA) through SeqTanzania project and Fleming Fund through SeqAfrica project DFC No. 20-12-TAN and FF25-286.
6 · The paper itself

Abstract

backgroundMethicillin-resistant Staphylococcus aureus (MRSA) colonization increases the risk of subsequent infection by MRSA strain complex interlinking between hospital and community-acquired MRSA which increases the chance of drug resistance and severity of the disease.

objectiveGenomic characterization of Staphylococcus aures strains isolated from patients attending regional referral hospitals in Tanzania. METHODOLOGY: A laboratory-based cross-sectional study using short read-based sequencing technology, (Nextseq550,Illumina, Inc. San diego, California, USA). The samples used were collected from patients attending selected regional referral hospitals in Tanzania under the SeqAfrica project. Sequences were analyzed using tools available in the center for genomic and epidemiology server, and visualization of the phylogenetic tree was performed in ITOL 6.0. SPSS 28.0 was used for statistical analysis.

resultsAmong 103 sequences of S. aureus, 48.5% (50/103) carry the mecA gene for MRSA. High proportions of MRSA were observed among participants aged between 18 and 34 years (52.4%), in females (54.3%), and among outpatients (60.5%). The majority of observed MRSA carried plasmids rep5a (92.0%), rep16 (90.0%), rep7c (90.0%), rep15 (82.0%), rep19 (80.0%) and rep10 (72.0%). Among all plasmids observed rep5a, rep16, rep20, and repUS70 carried the blaZ gene, rep10 carried the erm(C) gene and rep7a carried the tet(K) gene. MLST and phylogeny analysis reveal high diversity among MRSA. Six different clones were observed circulating at selected regional hospitals and MRSA with ST8 was dominant.

conclusionThe study reveals a significant presence of MRSA in Staphylococcus aureus strains from Tanzanian regional hospitals, with nearly half carrying the mecA gene. MRSA is notably prevalent among young adults, females, and outpatients, showing high genetic diversity and dominance of ST8. Various plasmids carrying resistance genes indicate a complex resistance profile, highlighting the need for targeted interventions to manage MRSA infections in Tanzania.

Indexed as

Methicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsAdolescentAdultBacterial ProteinsChildCross-Sectional StudiesFemaleGenome, BacterialGenomicsHumansMaleMiddle AgedPhylogenyReferral and ConsultationTanzaniaBacterial ProteinsGenomic characterizationMethicillin resistanceStaphylococcus aureus

Identifiers

PMID39143496
PMCPMC11323609

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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.