Major West Indies MRSA clones in human beings: do they travel with their hosts?

J Travel Med

French National Reference Centre for Staphylococci, Hospices Civils de Lyon, Lyon, France; INSERM U851, Faculté de Médecine Lyon Est, University of Lyon, Lyon, France.

Published: April 2014

AI Article Synopsis

  • There is limited epidemiological data on methicillin-resistant Staphylococcus aureus (MRSA) in the Caribbean, despite its popularity as a tourism destination.
  • Researchers analyzed 85 MRSA strains from human infections across five Caribbean islands using DNA microarray and spa typing.
  • The findings revealed that MRSA clones in the French West Indies were similar to those in mainland France, while other islands had clones that are more globally prevalent, suggesting that the distribution of MRSA is influenced by tourism patterns.

Article Abstract

Background: Descriptions of the epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) have seldom been produced in the Caribbean, which is a major tourism destination.

Materials And Methods: Using DNA microarrays and spa typing, we characterized 85 MRSA isolates from human skin and soft-tissue infections from five different islands.

Results: In the French West Indies (n = 72), the most frequently isolated clones were the same clones that are specifically isolated from mainland France [Lyon (n = 35) and Geraldine (n = 11) clones], whereas the clones that were most frequently isolated from the other islands (n = 13) corresponded with clones that have a worldwide endemic spread [Vienna/Hungarian/Brazilian (n = 5), Panton Valentine leukocidin-positive USA300 (n = 4), New York/Japan (n = 2), and pediatric (n = 1) clones].

Conclusion: The distribution of the major MRSA clones in the French (Guadeloupe and Martinique) and non-French West Indies (Jamaica, Trinidad, and Tobago) is different, and the clones most closely resemble those found in the home countries of the travelers who visit the islands most frequently. The distribution might be affected by tourist migration, which is specific to each island.

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Source
http://dx.doi.org/10.1111/jtm.12047DOI Listing

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