{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:36:43Z","timestamp":1789569403072,"version":"build-2803163510"},"reference-count":66,"publisher":"Akademiai Kiado Zrt.","issue":"3","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["AMicr"],"published-print":{"date-parts":[[2019,5,17]]},"abstract":"<jats:p>\n                    The increasing resistance to macrolide, lincosamide, and streptogramin B agents among methicillin-resistant\n                    <jats:italic>Staphylococcus aureus<\/jats:italic>\n                    (MRSA) is a worldwide problem for the health community. This study aimed to investigate the prevalence of\n                    <jats:italic>ermA, ermB, ermC<\/jats:italic>\n                    , and\n                    <jats:italic>msrA<\/jats:italic>\n                    in MRSA strains isolated from burn patients in Ahvaz, southwest of Iran. A total of 76 isolates of\n                    <jats:italic>S. aureus<\/jats:italic>\n                    were collected from January to May 2017 from Taleghani Burn Hospital in Ahvaz. Among 76\n                    <jats:italic>S. aureus<\/jats:italic>\n                    strains collected, 60 (78.9%) isolates were MRSA. The antimicrobial susceptibility testing for MRSA showed extreme high resistance rate to clarithromycin (100%) and azithromycin (100%), followed by erythromycin (98.3%). The PCR assay revealed that the frequency rates of\n                    <jats:italic>msrA, ermA<\/jats:italic>\n                    , and\n                    <jats:italic>ermC<\/jats:italic>\n                    genes were 23 (38.3%), 28 (46.7%), and 22 (36.7%), respectively. In addition, none of the MRSA isolates had the\n                    <jats:italic>ermB<\/jats:italic>\n                    gene. Because of the high prevalence of macrolide and lincosamide resistance found in MRSA isolates from infections of burn patients in Ahvaz, southwest of Iran, it is recommended that local periodic survey be performed for controlling the dissemination of antimicrobial resistance.\n                  <\/jats:p>","DOI":"10.1556\/030.66.2019.015","type":"journal-article","created":{"date-parts":[[2019,5,17]],"date-time":"2019-05-17T04:12:55Z","timestamp":1558066375000},"page":"387-398","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":26,"title":["Distribution of genes encoding resistance to macrolides, lincosamides, and streptogramins among methicillin-resistant Staphylococcus aureus strains isolated from burn patients"],"prefix":"10.1556","volume":"66","author":[{"given":"Saeed","family":"Khoshnood","sequence":"first","affiliation":[{"name":"1 Department of Microbiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"},{"name":"2 Student Research Committee, School of Medicine, Bam University of Medical Sciences, Bam, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatemeh","family":"Shahi","sequence":"additional","affiliation":[{"name":"1 Department of Microbiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"},{"name":"3 Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabi","family":"Jomehzadeh","sequence":"additional","affiliation":[{"name":"4 Abadan School of Medical Sciences, Abadan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Effat Abbasi","family":"Montazeri","sequence":"additional","affiliation":[{"name":"1 Department of Microbiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morteza","family":"Saki","sequence":"additional","affiliation":[{"name":"1 Department of Microbiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"},{"name":"3 Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyed Mojtaba","family":"Mortazavi","sequence":"additional","affiliation":[{"name":"2 Student Research Committee, School of Medicine, Bam University of Medical Sciences, Bam, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila","family":"Maghsoumi-Norouzabad","sequence":"additional","affiliation":[{"name":"3 Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"},{"name":"5 Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref341","doi-asserted-by":"crossref","first-page":"e0181072","DOI":"10.1371\/journal.pone.0181072","article-title":"Epidemiology of Staphylococcus aureus in a burn unit of a tertiary care center in Ghana","volume":"12","author":"Amissah","year":"2017","journal-title":"PLoS One"},{"key":"ref431","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1186\/s12879-017-2584-5","article-title":"Inducible