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2011 - 2023年西班牙A组链球菌性阴道炎:抗生素耐药性与emm型分布

Group A Streptococcus vulvovaginitis in Spain, 2011-2023: antibiotic resistance and emm-type distribution.

作者信息

Sánchez-Báscones Elena, Bellés-Bellés Alba, Villalón Panzano Pilar, Garrido Castrillo Noelia, Castellano Verdasco Andrea, Bernet Sánchez Albert, Mormeneo Bayo Saray, López González Eric, Prats Sánchez Iván, García-González Mercè

机构信息

Laboratorio de Microbiología, Hospital Universitari Arnau de Vilanova, Avd Rovira Roure 80, Lleida, 25198, Spain.

Institut de Recerca Biomèdica de Lleida (IRB-Lleida), Lleida, Spain.

出版信息

Eur J Clin Microbiol Infect Dis. 2025 Jan;44(1):181-185. doi: 10.1007/s10096-024-04971-z. Epub 2024 Oct 31.

Abstract

An increase in Group A Streptococcus vulvovaginitis was detected in 2023: The average number of cases per year was 13 during 2011-2017. Twenty-five and 27 cases were reported in 2018 and 2019 followed by a decline coinciding with the COVID-19 pandemic. The 2023 increase surpassed previous data. The most frequent resistances were to erythromycin (11.3%;) and tetracycline (8.8%). Eleven different emm-types were detected among 30 GAS isolated in 2023: emm 1 was predominant (36.7%) followed by emm 89 (20%), emm 87 (10%) and emm 28 (6.7%). GAS should be increasingly considered in women with vulvovaginitis.

摘要

2023年检测到A组链球菌性阴道炎有所增加:2011 - 2017年期间每年平均病例数为13例。2018年和2019年分别报告了25例和27例,随后随着新冠疫情出现下降。2023年的增加超过了以往数据。最常见的耐药情况是对红霉素(11.3%)和四环素(8.8%)耐药。在2023年分离出的30株A组链球菌中检测到11种不同的emm型:emm 1占主导(36.7%),其次是emm 89(20%)、emm 87(10%)和emm 28(6.7%)。对于患有阴道炎的女性,应越来越多地考虑A组链球菌感染。

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