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Open AccessJournal ArticleDOI

New insights into meticillin-resistant Staphylococcus aureus (MRSA) pathogenesis, treatment and resistance

TLDR
Recent pre-clinical data support a species-specific role for Panton-Valentine leukocidin in the development of acute severe S. aureus infections and elucidated other virulence mechanisms, including novel modes of internalisation, varying post-invasion strategies (featuring both upregulation and downregulation of virulence factors) and phenotypic switching.
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This article is published in International Journal of Antimicrobial Agents.The article was published on 2013-06-01 and is currently open access. It has received 280 citations till now. The article focuses on the topics: Telavancin & Tigecycline.

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Citations
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Methicillin-resistant Staphylococcus aureus.

TL;DR: The success of MRSA is a consequence of the extensive arsenal of virulence factors produced by S. aureus combined with β-lactam resistance and, for most clones, resistance to other antibiotic classes as discussed by the authors.
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Mechanisms of Methicillin Resistance in Staphylococcus aureus

TL;DR: Many of the molecular and biochemical mechanisms underlying methicillin resistance in S. aureus have been elucidated, including regulatory events and the structure of key proteins, and recent advances are reviewed.
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Incidence, prevalence, and management of MRSA bacteremia across patient populations-a review of recent developments in MRSA management and treatment.

TL;DR: Trends in epidemiology and factors that influence the incidence of MRSA bacteremia are described and current and developing diagnostic tools, treatments, and prevention strategies are discussed.
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Methicillin-Resistant Staphylococcus aureus Therapy: Past, Present, and Future

TL;DR: Linezolid is recommended for PO or IV treatment of skin and skin structure infections (SSSIs) and pneumonia caused by MRSA and several investigational agents with activity against drug-resistant gram-positive pathogens are being developed primarily for treatment of MRSA infections, including tedizolid, dalbavancin, and oritavancein.
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Staphylococcus aureus virulence factors in evasion from innate immune defenses in human and animal diseases

TL;DR: This review focused on S. aureus virulence factors involved in the immune evasion in the first phases of infection: TLR recognition avoidance, adhesins affecting immune response and resistance to host defenses peptides and polypeptides.
References
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Journal ArticleDOI

Involvement of Panton-Valentine Leukocidin—Producing Staphylococcus aureus in Primary Skin Infections and Pneumonia

TL;DR: Panton-Valentine leukocidin genes were detected in 93% of strains associated with furunculosis and in 85% of those associated with severe necrotic hemorrhagic pneumonia (all community-acquired), and it appears that PVL is mainly associated with nec rotic lesions involving the skin or mucosa.
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Comparison of mortality associated with methicillin-resistant and methicillin-susceptible staphylococcus aureus bacteremia: A meta-analysis

TL;DR: A meta-analysis was performed to summarize the impact of methicillin-resistance on mortality in Staphylococcus aureus bacteremia and explored the reasons for heterogeneity by means of subgroup analyses.
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Community-associated methicillin-resistant Staphylococcus aureus: epidemiology and clinical consequences of an emerging epidemic.

TL;DR: This review details the epidemiology of CA-MRSA strains and the clinical spectrum of infectious syndromes associated with them that ranges from a commensal state to severe, overwhelming infection and addresses the therapy of these infections and strategies for their prevention.
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