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Bacteremia caused by group G Streptococci, taiwan
Chun-Hsing Liao1, Liang-Chun Liu, Yu-Tsung Huang
1Far-Eastern Memorial Hospital, Taipei, Taiwan.
Emerging Infectious Diseases
|April 29, 2008
Summary
Group G streptococcal bacteremia, primarily caused by Streptococcus dysgalactiae subspecies equisimilis, commonly presented as cellulitis. This study found a low mortality rate but high resistance to quinupristin-dalfopristin.
Area of Science:
- Infectious Diseases
- Microbiology
- Epidemiology
Background:
- Group G Streptococcus (GGS) is an important cause of human infections.
- Streptococcus dysgalactiae subspecies equisimilis (SDSE) is the predominant GGS species.
- Understanding the clinical characteristics and outcomes of GGS bacteremia is crucial for patient management.
Purpose of the Study:
- To describe the clinical features, management, and outcomes of patients with GGS bacteremia.
- To identify risk factors for recurrence and mortality.
- To assess antimicrobial resistance patterns.
Main Methods:
- Retrospective observational study conducted in Taiwan from 1998 to 2004.
- Inclusion of 92 patients diagnosed with GGS bacteremia.
- Data collection on patient demographics, clinical diagnoses, treatment, and outcomes.
Main Results:
- SDSE accounted for 86 of 92 GGS bacteremia cases.
- Cellulitis was the most common diagnosis (48 cases), followed by primary bacteremia (34 cases).
- Recurrence was observed in 9 patients, with a low overall mortality rate of 3.3%.
- High resistance rates to quinupristin-dalfopristin were noted.
Conclusions:
- SDSE is the primary cause of GGS bacteremia in this Taiwanese cohort.
- Cellulitis and primary bacteremia are the most frequent presentations.
- While mortality is low, antimicrobial resistance, particularly to quinupristin-dalfopristin, is a significant concern.
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