Abstract

Persistent methicillin-resistant Staphylococcus aureus (MRSA) bacteremia (positive blood cultures after ≥7 days) represents a challenging subset of invasive MRSA infections. The comparison of genome sequences of persistent (300-169) and resolving (301-188) MRSA bacteremia isolates with similar genetic background (sequence type 45 [ST45]) will help us to better understand underlying mechanisms of persistent MRSA bacteremia.

Highlights

  • Persistent methicillin-resistant Staphylococcus aureus (MRSA) bacteremia represents a challenging subset of invasive MRSA infections

  • The reasons why some MRSA bacteremia strains persist while others resolve during antimicrobial therapy despite similar clinical and microbiologic characteristics are not well understood

  • We report the complete genome sequences of PB and resolving MRSA bacteremia (RB; negative blood cultures after 2 to 4 days of therapy) clinical isolates with similar genetic background which originated from a multinational S. aureus bacteremia clinical trial collection [2]

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Summary

Introduction

Persistent methicillin-resistant Staphylococcus aureus (MRSA) bacteremia (positive blood cultures after >7 days) represents a challenging subset of invasive MRSA infections. Persistent methicillin-resistant Staphylococcus aureus (MRSA) bacteremia (PB) (positive blood cultures after Ն7 days) comprises 20 to 30% of all episodes of MRSA bacteremia and is especially relevant to endovascular infections [1]. The reasons why some MRSA bacteremia strains persist while others resolve during antimicrobial therapy despite similar clinical and microbiologic characteristics are not well understood.

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