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Here, we report result from a search for English\u2010language articles on the resistance mechanisms and clonality of Gram\u2010positive bacteria in Africa between 2007 and 2019 reported in PubMed, Web of Science, ScienceDirect, and African Journals OnLine; 172 studies from 22 different African countries were identified. Resistance genes, such as\n                    <jats:italic>mecA<\/jats:italic>\n                    ,\n                    <jats:italic>erm<\/jats:italic>\n                    (B),\n                    <jats:italic>erm<\/jats:italic>\n                    (C),\n                    <jats:italic>tet<\/jats:italic>\n                    (M),\n                    <jats:italic>tet<\/jats:italic>\n                    (K),\n                    <jats:italic>tet<\/jats:italic>\n                    (L),\n                    <jats:italic>vanB<\/jats:italic>\n                    ,\n                    <jats:italic>vanA<\/jats:italic>\n                    ,\n                    <jats:italic>vanC<\/jats:italic>\n                    , and\n                    <jats:italic>tet<\/jats:italic>\n                    (O), were found to be common.\n                    <jats:italic>Staphylococcus<\/jats:italic>\n                    spp.,\n                    <jats:italic>Enterococcus<\/jats:italic>\n                    spp., and\n                    <jats:italic>Streptococcus<\/jats:italic>\n                    spp. were the main species reported by the studies, with clones such as\n                    <jats:italic>Staphylococcus aureus<\/jats:italic>\n                    ST5 (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    218 isolates), ST8 (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    127 isolates), ST80 (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    133 isolates), and ST88 (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    117 isolates), and mobile genetic elements such as IS\n                    <jats:italic>16<\/jats:italic>\n                    (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    28 isolates), IS\n                    <jats:italic>256<\/jats:italic>\n                    (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    96), Tn\n                    <jats:italic>916<\/jats:italic>\n                    (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    107 isolates), and SCC\n                    <jats:italic>mec<\/jats:italic>\n                    (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    4437 isolates) identified. SCC\n                    <jats:italic>mec<\/jats:italic>\n                    IV (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    747 isolates) was predominant, followed by SCC\n                    <jats:italic>mec<\/jats:italic>\n                    III (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    305 isolates), SCC\n                    <jats:italic>mec<\/jats:italic>\n                    II (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    163 isolates), SCC\n                    <jats:italic>mec<\/jats:italic>\n                    V (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    135 isolates), and SCC\n                    <jats:italic>mec<\/jats:italic>\n                    I (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    79 isolates). Resistance to penicillin (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    5926 isolates), tetracycline (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    5300 isolates), erythromycin (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    5151 isolates), rifampicin (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    3823 isolates), gentamycin (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    3494 isolates), sulfamethoxazole\/trimethoprim (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    3089 isolates), and ciprofloxacin (\n                    <jats:italic>n\u00a0=\u00a0<\/jats:italic>\n                    2746 isolates) was common in most reports from 22 countries. Clonal dissemination of resistance across countries and between humans, animals, and the environment was observed. Resistance rates ranged from 1.4% to 100% for 15 of the studies; 10 were One Health\u2013related studies. Strict infection control measures, antimicrobial stewardship, and periodic One Health epidemiological surveillance studies are needed to monitor and contain the threat of increasing antibiotic resistance in Africa.\n                  <\/jats:p>","DOI":"10.1111\/nyas.14254","type":"journal-article","created":{"date-parts":[[2019,10,24]],"date-time":"2019-10-24T13:25:00Z","timestamp":1571923500000},"page":"29-58","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Molecular epidemiology and mechanisms of antibiotic resistance in\n                    <i>Enterococcus<\/i>\n                    spp.,\n                    <i>Staphylococcus<\/i>\n                    spp., and\n                    <i>Streptococcus<\/i>\n                    spp. in Africa: a systematic review from a One Health perspective"],"prefix":"10.1111","volume":"1465","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9508-984X","authenticated-orcid":false,"given":"John","family":"Osei Sekyere","sequence":"first","affiliation":[{"name":"Department of Medical Microbiology, School of Medicine, Faculty of Health Sciences University of Pretoria Pretoria South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Mensah","sequence":"additional","affiliation":[{"name":"Kumasi Centre for Collaborative Research in Tropical Medicine, School of Medical Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,24]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2016.00209"},{"key":"e_1_2_8_3_1","unstructured":"World Health Organization.2014.Antimicrobial resistance\u2014global report on surveillance. 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