Related Experiment Video
Updated: Jun 22, 2026

A Murine Model of Group B Streptococcus Vaginal Colonization
Published on: November 16, 2016
Distribution of emm types among group A streptococcal isolates from Serbia
1Institute for Microbiology and Immunology, Medical School, University of Belgrade, Belgrade, Serbia. veramijac@yahoo.com
Abstract:
This is the first study concerning the molecular epidemiology of group A streptococcus in Serbia and includes 145 isolates from patients with various infections during the period 2001-2007. The emm types, superantigen profile and susceptibility pattern were determined. Among 31 emm types identified, the most prevalent were emm 6, emm 12, emm 1, and emm 58. All isolates showed uniform antimicrobial susceptibility to all tested antibiotics, with the exception of tetracycline and erythromycin (41% and 0.7% resistant strains, respectively). Significant heterogeneity of emm types was found, with a high frequency of emm 6 and emm 58, as well as a considerable prevalence of tetracycline resistance, and a low level of macrolide resistance.
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.
Related Concept Videos
Bacterial Phylum Spirochaetes
Streptococcal Pharyngitis
Bacterial Phylum Actinobacteria

