{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:56:19Z","timestamp":1775472979781,"version":"3.50.1"},"reference-count":42,"publisher":"Medical Association of Zenica-Doboj","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2015,4,18]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;To investigate the characteristics of meticillin-resistant S. aureus (MRSA), extended-spectrum (ESBL), and plasmid-mediated AmpC beta-lactamase producing Gram-negative bacteria causing skin and soft tissue infections (SSTIs) in hospital and outpatient settings of Zenica-Doboj Canton, Bosnia and Herzegovina.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; Antibiotic susceptibility was determined by disc-diffusion and broth microdillution methods according to CLSI guidelines. MecA gene was detected by PCR, and genetic characterization of MRSA was performed using spa-typing and the algorithm based upon repeat patterns (BURP). Double-disk-synergy test was used to screen for ESBLs. PCR was used to detect blaESBL alleles. Genetic relatedness of the strains was tested by PFGE.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Results&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; Seventeen in-patients with MRSA, 13 with ESBL-producing Gram-negative bacteria and three patients co-infected with&amp;lt;br \/&amp;gt;both, were detected. Five MRSA and 16 ESBL-producing Gramnegative bacteria were found in outpatient samples. Klebsiella spp. was isolated in 11 in- and seven outpatients. MLST CC152 was the most prevalent MRSA. Seven (38.9%) Klebsiella spp. yielded amplicons with primers specific for SHV, TEM-1 and CTXM group 1 &amp;amp;beta;-lactamases. Eight K. pneumonia (44.4%) and 16 (64%) MRSA (including the in- and outpatient) strains were clonally related.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Conclusion&amp;lt;\/strong&amp;gt;&amp;lt;br \/&amp;gt;The presence of MRSA and ESBL-producing organisms causing SSTIs in the community poses a substantial concern,&amp;lt;br \/&amp;gt;due to the high morbidity and mortality associated with possible consequent hospital infections.&amp;amp;nbsp;&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/816-15","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T12:51:43Z","timestamp":1713185503000},"page":"0-0","source":"Crossref","is-referenced-by-count":3,"title":["Methicillin-resistant S. aureus (MRSA), extended-spectrum (ESBL)- and plasmid-mediated AmpC \u00df-lactamase -producing Gram-negative bacteria associated with skin and soft tissue infections in hospital and community settings"],"prefix":"10.17392","volume":"13","author":[{"given":"Selma","family":"Uzunovi\u0107","sequence":"first","affiliation":[{"name":"Cantonal Public Health Institute of Zenica-Doboj Canton","place":["Zenica,Bosnia and Herzegovina"],"department":["Department of Laboratory Diagnostics"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Branka","family":"Bedeni\u0107","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Zagreb","place":["Zagreb,Croatia"]},{"name":"Clinical Hospital Center Zagreb","place":["Zagreb,Croatia"],"department":["Department of Molecular Microbiology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Budimir","sequence":"additional","affiliation":[{"name":"Clinical Hospital Center Zagreb","place":["Zagreb,Croatia"],"department":["Department of Molecular Microbiology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Ibrahimagi\u0107","sequence":"additional","affiliation":[{"name":"Cantonal Public Health Institute of Zenica-Doboj Canton","place":["Zenica,Bosnia and Herzegovina"],"department":["Department of Laboratory Diagnostics"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farah","family":"Kamberovi\u0107","sequence":"additional","affiliation":[{"name":"Biotechnical Faculty, University of Ljubljana","place":["Ljubljana,Slovenia"],"department":["Microbiology Department"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zlatko","family":"Fioli\u0107","sequence":"additional","affiliation":[{"name":"Clinical Hospital Center Zagreb","place":["Zagreb,Croatia"],"department":["Department of Surgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"I. A. Rijnders","sequence":"additional","affiliation":[{"name":"School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Center","place":["Mastricht,Netherlands"],"department":["Department of Medical Microbiology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen","family":"E. Stobberingh","sequence":"additional","affiliation":[{"name":"School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Center","place":["Mastricht,Netherlands"],"department":["Department of Medical Microbiology"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2015,4,18]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.3201\/eid1509.081228","article-title":"Trends in US hospital admissions for skin and soft tissue infections","author":"JEdelsbergJ","year":"2009","unstructured":"Edelsberg J, Taneja C, Zervos M, Haque N, Moore C, \nReyes K, Spalding J, Jiang J, Oster G. 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