Molecular characterization of methicillin-resistant Staphylococcus epidermidis strains from bacteraemic patients  S. Ibrahem, S. Salmenlinna, O. Lyytikäinen,

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Molecular characterization of methicillin-resistant Staphylococcus epidermidis strains from bacteraemic patients  S. Ibrahem, S. Salmenlinna, O. Lyytikäinen, M. Vaara, J. Vuopio-Varkila  Clinical Microbiology and Infection  Volume 14, Issue 11, Pages 1020-1027 (November 2008) DOI: 10.1111/j.1469-0691.2008.02080.x Copyright © 2008 European Society of Clinical Infectious Diseases Terms and Conditions

Fig. 1 SCCmec—multiplex patterns of methicillin-resistant Staphylococcus epidermidis (MRSE). Methicillin-resistant Staphylococcus aureus (MRSA) strains (positive controls): SCCmec type IA (loci A, G and D), SCCmec type II (loci G, D, B and C), SCCmec type IIIA (loci F, E and C), SCCmec type IV (locus D). Internal control: mecA. MRSE strains: P1, IIIA (loci F, E and C) + IVA (loci G and D); P2, IIIB (locus C) + IV (locus D); P3, IIIB (;ocus C) + IVA (locus G without locus D); P4, IIIA (loci F, E and C) + IV (locus D); P5, IIIB (locus C) + IVA (loci G and D); P6, IIIA (loci F and C, without locus E) + IV (locus D); and IA. The sizes of amplicons are: (A) 495 bp, (B) 284 bp, (C) 209 bp, (D) 342 bp, (E) 243 bp, (F) 414 bp, (G) 381 bp and (mecA) 160 bp. M, molecular weight marker. Clinical Microbiology and Infection 2008 14, 1020-1027DOI: (10.1111/j.1469-0691.2008.02080.x) Copyright © 2008 European Society of Clinical Infectious Diseases Terms and Conditions

Fig. 2 (a) Schematic structures of methicillin-resistant Staphylococcus aureus (MRSA) SCCmec elements of type III and type IVA based on the findings of Chongtrakool et al. [19] and Oliveira and de Lencastre [15]. (b) Hypothetical structures and arrangements of methicillin-resistant Staphylococcus epidermidis (MRSE) SCCmec patterns (P1–P6) based on data provided in Tables 1–3. Primers highlighted in green yielded the amplified fragment between IS1272 and other elements, and the primers highlighted in red did not yield amplicons. Horizontal arrows within the cassette indicate the direction of SCCmec elements. Loci defined by multiplex PCR are indicated by arrows and appropriate letters (A–G). Unknown regions are indicated by broken lines. Clinical Microbiology and Infection 2008 14, 1020-1027DOI: (10.1111/j.1469-0691.2008.02080.x) Copyright © 2008 European Society of Clinical Infectious Diseases Terms and Conditions

Fig. 3 Pulsed-field gel electrophoresis (PFGE) dendrogram of the Finnish methicillin-resistant Staphylococcus epidermidis strains. The scale bar at the top of the dendrogram indicates similarity. Clinical Microbiology and Infection 2008 14, 1020-1027DOI: (10.1111/j.1469-0691.2008.02080.x) Copyright © 2008 European Society of Clinical Infectious Diseases Terms and Conditions