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The distributions of the antibiotic resistance patterns in a population of Staphylococcus aureus isolates from a teaching hospital were studied over a 9-year period. The results indicate the existence of successive major epidemic methicillin-resistant strains and the emergence of a methicillin-susceptible strain with an unusual resistance pattern. Our findings suggest that this methicillin-susceptible S. aureus strain could be derived from the dominant gentamicin-susceptible methicillin-resistant S. aureus strain with the loss of a 40-kb DNA fragment.

journal of clinical microbiology

Nine-Year Surveillance of Methicillin-Resistant<i>Staphylococcus aureus</i>in a Hospital Suggests Instability of<i>mecA</i>DNA Region in an Epidemic Strain

Nine-Year Surveillance of Methicillin-ResistantStaphylococcus aureusin a Hospital Suggests Instability ofmecADNA Region in an Epidemic Strain