Clinical and epidemiological features of group A streptococcal bacteraemia in a region with hyperendemic superficial streptococcal infection.

Author(s)
Carapetis JR
Walker AM
Hibble M
Sriprakash KS
Currie, Bart
Publication Date
1999-02-01
Abstract
Reports of increasing incidence and severity of invasive group A streptococcal (GAS) infections come mainly from affluent populations where exposure to GAS is relatively infrequent. We conducted a 6-year retrospective review of GAS bacteraemia in the Northern Territory of Australia, comparing the Aboriginal population (24% of the study population), who have high rates of other streptococcal infections and sequelae, to the non-Aboriginal population. Of 72 episodes, 44 (61%) were in Aboriginal patients. All 12 cases in children were Aboriginal. Risk factors were implicated in 82% of episodes (91% in adults) and there was no significant difference in the proportion of Aboriginal compared to non-Aboriginal patients with at least one risk factor. Genetic typing of isolates revealed no dominant strains and no evidence of a clone which has been a common cause of these infections elsewhere.
Affiliation
Menzies School of Health Research and Royal Darwin Hospital, Darwin, Australia..
Citation
Epidemiol Infect . 1999 Feb;122(1):59-65. doi: 10.1017/s0950268898001952.
ISSN
0950-2688
Pubmed ID
https://pubmed.ncbi.nlm.nih.gov/10098786/?otool=iaurydwlib
Link
MESH subject
Adolescent
Adult
Bacteremia
Child
Child, Preschool
Endemic Diseases
Female
Humans
Incidence
Infant
Male
Middle Aged
Northern Territory
Oceanic Ancestry Group
Population Surveillance
Retrospective Studies
Risk Factors
Serotyping
Severity of Illness Index
Streptococcal Infections
Streptococcus pyogenes
Title
Clinical and epidemiological features of group A streptococcal bacteraemia in a region with hyperendemic superficial streptococcal infection.
Type of document
Journal Article
Entity Type
Publication

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