clindamycin and methicillin resistant Staphylococcus aureus in a tertiary care hospital, Kathmandu, Nepal","volume":"17","author":"Adhikari","year":"2017","journal-title":"BMC Infect Dis"},{"key":"ref81","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1111\/j.1574-695X.2008.00499.x","article-title":"Macrolide resistance genotypes and phenotypes among erythromycin-resistant clinical isolates of Staphylococcus aureus and coagulase-negative staphylococci, Italy","volume":"55","author":"Gherardi","year":"2009","journal-title":"FEMS Immunol Med Microbiol"},{"key":"ref651","doi-asserted-by":"crossref","first-page":"200","DOI":"10.3389\/fpubh.2017.00200","article-title":"Prevalence of genotypes that determine resistance of staphylococci to macrolides and lincosamides in Serbia","volume":"28","author":"Mi\u0161i\u0107","year":"2017","journal-title":"Front Public Health"},{"key":"ref501","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1089\/sur.2013.134","article-title":"Infection in burns","volume":"17","author":"Norbury","year":"2016","journal-title":"Surg Infect"},{"key":"ref111","doi-asserted-by":"crossref","first-page":"26798","DOI":"10.1074\/jbc.M109.092767","article-title":"Thrombin stimulation of proteoglycan synthesis in vascular smooth muscle is mediated by protease-activated receptor-1 transactivation of the transforming growth factor \u03b2-type I receptor","volume":"285","author":"Burch","year":"2010","journal-title":"J Biol Chem"},{"key":"ref361","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1574-695X.2009.00565.x","article-title":"The role of nasal carriage in Staphylococcus aureus burn wound colonization","volume":"57","author":"Kooistra-Smid","year":"2009","journal-title":"FEMS Immunol Med Microbiol"},{"key":"ref181","first-page":"35","article-title":"Detection of inducible clindamycin resistance in clinical isolates of Staphylococcus aureus by the disc diffusion induction test","volume":"5","author":"Shantala","year":"2011","journal-title":"J Clin Diagn Res"},{"key":"ref211","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.nmni.2018.08.001","article-title":"Genotypic characterization of Staphylococcus aureus isolated from a burn centre by using agr, spa and SCCmec typing methods","volume":"26","author":"Abbasian","year":"2018","journal-title":"New Microbes New 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Current status and future prospects","volume":"41","author":"Foster","year":"2017","journal-title":"FEMS Microbiol Rev"},{"key":"ref71","first-page":"421","article-title":"Inducible clindamycin resistance in clinical isolates of Staphylococcus aureus due to erm genes, Iran","volume":"6","author":"Moosavian","year":"2014","journal-title":"Iran J Microbiol"},{"key":"ref611","first-page":"e37761","article-title":"Molecular detection of macrolide and lincosamide-resistance genes in clinical methicillin-resistant Staphylococcus aureus isolates from Kerman, Iran","volume":"5","author":"Fasihi","year":"2017","journal-title":"Arch Pediatr Infect Dis"},{"key":"ref171","doi-asserted-by":"crossref","first-page":"113","DOI":"10.18683\/germs.2018.1138","article-title":"Incidence of methicillin resistant Staphylococcus aureus (MRSA) in burn intensive care unit: A systematic review","volume":"8","author":"Mehmood Khan","year":"2018","journal-title":"Germs"},{"key":"ref91","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1186\/s12879-017-2584-5","article-title":"Inducible clindamycin and methicillin resistant Staphylococcus aureus in a tertiary care hospital, Kathmandu, Nepal","volume":"17","author":"Adhikari","year":"2017","journal-title":"BMC Infect Dis"},{"key":"ref101","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.mjafi.2013.01.004","article-title":"Prevalence of inducible clindamycin resistance in Staphylococcus aureus isolated from clinical samples","volume":"70","author":"Lall","year":"2014","journal-title":"Med J Armed Forces India"},{"key":"ref51","first-page":"564","article-title":"Distribution of erm genes and low prevalence of inducible resistance to clindamycin among staphylococci isolates","volume":"14","author":"Coutinho","year":"2010","journal-title":"Braz J Infect Dis"},{"key":"ref261","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1128\/AAC.43.5.1062","article-title":"Distribution of genes encoding resistance to macrolides, lincosamides, and streptogramins among staphylococci","volume":"43","author":"Lina","year":"1999","journal-title":"Antimicrob Agents Chemother"},{"key":"ref491","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1093\/jac\/46.4.527","article-title":"Multiplex PCR assays for the detection of clinically relevant antibiotic resistance genes in staphylococci isolated from patients infected after cardiac surgery. 