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.
Abstract

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