Sustained increase of paediatric invasive Streptococcus pyogenes infections dominated by M1UK and diverse emm12 isolates, Portugal, September 2022 to May 2023

被引:43
作者
Gouveia, Catarina [1 ]
Bajanca-Lavado, Maria Paula [2 ]
Mamede, Rafael [3 ]
Carvalho, Ana Araujo [1 ]
Rodrigues, Fernanda [4 ]
Melo-Cristino, Jose [3 ]
Ramirez, Mario [3 ]
Friaes, Ana [3 ]
机构
[1] Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Pediat Dept, Infect Dis Unit, Lisbon, Portugal
[2] Inst Nacl Saude Dr Ricardo Jorge, Dept Doencas Infeciosas, Lab Nacl Referencia Infecoes Resp & Agentes Bacte, Lisbon, Portugal
[3] Univ Lisbon, Inst Microbiol, Inst Med Mol, Fac Med, Lisbon, Portugal
[4] Ctr Hosp Univ Coimbra, Hosp Pediat, Coimbra, Portugal
关键词
D O I
10.2807/1560-7917.ES.2023.28.36.2300427
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Since autumn 2022, observed numbers of paediatric invasive group A Streptococcus infections in Portugal (n = 89) were higher than in pre-COVID-19 seasons. Between September 2022 and May 2023, the domi-nant diagnoses were pneumonia (25/79), mostly with empyema (20/25), and sepsis (22/79). A number of cases required admission to intensive care (27/79) and surgery (35/79), and the case fatality rate was 5.1% (4/79). Genomic sequencing (n = 55) revealed multiple genetic lineages, dominated by the M1UK sublineage (26/55) and more diverse emm12 isolates (12/55).
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