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Current status and future prospects","volume":"41","author":"Foster","year":"2017","journal-title":"FEMS Microbiol Rev"},{"key":"ref601","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1128\/AAC.43.5.1062","article-title":"Distribution of genes encoding resistance to macrolides, lincosamides, and streptogramins among staphylococci","volume":"43","author":"Lina","year":"1999","journal-title":"Antimicrob Agents Chemother"},{"key":"ref481","first-page":"286","article-title":"Resistance to macrolide, lincosamide and streptogramin antibiotics in staphylococci isolated in Istanbul, Turkey","volume":"45","author":"Aktas","year":"2007","journal-title":"J Microbiol"},{"key":"ref351","first-page":"76","article-title":"Distribution of genes encoding tetracycline resistance and aminoglycoside modifying enzymes in Staphylococcus aureus strains isolated from a burn center","volume":"26","author":"Emaneini","year":"2013","journal-title":"Ann Burns Fire Disasters"},{"key":"ref511","doi-asserted-by":"crossref","first-page":"113","DOI":"10.18683\/germs.2018.1138","article-title":"Incidence of methicillin resistant Staphylococcus aureus (MRSA) in burn intensive care unit: A systematic review","volume":"8","author":"Mehmood Khan","year":"2018","journal-title":"Germs"},{"key":"ref131","doi-asserted-by":"crossref","first-page":"e25701","DOI":"10.5812\/ircmj.25701","article-title":"Distribution of genes encoding resistance to macrolides among staphylococci isolated from the nasal cavity of hospital employees in Khorramabad, Iran","volume":"18","author":"Goudarzi","year":"2016","journal-title":"Iran Red Crescent Med J"},{"key":"ref641","first-page":"5","article-title":"Erythromycin resistance determinants in clinical Gram positive cocci isolated from Nigerian patients","volume":"12","author":"Ogbolu","year":"2018","journal-title":"J Clin Diagn Res"},{"key":"ref321","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.meegid.2014.04.005","article-title":"MRSA pediatric clone expressing ermC plus lnuA genes causing nosocomial transmission and healthcare workers colonization in a neonatal intensive care unit","volume":"25","author":"Faccone","year":"2014","journal-title":"Infect Genet Evol"},{"key":"ref141","first-page":"286","article-title":"Resistance to macrolide, lincosamide and streptogramin antibiotics in staphylococci isolated in Istanbul, Turkey","volume":"45","author":"Aktas","year":"2007","journal-title":"J Microbiol"},{"key":"ref381","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1086\/533590","article-title":"Epidemiology of methicillin-resistant Staphylococcus aureus","volume":"46","author":"Boucher","year":"2008","journal-title":"Clin Infect Dis"},{"key":"ref551","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.nmni.2018.08.001","article-title":"Genotypic characterization of Staphylococcus aureus isolated from a burn centre by using agr, spa and SCCmec typing methods","volume":"26","author":"Abbasian","year":"2018","journal-title":"New Microbes New Infect"},{"key":"ref391","first-page":"564","article-title":"Distribution of erm genes and low prevalence of inducible resistance to clindamycin among staphylococci isolates","volume":"14","author":"Coutinho","year":"2010","journal-title":"Braz J Infect Dis"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1086\/533590","article-title":"Epidemiology of methicillin-resistant Staphylococcus aureus","volume":"46","author":"Boucher","year":"2008","journal-title":"Clin Infect Dis"},{"key":"ref401","first-page":"43","article-title":"Inducible clindamycin resistant Staphylococcus aureus in Iran: A systematic review and meta-analysis","volume":"4","author":"Zarifian","year":"2015","journal-title":"J Med Microbiol"},{"key":"ref451","doi-asserted-by":"crossref","first-page":"26798","DOI":"10.1074\/jbc.M109.092767","article-title":"Thrombin stimulation of proteoglycan synthesis in vascular smooth muscle is mediated by protease-activated receptor-1 transactivation of the transforming growth factor \u03b2-type I receptor","volume":"285","author":"Burch","year":"2010","journal-title":"J