{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:32:28Z","timestamp":1790076748681,"version":"4.0.1"},"reference-count":38,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Microbial Drug Resistance"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>\n                    The aim of the present study was to determine the rate and mechanisms of resistance to macrolides, lincosamides, and streptogramin B (MLS\n                    <jats:sub>B<\/jats:sub>\n                    ) antibiotics of\n                    <jats:italic toggle=\"yes\">Staphylococcus aureus<\/jats:italic>\n                    collected in Central Greece. Of the 2,893\n                    <jats:italic toggle=\"yes\">S. aureus<\/jats:italic>\n                    collected during 2012\u20132017, 1,161 isolates (40.2%) exhibited resistance to at least one of the MLS\n                    <jats:sub>B<\/jats:sub>\n                    agents. The rate of erythromycin resistance was statistically significantly higher in methicillin-resistant\n                    <jats:italic toggle=\"yes\">S. aureus<\/jats:italic>\n                    (MRSA) (58.6%) than in methicillin-sensitive\n                    <jats:italic toggle=\"yes\">S. aureus<\/jats:italic>\n                    (MSSA) isolates (20.7%) (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.002). Two hundred seventy-five representative MLS\n                    <jats:sub>B<\/jats:sub>\n                    -resistant\n                    <jats:italic toggle=\"yes\">S. aureus<\/jats:italic>\n                    , including 81 MSSA and 194 MRSA isolates, were further studied. Thirty-eight MSSA isolates carried\n                    <jats:italic toggle=\"yes\">ermC<\/jats:italic>\n                    , 26 MSSA were positive for\n                    <jats:italic toggle=\"yes\">ermA<\/jats:italic>\n                    , whereas 17 isolates carried\n                    <jats:italic toggle=\"yes\">msrA<\/jats:italic>\n                    gene. Among MRSA, the\n                    <jats:italic toggle=\"yes\">ermA<\/jats:italic>\n                    gene was identified in the majority of the isolates (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u2009153). Thirty-seven MRSA isolates carried\n                    <jats:italic toggle=\"yes\">ermC<\/jats:italic>\n                    ; three isolates carried\n                    <jats:italic toggle=\"yes\">msrA<\/jats:italic>\n                    , whereas the remaining MRSA was positive for two genes (\n                    <jats:italic toggle=\"yes\">ermA<\/jats:italic>\n                    and\n                    <jats:italic toggle=\"yes\">ermC<\/jats:italic>\n                    ). Phylogenetic analysis showed that ST225, which belongs to CC5, was the most prevalent, accounting for 137 MRSA isolates. Higher genetic diversity was found in the group of MSSA isolates, which comprised of 13 sequence types. Whole-genome sequencing data showed that all\n                    <jats:italic toggle=\"yes\">ermA<\/jats:italic>\n                    -positive\n                    <jats:italic toggle=\"yes\">S. aureus<\/jats:italic>\n                    , with the exception of one ST398 isolate, harbored the\n                    <jats:italic toggle=\"yes\">ermA<\/jats:italic>\n                    -carrying Tn\n                    <jats:italic toggle=\"yes\">554<\/jats:italic>\n                    transposon integrated into their chromosomes. Furthermore, Illumina sequencing followed by polymerase chain reaction screening identified that\n                    <jats:italic toggle=\"yes\">ermC<\/jats:italic>\n                    , which was identified in a polyclonal population of MSSA and MRSA isolates, was carried by small plasmids, like pNE131. These findings highlighted the important role of high-risk clones and of mobile elements carrying resistance genes in the successful dissemination of MLS\n                    <jats:sub>B<\/jats:sub>\n                    -resistant staphylococci.\n                  <\/jats:p>","DOI":"10.1089\/mdr.2018.0259","type":"journal-article","created":{"date-parts":[[2018,11,7]],"date-time":"2018-11-07T15:43:04Z","timestamp":1541605384000},"page":"543-550","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["MLS\n                    <sub>B<\/sub>\n                    -Resistant\n                    <i>Staphylococcus aureus<\/i>\n                    in Central Greece: Rate of Resistance and Molecular Characterization"],"prefix":"10.1177","volume":"25","author":[{"given":"Stela","family":"Sarrou","sequence":"first","affiliation":[{"name":"Department of Microbiology, University Hospital of Larissa, Larissa, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ergina","family":"Malli","sequence":"additional","affiliation":[{"name":"Department of Microbiology, University Hospital of Larissa, Larissa, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katerina","family":"Tsilipounidaki","sequence":"additional","affiliation":[{"name":"Department of Microbiology, University Hospital of Larissa, Larissa, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoi","family":"Florou","sequence":"additional","affiliation":[{"name":"Department of Microbiology, University Hospital of Larissa, Larissa, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matej","family":"Medvecky","sequence":"additional","affiliation":[{"name":"Veterinary Research Institute, Brno, Czech Republic."},{"name":"Faculty of Science, National Center for Biomolecular Research, Masaryk University, Brno, Czech Republic."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anargyros","family":"Skoulakis","sequence":"additional","affiliation":[{"name":"Department of Microbiology, University Hospital of Larissa, Larissa, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaroslav","family":"Hrabak","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Biomedical Center, Charles University, Pilsen, Czech Republic."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Costas C.","family":"Papagiannitsis","sequence":"additional","affiliation":[{"name":"Department of Microbiology, University Hospital of Larissa, Larissa, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efi","family":"Petinaki","sequence":"additional","affiliation":[{"name":"Department of Microbiology, University Hospital of Larissa, Larissa, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,5,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","first-page":"4740","DOI":"10.1128\/JCM.41.10.4740-4744.2003","article-title":"Practical disc diffusion method for the detection of inducible clindamycin resistance in Staphylococcus aureus and coagulase negative Staphylococcus","volume":"41","author":"Fiebelkorn K.R.","year":"2003","unstructured":"Fiebelkorn K.R., , Crawford S.A., , McElmeel M.L., , and Jorgensen J.H.. 2003. 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