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Journal of Antimicrobial Chemotherapy (2001) 48, 231-234
© 2001 The British Society for Antimicrobial Chemotherapy

Predominance of a methicillin-resistant Staphylococcus aureus clone susceptible to erythromycin and several other non-ß-lactam antibiotics in a Greek hospital

A. Polyzoua, A. Slavakisa, S. Pournarasb, A. N. Maniatisb, D. Sofianoua and A. Tsakrisc,*

a Department of Microbiology, Hippokration General Hospital, Thessaloniki; b Department of Medical Microbiology, University of Thessalia, Larissa; c Department of Microbiology, Medical School, Aristotle University of Thessaloniki, 54 006 Thessaloniki, Greece

A clone of heterogeneously methicillin-resistant Staphylococcus aureus (MRSA) isolates susceptible to erythromycin, ciprofloxacin, clindamycin, co-trimoxazole, nitrofurantoin, rifampicin, tetracycline and vancomycin, predominated in a Greek hospital with a high incidence of MRSA, representing 69.1% of the total MRSA isolates. All isolates of this clone lacked the conserved genes ermA and aadD. Two subtypes of this clone were detected, the more common being resistant to aminoglycosides and carrying the bi-functional gene aacA–aphD, while an aminoglycoside-susceptible variant, lacking this gene, lost a larger SmaI macrorestriction DNA fragment and gained a smaller fragment.

* Corresponding author. Tel: +30-31-999-091; Fax: +30-31-999-149; E-mail: atsakris{at}med.auth.gr


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