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Volume 27, Number 11—November 2021

Multidrug-Resistant Methicillin-Resistant Staphylococcus aureus Associated with Bacteremia and Monocyte Evasion, Rio de Janeiro, Brazil

Alice Slotfeldt Viana1, Ana Maria Nunes Botelho12, Ahmed M. Moustafa1, Craig L.K. Boge, Adriana Lucia Pires Ferreira, Maria Cícera da Silva Carvalho, Márcia Aparecida Guimarães, Bruno de Souza Scramignon Costa3, Marcos Corrêa de Mattos, Sabrina Pires Maciel, Juliana Echevarria-Lima, Apurva Narechania, Kelsey O’Brien, Chanelle Ryan, Jeffrey S. Gerber, Bernadete Teixeira Ferreira Carvalho, Agnes Marie Sá Figueiredo4, and Paul J. Planet4Comments to Author 
Author affiliations: Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil (A.S. Viana, A.M.N. Botelho, A.L.P. Ferreira, M.C.S. Carvalho, M.A. Guimarães, B.S.S. Costa, M.C. Mattos, S.P. Maciel, J. Echevarria-Lima, B.T.F. Carvalho, A.M.S. Figueiredo); Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA (A.M. Moustafa, C.L.K. Boge, K. O’Brien, C. Ryan, J.S. Gerber, P.J. Planet); Diagnósticos da América S.A., Duque de Caxias, Brazil (A.L.P. Ferreira); American Museum of Natural History, New York, New York, USA (A. Narechania, P.J. Planet); University of Pennsylvania, Philadelphia (J.S. Gerber, P.J. Planet)

Main Article

Table 3

Antimicrobial resistance among 600 methicillin-resistant Staphylococcus aureus isolates, Rio de Janeiro, Brazil, 2014–2017*

Lineage Total No. multidrug-resistant isolates, %
CC5-SCCmecII 245 119 (48.6)†
CC5-SCCmecIV 137 6 (4.4)
CC30-SCCmecIV 109 0
CC1-SCCmecIV 79 13 (16.5)
CC30-SCCmecII 8 3 (37.5)
CC8-SCCmecIII 7 7 (100.0)
CC45-SCCmecIV 5 0
CC45-SCCmecII 4 2 (50.0)
CC8-SCCmecIV 4 0
CC188-SCCmecIV 1 0
CC22-SCCmecIV 1 0

*Multidrug-resistant defined as an isolate carrying >4 additional antimicrobial resistance traits to non–β-lactam antimicrobial drugs. †p<0.01 by Pearson χ2 test.

Main Article

1These first authors contributed equally to this article.

2Current affiliation: Fluminense Federal University, Niteroi, Brazil.

3Current affiliation: Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.

4These authors were co–principal investigators.

Page created: August 16, 2021
Page updated: October 19, 2021
Page reviewed: October 19, 2021
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