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This study aimed to characterize  Staphylococcus aureus  ( S. aureus ) strains isolated from human infections in Mongolia. Infection samples were collected at two time periods (2007–08 and 2011) by the National Center for Communicable Diseases (NCCD) in Ulaanbaatar, Mongolia.  S. aureus  isolates were characterized using polymerase chain reaction (PCR) for  mecA , PVL, and  sasX  genes and tested for  agr  functionality. All isolates were also  spa  typed. A subset of isolates selected by frequency of  spa  types was subjected to antimicrobial susceptibility testing and multilocus sequence typing. Among 251  S. aureus  isolates, genotyping demonstrated methicillin resistance in 8.8% of isolates (22/251). Approximately 28% of the tested  S. aureus  isolates were observed to be multidrug resistant (MDR). Sequence type (ST) 154 ( spa  t667) was observed to be a strain with high virulence potential, as all isolates for this  spa  type were positive for PVL, had a functional  agr  system and 78% were MDR.  S. aureus  isolates of ST239 ( spa  t037) were observed to cause infections and roughly 60% had functional  agr  system with a greater proportion being MDR. Additionally, new multilocus sequence types and new  spa  types were identified, warranting continued surveillance for  S. aureus  in this region.

Antimicrobial resistance and molecular epidemiology ofStaphylococcus aureusfrom Ulaanbaatar, Mongolia