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BBC News Online: Health
Sunday, 8 April, 2001, 23:10 GMT 00:10 UK
Secrets of superbug success
The most devastating hospital superbugs have harnessed both the ability to beat antibiotics, and to spread like wildfire, say scientists studying their genetic make-up.
The team from Oxford University looked at various strains of the Staphylococcus aureus bacterium.
Some of these - which have emerged on many hospital wards in the UK - have become resistant to all but a few powerful antibiotics.
These are commonly classed as methycillin-resistant Staphylococcus aureus (MRSA).
Patients vulnerable after surgery or during severe illness can find it difficult to fight them off.
The researchers found that the small number of strains considered to be the most dangerous to patients also tended to have the biological features which made them highly efficient at "colonising" humans.
They believe that the worst outbreaks happen when a strain of MRSA with the natural ability to quickly infect humans goes on to develop drug-resistant abilities.
This happens because naturally less resistant strains tend to be killed off by antibiotics, while those which are genetically tougher persist.
Places where antibiotics are frequently used, such as hospitals, will accelerate the development of drug-resistant strains, which is why such strains are rarely found in the community at large.
'Tough nut'
Dr Nick Day, from Oxford's Department of Tropical Medicine, said: "We think that our findings will have a significant impact on future research directions, as they demonstrate what a tough nut MRSA transmission will be to crack.
We think that our findings will have a significant impact on future research directions, as they demonstrate what a tough nut MRSA transmission will be to crack
Dr Nick Day, Oxford University
"Epidemic MRSA strains already clearly possess the biological recipe for success in colonising humans, even without antibiotic resistance.
"By comparison of the virulent strains with their less successful or aggressive relatives, genes critical for success in humans could be found and targeted."
He said that while many dismissed MRSA as an opportunistic infection which only preyed on the weak, the results of the tests suggested that it was capable of becoming a major health threat, "highly specialised in gaining a foothold" in the human body.
Related to this story:
Hospital infections: case studies
(17 Feb 00 | Health)
Bad prescribing boosts baby bugs
(17 Mar 00 | Health)
Superbug escapes hospital
(06 Oct 99 | Health)
Gene warfare against superbugs
(25 Apr 00 | Health)
NHS bugs 'kill 5,000 a year'
(17 Feb 00 | Health)
'Infection was worse than car crash'
(23 Nov 00 | Health)
Hospitals told to clean up their act
(06 Jan 01 | Health)
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