Representative Targeted Molecular And Genomic Characterization Of Virulence Genes In Staphylococcus aureus From

Shaymaa H Al-Kubaisy1, Rawaa A Hussein2, Mushtak T S Al-Ouqaili3

  • 1Department of Microbiology, College of Medicine, University of Anbar.

Insights

Multidrug-resistant Staphylococcus aureus, including methicillin-resistant strains, is common in diabetic foot infections. Genomic analysis reveals significant antimicrobial resistance and virulence genes, emphasizing the need for ongoing surveillance.

Area of Science:

  • Microbiology
  • Genomics
  • Infectious Diseases

Background:

  • Diabetic foot infections (DFIs) are a significant public health issue.
  • Methicillin-resistant Staphylococcus aureus (MRSA) is a major pathogen in DFIs.

Purpose of the Study:

  • To investigate the prevalence of virulence genes (cna, hlg) and antimicrobial resistance in S. aureus from DFIs.
  • To characterize genomic features of multidrug-resistant (MDR) and extensively drug-resistant (XDR) S. aureus isolates from DFIs.

Main Methods:

  • Cross-sectional study of 125 DFI patients.
  • Antimicrobial susceptibility testing (Kirby-Bauer, MIC).
  • Polymerase chain reaction (PCR) for virulence and resistance genes.
  • Whole-genome sequencing (WGS) of representative MDR/XDR isolates.

Main Results:

  • S. aureus identified in 50% of positive cultures (45/90).
  • High prevalence of MRSA (77.78%) and MDR (80%) S. aureus isolates.
  • hlg gene detected in all isolates; cna gene in 28.89%.
  • WGS identified resistance genes (blaZ, tet(38), norA, vanT) and CRISPR-Cas elements.

Conclusions:

  • High prevalence of multidrug-resistant S. aureus in DFIs.
  • Genomic surveillance is crucial for understanding and managing resistant strains in DFIs.

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