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. 2013 Mar;57(3):1509-12.
doi: 10.1128/AAC.01260-12. Epub 2012 Dec 17.

Accessory gene regulator (agr) dysfunction in Staphylococcus aureus bloodstream isolates from South Korean patients

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Accessory gene regulator (agr) dysfunction in Staphylococcus aureus bloodstream isolates from South Korean patients

Yong Pil Chong et al. Antimicrob Agents Chemother. 2013 Mar.

Abstract

We describe the genetic and microbiological characteristics of methicillin-resistant Staphylococcus aureus (MRSA) bloodstream isolates with agr dysfunction from a tertiary-care hospital in Korea. Of these, ST5-SCCmec type II-agr group II MRSA isolates, which are known to be prevalent in hospital-acquired infections in Korea, were the most abundant, because of the clonal spread of a specific agr-defective lineage. This finding suggests that the loss of agr function may confer a potential advantage in a hospital setting. Clonal spread of a specific defective-agr strain was not observed among community-associated MRSA or methicillin-susceptible S. aureus clones, regardless of community or hospital acquisition of infection. agr-defective clones, including ST5 and ST239 MRSA, were enriched for heteroresistant vancomycin-intermediate S. aureus.

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