A. Vanbelkum et al., GENETIC HOMOGENEITY AMONG METHICILLIN-RESISTANT STAPHYLOCOCCUS-AUREUSSTRAINS FROM SAUDI-ARABIA, Microbial drug resistance, 3(4), 1997, pp. 365-369
Ninety-four strains of methicillin-resistant Staphylococcus aureus (MR
SA) were collected from patients nursed in several hospitals in Saudi
Arabia, before they were referred to King Faisal Specialist Hospital a
nd Research Centre for tertiary care. The hospitals were from geograph
ically diverse regions and as such the entirety of Saudi Arabia was co
vered. All strains were genetically typed by random amplification of p
olymorphic DNA (RAPD) analysis using three different primers and a rep
resentative subset of the strains was analyzed with pulsed-field gel e
lectrophoresis (PFGE) as well. It was concluded that 87 out of 94 (93%
) belong to a single clonally related lineage of MRSA, In the other 7
cases, the DNA banding patterns were shown to differ only slightly fro
m those determined for the clonal type, PFGE analysis confirmed the ho
mogeneity of the collection of strains. When the RAPD and PFGE fingerp
rints obtained for the Saudi clone mere compared to those generated fo
r a collection of MRSA with a more diverse geographical background, it
was shown that the clonal type from Saudi Arabia was not identical to
any of these MRSA strains. Our data provide another example of the ca
pacity of certain MRSA clones to expand through entire nations and est
ablish themselves permanently among large number of hospitals and, con
sequently, even larger numbers of patients.