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Methicillin-susceptible  Staphylococcus aureus  (MSSA) attributed to clonal complex (CC) 398 and exhibiting  spa -type t571 received attention in Europe and in the USA for being associated with severe infections in humans. As this  spa -type is exhibited by livestock-associated (LA) Methicillin-resistant  S. aureus  (MRSA) as well, it is important to discriminate LA- and human-derived strains by easy to perform, PCR-based methods. MSSA t571 contain phage int3 carrying  scn  and  chp , whereas LA-MRSA t571 lack these markers. In contrast, pathogenicity island SaPIbov5 (detected by PCR bridging  vwb bov and  scn ) is contained by LA-MRSA t571 and absent in the human MSSA subpopulation. Furthermore, MSSA t571 contain  erm (T), the particular genomic arrangement of which was assessed by a PCR bridging  erm (T) and the adjacent transposase gene. MSSA t571 are rare so far in Germany among isolates from infections in humans (0.14%) as well as among isolates from nasal colonization (0.13%). LA-MRSA t571 are also infrequent among MRSA isolated from carriage at admission to hospitals (0.1%) and also among isolates from infections in humans (0.013%).

Methicillin Susceptible Staphylococcus aureus (MSSA) of Clonal Complex CC398, t571 from Infections in Humans Are Still Rare in Germany