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Published on: March 10, 2020
Polyclonal dissemination of tetracycline resistance among Streptococcus pyogenes paediatric isolates from Brazil
Pierre Robert Smeesters1, Sabina Cadar, Pierre-Alexandre Drèze
1Institut de Biologie et de Médecine Moléculaires, Faculté des Sciences, Université Libre de Bruxelles, Belgium. psmeeste@ulb.ac.be
Insights
Group A Streptococcus (GAS) in Brazil shows high tetracycline resistance due to polyclonal spread of resistant strains. Penicillin and macrolide resistance were not observed in this study.
Area of Science:
- Microbiology
- Epidemiology
- Infectious Diseases
Background:
- Limited data exists on antibiotic resistance patterns of Group A Streptococcus (GAS) in South America.
- Understanding GAS antibiotic resistance is crucial for effective treatment and public health strategies.
Purpose of the Study:
- To analyze the antibiotic susceptibility patterns of GAS isolates from children in central Brazil.
- To investigate the prevalence and genetic basis of antibiotic resistance in GAS.
Main Methods:
- Prospective epidemiological study design.
- Analysis of antibiotic susceptibility testing for GAS isolates.
- Detection of resistance genes, including tetM.
- Phylogenetic analysis of emm-types.
Main Results:
- No GAS isolates exhibited resistance to penicillin or macrolides.
- Sixty-one percent of GAS isolates were highly resistant to tetracycline, with 85% harboring the tetM gene.
- Ninety-five percent of tetracycline-resistant isolates were also resistant to minocycline.
- Tetracycline resistance was associated with 30 different emm-types and arose independently.
Conclusions:
- A high prevalence of tetracycline resistance in GAS was identified in central Brazil.
- Polyclonal dissemination of tetracycline-resistant emm-types contributes to the observed resistance.
- The findings highlight the need for ongoing surveillance of GAS antibiotic resistance in the region.
Introduction:
Scarce data are available on Group A Streptococcus (GAS) antibiotic resistance in South America.
Methodology:
The antibiotic susceptibility patterns of GAS recovered from symptomatic children living in the central part of Brazil during a prospective epidemiological study were analyzed.
Results:
No isolates were resistant to penicillin or macrolides. Sixty-one percent of the isolates were highly resistant to tetracycline, of which 85% harboured the tetM resistance gene. Ninety-five percent of these tetracycline resistant isolates were also resistant to minocycline. Thirty different emm-types were associated with tetracycline resistance. Phylogenetic analysis indicates that tetracycline resistance arose independently in distantly related emm-types.
Conclusions:
A high level of GAS tetracycline resistance has been observed in the central part of Brazil due to the polyclonal dissemination of resistant emm-types.
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