Biol Chem"},{"key":"ref561","first-page":"82","article-title":"Inducible clindamycin resistance in Staphylococcus aureus isolates recovered from Mashhad, Iran","volume":"4","author":"Seifi","year":"2012","journal-title":"Iran J Microbiol"},{"key":"ref571","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1186\/s12879-018-2955-6","article-title":"Characterization of Staphylococcus aureus isolated from patients with burns in a regional burn center, Southeastern China","volume":"18","author":"Chen","year":"2018","journal-title":"BMC Infect Dis"},{"key":"ref371","first-page":"209","article-title":"Staphylococcus aureus burn wound infection among patients attending Yekatit 12 hospital burn unit, Addis Ababa, Ethiopia","volume":"22","author":"Alebachew","year":"2012","journal-title":"Ethiop J Health Sci"},{"key":"ref471","doi-asserted-by":"crossref","first-page":"e25701","DOI":"10.5812\/ircmj.25701","article-title":"Distribution of genes encoding resistance to macrolides among staphylococci isolated from the nasal cavity of hospital employees in Khorramabad, Iran","volume":"18","author":"Goudarzi","year":"2016","journal-title":"Iran Red Crescent Med J"},{"key":"ref251","doi-asserted-by":"crossref","first-page":"1511","DOI":"10.3855\/jidc.5514","article-title":"Biofilm formation and antimicrobial resistance in methicillin-resistant Staphylococcus aureus isolated from burn patients, Iran","volume":"8","author":"Ohadian Moghadam","year":"2014","journal-title":"J Infect Dev Ctries"},{"key":"ref591","doi-asserted-by":"crossref","first-page":"1511","DOI":"10.3855\/jidc.5514","article-title":"Biofilm formation and antimicrobial resistance in methicillin-resistant Staphylococcus aureus isolated from burn patients, Iran","volume":"8","author":"Ohadian Moghadam","year":"2014","journal-title":"J Infect Dev Ctries"},{"key":"ref311","doi-asserted-by":"crossref","first-page":"200","DOI":"10.3389\/fpubh.2017.00200","article-title":"Prevalence of genotypes that determine resistance of staphylococci to macrolides and lincosamides in Serbia","volume":"28","author":"Mi\u0161i\u0107","year":"2017","journal-title":"Front Public Health"},{"key":"ref661","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.meegid.2014.04.005","article-title":"MRSA pediatric clone expressing ermC plus lnuA genes causing nosocomial transmission and healthcare workers colonization in a neonatal intensive care unit","volume":"25","author":"Faccone","year":"2014","journal-title":"Infect Genet Evol"},{"key":"ref291","doi-asserted-by":"crossref","first-page":"633","DOI":"10.2478\/s11658-012-0034-3","article-title":"The strongest resistance of Staphylococcus aureus to erythromycin is caused by decreasing uptake of the antibiotic into the cells","volume":"17","author":"Piatkowska","year":"2012","journal-title":"Cell Mol Biol Lett"},{"key":"ref161","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1089\/sur.2013.134","article-title":"Infection in burns","volume":"17","author":"Norbury","year":"2016","journal-title":"Surg Infect"},{"key":"ref241","first-page":"e40592","article-title":"Molecular characterization and distribution of class 1 integron-bearing methicillin resistant Staphylococcus aureus strains in burn patients, Tehran, Iran, Jundishapur","volume":"10","author":"Goudarzi","year":"2017","journal-title":"J Microbiol"},{"key":"ref301","first-page":"5","article-title":"Erythromycin resistance determinants in clinical Gram positive cocci isolated from Nigerian patients","volume":"12","author":"Ogbolu","year":"2018","journal-title":"J Clin Diagn Res"}],"container-title":["Acta Microbiologica et Immunologica Hungarica"],"original-title":[],"link":[{"URL":"https:\/\/www.akademiai.com\/doi\/full-xml\/10.1556\/030.66.2019.015","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/view\/journals\/030\/66\/3\/article-p387.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/030\/66\/3\/article-p387.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,2]],"date-time":"2022-05-02T21:06:30Z","timestamp":1651525590000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/030\/66\/3\/article-p387.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,17]]},"references-count":66,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.1556\/030.66.2019.015","relation":{},"ISSN":["1217-8950","1588-2640"],"issn-type":[{"value":"1217-8950","type":"print"},{"value":"1588-2640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,17]]}}}