Rapid containment of nosocomial transmission of a rare community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) clone, responsible for the Staphylococcal Scalded Skin Syndrome (SSSS)

Table 1 Clinical and microbiological characteristics of MRSA/MSSA isolates from SSSS and contact screening

Code	Date of isolate	Case type	Clinical feature	Case definition	Speciment	PFGE type	agr type	ST-SCCmec-spa type	Toxin genes detected
Code	Date of isolate	Case type	Clinical feature	Case definition	Speciment	PFGE type	agr type	ST-SCCmec-spa type	lukE	lukS/F	eta	icaA	fnbA
s1	06/12/2014	staff	NC	Colonized	Nares	C1	II	5-V-t311	+	-	+	+	+
s2	09/12/2014	staff	NC	Colonized	Nares	A	II	5-IV-t1094	+	+	+	+	+
s3	10/12/2014	staff	NC	Colonized	Nares	B	I	8-II-t3240	+	+	+	+	+
s4	11/12/2014	staff	NC	Colonized	Nares	D	III	mecA negative^b	+	-	-	+	+
n 1	02/12/2014	neonate	SSSS	Infected	Affected skin (jaw, gluteus)	C1	II	5-V-t311	+	-	+	+	+
n 2	29/11/2014	neonate	SSSS	Infected	Affected skin-groin	C2	II	5-V-t311	+	-	+	+	+
n 3	04/12/2014	neonate	SSSS	Infected	Affected skin - leg	C2	II	5-V-t311	+	-	+	+	+
m 1	06/12/2014	mother	^aSSTI	Infected ?	Nares, hand lesions	C2	II	5-V-t311	+	-	+	+	+
m 3	09/12/2014	mother	NC	Colonized	Nares	E	I	mecA negative^b	-	-	-	+	+

NC no clinical signs, SSSS staphylococcal scaled skin sindrome, agr accessory gene regulator locus, ST sequence type, SCCmec staphylococcal chromosomal cassette
^aSSTI: dermatological lesion (hand eczema); ^bMLST and spa-typing were restricted only to methicillin-resistant isolates

ISSN: 1824-7288