TABLE 1.
Description of 20 outbreaks analyzed by whole-genome sequencing
| Outbreak | Epidemiological category | No of cases | Reason for outbreak investigation | MRSA or MSSA | Clonal complex | MLSTa | spa | Duration (days) | PFGE pulsotypes | Outbreak antibiograms |
|---|---|---|---|---|---|---|---|---|---|---|
| A | Hospital, general ward | 5 | MRSA colonization | MRSA | CC22 | ST22 | t032 | 367 | All identical | All identical |
| B | Hospital, general ward | 6 | S. aureus wound infections | MSSA | CC8 | ST2021 | t008 | 412 | All identical | All identical |
| C | Hospital, general ward | 7 | S. aureus wound infections | MRSA | CC8 | ST239 | t037 | 98 | All identical | All identical |
| D | Hospital, general ward | 17 | MRSA colonization | MRSA | CC8 | ST8 | t008 | 88 | All identical | All identical |
| E | Hospital, surgical unit | 8 | S. aureus wound infections | MRSA | CC22 | ST22 | t022 | 18 | All identical | All identical |
| F | Hospital, multiple wards | 50 | MRSA colonization | MRSA | CC5 | ST228 | t041 | 122 | 2 pulsotypes | All identical |
| G | Hospital, multiple wards | 187 | MRSA colonization | MRSA | CC8 | ST8 | t008 | 454 | 4 pulsotypes | 3 antibiograms |
| H | Hospital, maternity unit | 6 | PVL-related SSTIsb | MRSA | CC1 | ST772 | t657 | 70 | All identical | All identical |
| I | Hospital, maternity unit | 9 | Scalded skin syndrome | MSSA | CC15 | ST2434 | t346 | 70 | All identical | 2 antibiograms |
| J | Hospital, neonatal unit | 3 | MRSA colonization | MRSA | CC59 | ST59 | t216 | 8 | All identical | All identical |
| K | Hospital, neonatal unit | 4 | MRSA colonization | MRSA | CC22 | ST22 | t5892 | 43 | All identical | All identical |
| L | Hospital, neonatal unit | 6 | MRSA colonization | MRSA | CC30 | ST30 | t019 | 57 | All identical | All identical |
| M | Hospital, neonatal unit | 8 | MRSA bacteremia | MRSA | CC88 | ST88 | t5973 | 65 | All identical | 3 antibiograms |
| N | Hospital, neonatal unit | 41 | MRSA colonization | MRSA | CC22 | ST22 | t5892 | 1526 | All identical | 2 antibiograms |
| O | Household | 3 | PVL-related SSTIs | MRSA | CC30 | ST30 | t019 | 8 | All identical | All identical |
| P | Household | 4 | PVL-related SSTIs | MRSA | CC30 | ST30 | t019 | 20 | 3 pulsotypes | All identical |
| Q | Household | 5 | PVL-related SSTIs | MRSA | CC30 | ST30 | t019 | 195 | 2 pulsotype | All identical |
| R | Household | 8 | PVL-related SSTIs | MRSA | CC30 | ST30 | t019 | 44 | All identical | 2 antibiograms |
| S | Nursing home | 9 | PVL-related SSTIs | MRSA | CC30 | ST30 | t019 | 298 | 2 pulsotypes | 3 antibiograms |
| T | School | 5 | PVL-related SSTIs | MSSA | CC121 | ST121 | t645 | 74 | All identical | All identical |
MLST: multi-locus sequence-type.
PVL: Panton-Valentine leukocidin; SSTI, skin/soft tissue infection.