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Microbial Drug Resistance
Major Epidemic Clones of Staphylococcus aureus in Nigeria

To cite this article:
Solayide Adesida, Hélène Boelens, Bamiro Babajide, Amisu Kehinde, Susan Snijders, Willem Van Leeuwen, Akitoye Coker, Henri Verbrugh, Alex Van Belkum. Microbial Drug Resistance. Summer 2005, 11(2): 115-121. doi:10.1089/mdr.2005.11.115.

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Solayide Adesida
Department of Medical Microbiology and Parasitology, University of Lagos College of Medicine, Lagos, Nigeria.
Hélène Boelens
Department of Medical Microbiology and Infectious Diseases, Erasmus Medical Center, Rotterdam, The Netherlands.
Bamiro Babajide
Department of Medical Microbiology and Parasitology, University of Lagos College of Medicine, Lagos, Nigeria.
Amisu Kehinde
Department of Medical Microbiology and Parasitology, University of Lagos College of Medicine, Lagos, Nigeria.
Susan Snijders
Department of Medical Microbiology and Infectious Diseases, Erasmus Medical Center, Rotterdam, The Netherlands.
Willem Van Leeuwen
Department of Medical Microbiology and Infectious Diseases, Erasmus Medical Center, Rotterdam, The Netherlands.
Akitoye Coker
Department of Medical Microbiology and Parasitology, University of Lagos College of Medicine, Lagos, Nigeria.
Henri Verbrugh
Department of Medical Microbiology and Infectious Diseases, Erasmus Medical Center, Rotterdam, The Netherlands.
Dr. Alex Van Belkum
Department of Medical Microbiology and Infectious Diseases, Erasmus Medical Center, Rotterdam, The Netherlands.

Clinical isolates of Staphylococcus aureus (n = 276) were collected in 10 different hospitals located in the Southwest (cities of Ibadan and Lagos) and North-Central (city of Jos) parts of Nigeria. Resistance profiling of these strains revealed that the vast majority was still susceptible to methicillin (98.6% MSSA). Pulsed field gel electrophoresis (PFGE) performed for these strains identified 45 different genotypes, nine of which were identified in four or more different hospitals. The major PFGE type (genotype 2) comprised 23% of all isolates. In addition, several other strains were shown to be endemic in individual hospitals. Three out of four multi-resistant MRSA strains that were detected were sequence type 8 (ST8) as determined by array-based multi-locus sequence typing (MLST). PCRs for cataloguing the staphylococcal cassette chromosome (SCCmec) type were negative for two of these, suggesting the existence of a new methicillin-resistance gene complex in the ST8 genetic background. In conclusion, major clones of MSSA circulate in Nigeria, and the MRSA incidence is still low. However, the occurrence of old and new versions of SCCmec in some of the ecologically abundant MSSA strains should be taken as a serious warning since clonal expansion of this type of strains is not unprecedented.

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