Molecular Study of Accessory-Gene-Regulator in Staphylococcus aureus Isolated from Sepsis in Pediatric Patients

Clinical Laboratory
|October 17, 2022
PubMed

Insights

Pediatric sepsis caused by Staphylococcus aureus shows increased biofilm formation, particularly in Methicillin-resistant S. aureus (MRSA). The agr group I gene was predominant in MRSA and linked to biofilm production.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Pediatrics

Background:

  • Pediatric sepsis from Staphylococcus aureus presents significant morbidity and mortality.
  • The Accessory-Gene-Regulator (agr) system influences S. aureus virulence gene expression.
  • Understanding agr genotypes is crucial for pediatric sepsis management.

Purpose of the Study:

  • Investigate the prevalence of agr genotypes in S. aureus from pediatric sepsis cases.
  • Assess the relationship between agr genotypes, biofilm formation, and antibiotic resistance.
  • Determine the role of agr in the pathogenesis of pediatric S. aureus sepsis.

Main Methods:

  • Retrospective cross-sectional study of 131 pediatric sepsis cases due to S. aureus.
  • Biofilm formation assessed using the microplate method.
  • Antibiotic susceptibility determined by disc diffusion; agr genotypes identified via PCR.

Main Results:

  • Methicillin-resistant S. aureus (MRSA) identified in 53.4% of isolates; 58% formed biofilms.
  • agr group I was the most prevalent genotype (41.2%), particularly in MRSA.
  • MRSA showed significantly higher biofilm formation (65.7%) and a strong association with agr I (68.6%) compared to MSSA.

Conclusions:

  • Biofilm formation is increased in S. aureus from pediatric sepsis, with higher rates in MRSA.
  • agr group I is the predominant genotype in pediatric S. aureus sepsis isolates.
  • agr I is significantly associated with MRSA and enhanced biofilm formation in pediatric sepsis.
Abstract