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Updated: Sep 3, 2026

Capsular Serotyping of Streptococcus pneumoniae by Latex Agglutination
Published on: September 25, 2014
[Antimicrobial sensitivity and characterization of Streptococcus pyogenes strains isoleated from a scarlatina
Alberto González Pedraza-Avilés1, Catalina Ortiz-Zaragoza, Ricardo Mota-Vázquez
1Centro de Salud, Doctor José Castro-Villagrana, Servicios de Salud Pública del Distrito Federal, México, D.F., México.
Objective:
To evaluate the in vitro activities of 13 antimicrobial agents against 47 group A Streptococcus pyogenes (GAS) strains, and to determine the presence of genes encoding streptococcal pyrogenic exotoxin A (SpeA) and the M-protein serotypes.
Materials And Methods:
A cross-sectional study was conducted at Centro de Salud Dr. José Castro Villagrana, during a scarlet fever outbreak occurring between December 1999 and January 2000, among 137 children at Colegio Espíritu de América. Minimum Inhibitory Concentrations (MICs) were obtained by the semiautomated microdilution method. Automated DNA sequencing was used for analysis of sequence variation in genes encoding the M protein, and SpeA.
Results:
All strains were sensitive to betalactams and clindamycin. Six (12.7%) were resistant to erythromycin. The M2 type was the most frequently isolated GAS (27); almost all (96%) bacteria with the SpeA gene had the gene encoding the M2 protein.
Conclusions:
The recent resurgence of GAS infections calls for molecular epidemiology research and studies on the sensitivity to macrolides and beta-lactams.
Insights
Group A Streptococcus strains showed sensitivity to betalactams and clindamycin, but resistance to erythromycin emerged. The M2 type was most common, often co-occurring with the SpeA gene.
Area of Science:
- Microbiology
- Molecular Epidemiology
- Infectious Diseases
Context:
- Scarlet fever outbreak in children (December 1999-January 2000).
- Study conducted at Centro de Salud Dr. José Castro Villagrana.
- Involved 137 children at Colegio Espíritu de América.
Purpose:
- Evaluate in vitro antimicrobial activities against 47 Group A Streptococcus pyogenes (GAS) strains.
- Determine the prevalence of streptococcal pyrogenic exotoxin A (SpeA) and M-protein serotypes.
Summary:
- All GAS strains were susceptible to betalactams and clindamycin.
- 12.7% of strains exhibited erythromycin resistance.
- M2 serotype was most frequent (27 strains); 96% of SpeA-positive strains were M2 type.
Impact:
- Highlights the need for ongoing molecular epidemiology of GAS.
- Informs antimicrobial stewardship for GAS infections.
- Provides data on macrolide and beta-lactam sensitivity crucial for treatment guidelines.
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