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Epidemiology of Streptococcus pyogenes Disease before, during, and after COVID-19 Pandemic, Germany, 2005-2023
Abstract:
We analyzed 3,081 invasive and noninvasive Streptococcus pyogenes cases (January 2005-December 2023) at a tertiary care hospital in southwest Germany. Absolute numbers of case-patients increased each year from 2005 until the COVID-19 pandemic. Odds ratios for invasive streptococcal disease were significantly influenced by year, male sex, and older age.
Insights
Streptococcus pyogenes cases increased annually until COVID-19. Invasive disease risk was higher in males and older individuals, influenced by the year of diagnosis.
Area of Science:
- Infectious Diseases
- Microbiology
- Epidemiology
Background:
- Streptococcus pyogenes (group A Streptococcus) is a significant human pathogen.
- Invasive infections can lead to severe morbidity and mortality.
- Understanding long-term trends and risk factors is crucial for public health.
Purpose of the Study:
- To analyze trends in Streptococcus pyogenes infections over 19 years.
- To identify demographic and temporal risk factors for invasive streptococcal disease.
Main Methods:
- Retrospective analysis of 3,081 invasive and noninvasive Streptococcus pyogenes cases.
- Data collected from January 2005 to December 2023 at a tertiary care hospital.
- Statistical analysis to determine factors influencing invasive disease.
Main Results:
- A consistent annual increase in Streptococcus pyogenes cases from 2005 until the COVID-19 pandemic.
- Significant associations found between invasive disease and year, male sex, and older age.
- The COVID-19 pandemic appeared to interrupt the increasing trend.
Conclusions:
- Streptococcus pyogenes infections showed an upward trend prior to the pandemic.
- Male sex and advanced age are identified risk factors for invasive Streptococcus pyogenes disease.
- Further research is needed to understand the impact of the pandemic on infection dynamics.
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