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In this study, 425 methicillin-resistantStaphylococcus aureus (MRSA) isolates recovered in the Dutch-German Euregio were investigated for the presence of the arginine catabolic mobile element (ACME). Sequence analysis by whole-genome sequencing revealed an entirely new organization of the ACME-staphylococcal cassette chromosomemec composite island (SCCmec -CI), with truncated ACME type II located downstream of SCCmec . An identical nucleotide sequence of ACME-SCCmec -CI was found in two distinct MRSA lineages (t064-ST8 and t002-ST5), which has not been reported previously inS. aureus .

antimicrobial agents and chemotherapy

Novel Organization of the Arginine Catabolic Mobile Element and Staphylococcal Cassette Chromosome <i>mec</i> Composite Island and Its Horizontal Transfer between Distinct Staphylococcus aureus Genotypes

Novel Organization of the Arginine Catabolic Mobile Element and Staphylococcal Cassette Chromosome mec Composite Island and Its Horizontal Transfer between Distinct Staphylococcus aureus Genotypes