Distribution of emm types among group A streptococcal isolates from Serbia

V Mijac1, L Ranin, M Marković

  • 1Institute for Microbiology and Immunology, Medical School, University of Belgrade, Belgrade, Serbia. veramijac@yahoo.com

Insights

This study investigated Group A Streptococcus in Serbia, finding diverse emm types and notable tetracycline resistance. Macrolide resistance remained low, highlighting specific resistance patterns in the region.

Area of Science:

  • Microbiology
  • Epidemiology
  • Molecular Biology

Background:

  • Group A Streptococcus (GAS) is a significant human pathogen.
  • Understanding its molecular epidemiology is crucial for public health.
  • Limited data existed on GAS in Serbia prior to this study.

Purpose of the Study:

  • To conduct the first molecular epidemiological analysis of GAS in Serbia.
  • To characterize emm types, superantigen profiles, and antimicrobial susceptibility.
  • To identify prevalent strains and resistance patterns between 2001-2007.

Main Methods:

  • Collection of 145 GAS isolates from Serbian patients (2001-2007).
  • Determination of emm types, superantigen profiles, and antimicrobial susceptibility patterns.
  • Analysis of molecular markers and resistance data.

Main Results:

  • Identified 31 distinct emm types, with emm 6, emm 12, emm 1, and emm 58 being most prevalent.
  • Observed significant emm type heterogeneity, particularly high frequencies of emm 6 and emm 58.
  • Found uniform susceptibility to most antibiotics, except for tetracycline (41% resistance) and erythromycin (0.7% resistance).

Conclusions:

  • The study provides the first molecular epidemiology data for GAS in Serbia.
  • Emm types emm 6 and emm 58 are significant in the Serbian population.
  • High tetracycline resistance and low macrolide resistance are key findings for Serbian GAS isolates.

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