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- Throat Carriage Rate and Antimicrobial Resistance of Streptococcus pyogenes In Rural Children in Argentina
- Gastón Delpech, Mónica Sparo, Beatriz Baldaccini, Gisela Pourcel, Sabina Lissarrague, Leonardo García Allende
- J Prev Med Public Health. 2017;50(2):127-132. Published online January 4, 2017
- DOI: https://doi.org/10.3961/jpmph.15.073
- 7,158 View
- 190 Download
- 6 Crossref
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Abstract
PDF - Objectives
The aim of this study was to determine the prevalence of asymptomatic carriers of group A β-hemolytic streptococci (GAS) in children living in a rural community and to investigate the association between episodes of acute pharyngitis and carrier status.
Methods
Throat swabs were collected from September to November 2013 among children 5-13 years of age from a rural community (Maria Ignacia-Vela, Argentina). The phenotypic characterization of isolates was performed by conventional tests. Antimicrobial susceptibility was assayed for penicillin, tetracycline, chloramphenicol, erythromycin, and clindamycin (disk diffusion). The minimum inhibitory concentration was determined for penicillin, cefotaxime, tetracycline, and erythromycin.
Results
The carriage of β-hemolytic streptococci was detected in 18.1% of participants, with Streptococcus pyogenes in 18 participants followed by S. dysgalactiae ssp. equisimilis in 5. The highest proportion of GAS was found in 8 to 10-year-old children. No significant association between the number of episodes of acute pharyngitis suffered in the last year and the carrier state was detected (p>0.05). Tetracycline resistance (55.5%) and macrolide-resistant phenotypes (11.1%) were observed. Resistance to penicillin, cefotaxime, or chloramphenicol was not expressed in any streptococcal isolate.
Conclusions
The present study demonstrated significant throat carriage of GAS and the presence of group C streptococci (S. dysgalactiae ssp. equisimilis) in an Argentinian rural population. These results point out the need for continuous surveillance of GAS and non-GAS carriage as well as of antimicrobial resistance in highly susceptible populations, such as school-aged rural children. An extended surveillance program including school-aged children from different cities should be considered to estimate the prevalence of GAS carriage in Argentina. -
Summary
Citations
Citations to this article as recorded by
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Yunmei Liang, Dingle Yu, Qinghua Lu, Yuejie Zheng, Yonghong Yang
Frontiers in Cardiovascular Medicine.2023;[Epub] CrossRef - Throat carriage rate, associated factors, and antimicrobial susceptibility pattern of group A Streptococcus among healthy school children in Jigjiga City, Eastern Ethiopia
Shamil Barsenga, Habtamu Mitiku, Tewodros Tesfa, Tadesse Shume
BMC Pediatrics.2022;[Epub] CrossRef - Streptococcal Throat Carriage among Primary School Children Living in Uyo, Southern Nigeria
Kevin B. Edem, Enobong E. Ikpeme, Mkpouto U. Akpan
Journal of Child Science.2021; 11(01): e28. CrossRef - Microorganisms causing respiratory diseases in children in relation to age and diagnosis
H. O. Isaieva, M. M. Mishyna, M. O. Gonchar, O. L. Logvinova, M. A. Basiuk
Regulatory Mechanisms in Biosystems.2020; 11(4): 552. CrossRef - Asymptomatic carriage of Streptococcus pyogenes among school children in Sana’a city, Yemen
Arwa Mohammed Othman, Rowa Mohammed Assayaghi, Huda Zaid Al-Shami, Riyadh Saif-Ali
BMC Research Notes.2019;[Epub] CrossRef
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