背景:金黄色葡萄球菌,社区获得性和医院感染的主要原因,仍然是世界范围内的主要健康问题。分子分型方法,比如水疗打字,对控制至关重要,当打字可以更及时时,预防金黄色葡萄球菌在医疗机构中传播。本研究旨在回顾文献,以报告世界各地最常见的临床水疗类型,这对于流行病学调查和医院感染控制政策很重要。方法:通过PubMed搜索,谷歌学者,WebofScience,Embase,科克伦图书馆,和Scopus对报告金黄色葡萄球菌分离株中最普遍的spa类型的原始文章进行了研究。搜索词是“金黄色葡萄球菌,spa打字.结果:最普遍的水疗类型是欧洲的t032,t008和t002;亚洲的t037和t002;美国的t008,t002和t242;非洲的t037,t084和t064;和澳大利亚的t020。在欧洲,所有与spa型t032相关的分离株均为MRSA.此外,非洲的spa型t037和澳大利亚的t037和t437也完全由MRSA分离株组成。鉴于我们研究的论文中有95%以上起源于过去十年,因此没有选择研究区域克隆出现的动态。结论:这篇综述记录了各国最普遍的水疗类型的存在,大陆和世界范围内,并在克隆分布方面显示出巨大的局部差异。
Background:Staphylococcus aureus, a leading cause of community-acquired and nosocomial infections, remains a major health problem worldwide. Molecular typing methods, such as spa typing, are vital for the control and, when typing can be made more timely, prevention of S. aureus spread around healthcare settings. The current study aims to
review the literature to report the most common clinical spa types around the world, which is important for epidemiological surveys and nosocomial infection control policies. Methods: A search via PubMed, Google Scholar, Web of Science, Embase, the Cochrane library, and Scopus was conducted for original articles reporting the most prevalent spa types among S. aureus isolates. The search terms were \"Staphylococcus aureus, spa typing.\" Results: The most prevalent spa types were t032, t008 and t002 in Europe; t037 and t002 in Asia; t008, t002, and t242 in America; t037, t084, and t064 in Africa; and t020 in Australia. In Europe, all the isolates related to spa type t032 were MRSA. In addition, spa type t037 in Africa and t037and t437 in Australia also consisted exclusively of MRSA isolates. Given the fact that more than 95% of the papers we studied originated in the past decade there was no option to study the dynamics of regional clone emergence. Conclusion: This
review documents the presence of the most prevalent spa types in countries, continents and worldwide and shows big local differences in clonal distribution.