Evidence map›Paper›PMID 42430113›Full record

ArticleInfection2026

Molecular epidemiology of community-acquired MRSA (CA-MRSA) and hospital-acquired MRSA (HA-MRSA): sequence types, virulence profiles, and antimicrobial resistance in a Belgian hospital network.

Delphine De Smet, Basil Britto Xavier, Sam Van Goethem, Daan Van Brusselen, Reinout Naesens

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Article in Infection, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Delphine De SmetDepartment of microbiology, Ziekenhuis aan de Stroom, Antwerp, Belgium. Delphine_de_smet_1@hotmail.com.ORCID http://orcid.org/0000-0002-0547-0082
Basil Britto XavierDepartment of microbiology, Ziekenhuis aan de Stroom, Antwerp, Belgium.
Sam Van GoethemDepartment of microbiology, Ziekenhuis aan de Stroom, Antwerp, Belgium.
Daan Van BrusselenDepartment of pediatric infectiology, Ziekenhuis aan de Stroom, Antwerp, Belgium.
Reinout NaesensDepartment of microbiology, Ziekenhuis aan de Stroom, Antwerp, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study characterizes 109 MRSA isolates collected at a major hospital network in Antwerp, Belgium, focusing on their classification as community-acquired (CA-MRSA) or hospital-acquired (HA-MRSA), antimicrobial susceptibility profiles, genotypic resistance determinants, virulence factors, and sequence type (ST) distribution.

methodsThis study was conducted retrospectively. MRSA isolates were collected from patients presenting to facilities within the "Ziekenhuis aan de Stroom (ZAS)" hospital network. The strains were prepared for whole genome sequencing with the Nextera XT sample preparation kit (Illumina), followed by sequencing on the Illumina MiSeq platform.

resultsOf the 109 sequenced isolates, 83 (76,1%) were classified as CA-MRSA and 26 (23,9%) as HA-MRSA. Seventy-three (67,0%) isolates originated from clinical samples and 36 (33,0%) from screening samples. MLST revealed substantial genetic diversity. CA-MRSA clinical isolates were most frequently associated with ST5, ST6, ST152, and ST30, whereas HA-MRSA clinical isolates were dominated by ST8. Panton-Valentine leukocidin (PVL) genes were identified in 29 of the 109 isolates (26,6%). Antimicrobial susceptibility differed between CA-MRSA and HA-MRSA and was influenced by sequence type.

conclusionIn this study, the majority of isolates were classified as CA-MRSA based on a pragmatic epidemiological classification. Multiple sequence types (STs) are involved and different STs appear to be associated with varying degrees of clinical severity and virulence genes. Antimicrobial susceptibility profiles are influenced by the circulating ST, which may in turn affect empirical treatment strategies. These findings underscore the need for nationwide surveillance systems for CA-MRSA.

Indexed as

Community-acquired MRSA (CA-MRSA)Molecular epidemiologyMRSASequence types (ST)Virulence factors

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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.