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Updated: Aug 26, 2026

Capsular Serotyping of Streptococcus pneumoniae Using the Quellung Reaction
Published on: February 24, 2014
Bacteriologic characteristics and serotypings of Streptococcus pyogenes isolated from throats of school children
1Department of Clinical Pathology, Gyeongsang National University School of Medicine, Gyeongsang Institute of Cancer Research, Chinju, Korea. sjkim@nongae.gsnu.ac.kr
Insights
Beta-hemolytic streptococci (BHS) were identified in approximately 15% of Korean school children. Streptococcus pyogenes serotypes varied significantly by geographic region, highlighting localized bacterial epidemiology.
Area of Science:
- Microbiology
- Epidemiology
- Public Health
Background:
- Beta-hemolytic streptococci (BHS) are significant human pathogens.
- Understanding the carrier rates and serotype distribution of Streptococcus pyogenes is crucial for public health interventions.
- Previous data on BHS carriage in Korean school children is limited.
Purpose of the Study:
- To determine the carrier rate of beta-hemolytic streptococci (BHS) in healthy elementary school children in Korea.
- To serotype isolated Streptococcus pyogenes strains and analyze their geographical distribution.
Main Methods:
- Throat cultures were collected from healthy elementary school children across four Korean regions (Inje, Nonsan, Seoul, Chinju) between 1992 and 1995.
- Streptococcus pyogenes strains were isolated and serotyped using anti-T, -OF, and -M sera.
Main Results:
- The isolation rates of BHS and Streptococcus pyogenes ranged from 14.1-32.4% and 10.9-18.5%, respectively.
- Over half of the BHS carriers exhibited heavy bacterial growth.
- Common serotypes included M78 and M28 in Inje; M12 and M5 in Nonsan; M12 and M5 in Seoul; and M12 and M22 in Chinju.
- Approximately 15% of children tested positive for Streptococcus pyogenes.
Conclusions:
- A notable proportion of Korean school children carry Streptococcus pyogenes, with significant regional variations in serotype prevalence.
- These findings underscore the importance of geographical context in understanding streptococcal epidemiology and inform targeted public health strategies.
Abstract:
To determine the carrier rate of beta-hemolytic streptococci (BHS), throat cultures were taken from healthy elementary school children in four separate areas of Korea from 1992 to 1995, including Inje, Nonsan, Seoul and Chinju. The strains of Streptococcus pyogenes had been serotyped with anti-T, -OF and -M sera. The isolation rates of BHS and S. pyogenes ranged from 14.1-32.4% and 10.9-18.5% respectively. More than half of the carriers showed heavy growth of BHS. M78 (48.6%) and M28 (22.2%) were most common in Inje, M12 (23.6%) and M5 (20.3%) in Nonsan, M12 (48.8%) and M5 (14.6%) in Seoul, and M12 (26.3%) and M22 (14.5%) in Chinju, respectively. About 15% of school children were positive for S. pyogenes in throat cultures, and the distribution of serotypes varied according to geographical regions.
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