Molecular typing of Streptococcus pyogenes from remote Aboriginal communities where rheumatic fever is common and pyoderma is the predominant streptococcal infection.

SUMMARYAboriginal Australians in remote communities have high rates of rheumatic heart disease (RHD); yet pharyngitis is reportedly rare whilst pyoderma is common. Some strains of group A streptococci (GAS) have preference for the throat and others for the skin depending on M protein type. A study i...

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Publicado en:Epidemiology & Infection Vol. 135; no. 8; pp. 1398 - 1406
Autores principales: McDonald MI, Towers RJ, Fagan P, Carapetis JR, Currie BJ
Formato: Journal Article
Publicado: Cambridge University Press Nov2007
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2007
      vid: 135
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      pub: Cambridge University Press
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        2009726376
        10.1017/s0950268807008023
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        atl: Molecular typing of Streptococcus pyogenes from remote Aboriginal communities where rheumatic fever is common and pyoderma is the predominant streptococcal infection.
      aug:
        au:
          McDonald MI
          Towers RJ
          Fagan P
          Carapetis JR
          Currie BJ
        affil: Department of Paediatrics, University of Melbourne and Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
      sug:
        subj:
          Bacterial Typing Techniques
          Pyoderma Epidemiology
          Rheumatic Fever Epidemiology
          Streptococcal Infections Epidemiology
          Streptococcal Infections Microbiology
          Streptococcus Classification
          Antigens, Bacterial
          Australia
          Carrier Proteins
          Child
          DNA
          Female
          Genotype
          Male
          Membrane Proteins
          Pharynx Microbiology
          Pyoderma Microbiology
          Rheumatic Fever Microbiology
          Rural Population
          Sequence Analysis
          Skin Microbiology
          Streptococcus
          Child: 6-12 years
          Female
          Male
      ab: SUMMARYAboriginal Australians in remote communities have high rates of rheumatic heart disease (RHD); yet pharyngitis is reportedly rare whilst pyoderma is common. Some strains of group A streptococci (GAS) have preference for the throat and others for the skin depending on M protein type. A study in three remote communities provided 350 GAS isolates for emm sequence typing, 244 were also emm pattern typed. There was 100% correlation between emm sequence and pattern type. Patterns D and E (non-throat tropic) made up 71% of throat and 87% of skin isolates although patterns A-C (throat tropic) were more common in the throat than the skin (RR 2.3, 95% CI 1.4-3.8) whilst the opposite was found for pattern D (RR 2.2, 95% CI 1.7-3.0). Pattern E favoured the throat (RR 1.4, 95% CI 1.1-1.8). Where environmental factors predispose to skin infection, emm pattern types D and E prevail, whatever the recovery site.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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