Emergence of Respiratory Streptococcus agalactiae Isolates in Cystic Fibrosis Patients
2009

Emergence of Streptococcus agalactiae in Cystic Fibrosis Patients

Sample size: 185 publication 10 minutes Evidence: moderate

Author Information

Author(s): Eickel Vera, Kahl Barbara, Reinisch Beatrice, Dübbers Angelika, Küster Peter, Brandt Claudia, Spellerberg Barbara

Primary Institution: University of Ulm

Hypothesis

Is the emergence of S. agalactiae in the respiratory tract of cystic fibrosis patients due to adaptation to a novel host environment?

Conclusion

S. agalactiae was found in 16% of cystic fibrosis patients, suggesting it may be adapting to the respiratory tract environment.

Supporting Evidence

  • S. agalactiae was detected in respiratory secretions of 30 out of 185 cystic fibrosis patients.
  • The median age of patients with S. agalactiae was older than those without.
  • Different sequence types of S. agalactiae were found, indicating no local outbreak.
  • Serotype III was rare among CF patients compared to other populations.

Takeaway

Doctors found a type of bacteria called S. agalactiae in the lungs of some kids with cystic fibrosis, which is unusual because it usually doesn't live there.

Methodology

Respiratory specimens from cystic fibrosis patients were collected and analyzed for the presence of S. agalactiae using molecular typing and antimicrobial susceptibility testing.

Limitations

The study did not investigate the surfactant protein levels in patients harboring S. agalactiae.

Participant Demographics

The median age of S. agalactiae positive CF patients was 16.5 years, with a 50% female to male ratio.

Digital Object Identifier (DOI)

10.1371/journal.pone.0004650

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