1887

Abstract

Summary

During 1981–1993, 229 episodes of bacteraemia due to -haemolytic streptococci of groups A, B, C and G were diagnosed in the County of Northern Jutland, Denmark. The annual rates for bacteraemia were quite constant during the 13-year period for each streptococcal group. Group A streptococcal (GAS) bacteraemia was the most frequent, comprising 1.4% of all bacteraemias. The incidence of GAS bacteraemia was 1.8/100000/ year in children < 5 years of age-and 4.7/100 000/year in patients > 60 years old. With the notable exception of group B streptococcal (GBS) bacteraemia in neonates, -haemolytic streptococci of groups B, C (GCS) and G (GGS) were isolated mostly from elderly patients. Except for GBS bacteraemia in neonates, approximately one-third of the bacteraemias in each group was nosocomially acquired. Predisposing factors included operative procedures in GAS and GCS bacteraemia, and diabetes mellitus in GBS bacteraemia. The skin was the most common primary focus in GAC, GCC and GGS bacteraemias, whereas the urinary tract was the commonest focus in GBS bacteraemia in adults. The mortality rates in GAS, GCS, GGS, and adult GBS bacteraemia were 23%, 16%, 17% and 19%, respectively. Of the 23 fatal cases of GAS bacteraemia, 57% died within 24h after blood cultures had been obtained.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/00222615-43-1-63
1995-07-01
2022-01-28
Loading full text...

Full text loading...

/deliver/fulltext/jmm/43/1/medmicro-43-1-63.html?itemId=/content/journal/jmm/10.1099/00222615-43-1-63&mimeType=html&fmt=ahah

References

  1. Martin P. R., , & Hoiby E. A. Streptococcal serogroup A epidemic in Norway 1987-1988. Scand J Infect Dis 1990; 22:421–429
    [Google Scholar]
  2. Henrichsen J., , & Ronne T. Reemergence of severe group A streptococcal infections in Denmark 1988 – 89. Zentralbl Bakteriol 1992 Suppl 22:8–10
    [Google Scholar]
  3. Stromberg A., Romanus V., Burman L. G. Outbreak of group A streptococcal bacteremia in Sweden: an epidemiologic and clinical study. J Infect Dis 1991; 164:595–598
    [Google Scholar]
  4. Centers for Disease Control Group A beta-hemolytic streptococcal bacteremia - Colorado, 1989. MMWR 1990; 39:3–6, 11
    [Google Scholar]
  5. PHLS Communicable Disease Surveillance Centre Invasive group A streptococcal infections in Gloucestershire. Communicable Disease Report Weekly 1994; 4:97
    [Google Scholar]
  6. Hasseltvedt V., Iversen B., Aavitsland P., Aasen S., Lystad A., Hoiby E. A., Alvorlige G. A. S-infeksjoner i 1993 – 94— opdatering (Serious GAS infections during 1993-94—an update). Oslo: National Institute of Public Health. Meldesystem for Infektsjonssykdommer 1994; 22:(21)
    [Google Scholar]
  7. Farley M. M., Harvey R. C., Stull T. et al., A population-based assessment of invasive disease due to group B streptococcus in nonpregnant adults. N Engl J Med 1993; 328:1807–1811
    [Google Scholar]
  8. Skogberg K., Simonen H., Renkonen O. V., Valtonen V. V. Beta-haemolytic Group A, B, C and G streptococcal septicaemia: a clinical study. Scand J Infect Dis 1988; 20:119–125
    [Google Scholar]
  9. Bruun B., Sloth K., Bentzon M. W., Frederiksen W. A study ofbacteremias in Denmark from 1977-1978. APMIS 1982; B90:309–317
    [Google Scholar]
  10. Prag J., Jensen J., Lebech K. Darkening of haemoglobin in simulated, continuously agitated aerobic blood cultures: an early indicator of bacterial growth. APMIS 1991; 99:1083–1088
    [Google Scholar]
  11. Garner J. S., Jarvis W. R., Emeri T. G., Horan T. C., Hughes J. M. CDC definitions for nosocomial infections 1988. Am J Infect Control 1988; 16:128–140
    [Google Scholar]
  12. Schwartz B., Facklam R. R., Breiman R. F. Changing epidemiology of group A streptococcal infection in the USA. Lancet 1990; 336:1167–1171
    [Google Scholar]
  13. Colman G., Tanna A., Efstratiou A., Gaworzewska E. T. The serotypes of Streptococcus pyogenes present in Britain during 1980 – 1990 and their association with disease. J Med Microbiol 1993; 39:165–178
    [Google Scholar]
  14. Schonheyder H. C., Kristensen B., Hojbjerg T., Hyttel L., Korsager B. T-types among group A beta-haemolytic streptococci in Denmark. J Hosp Infect 1993; 23:71–72
    [Google Scholar]
  15. Bamham M. Invasive streptococcal infections in the era before the acquired immune deficiency syndrome: a 10 years’ compilation of patients with streptococcal bacteraemia in North Yorkshire. J Infect 1989; 18:231–248
    [Google Scholar]
  16. Francis J., Warren R. E. Streptococcus pyogenes bacteraemia in Cambridge—a review of 67 episodes. Q J Med 1988; 68:603–613
    [Google Scholar]
  17. Nielsen S. V., Kolmos H. J. Bacteraemia due to different groups of beta-haemolytic streptococci: a two-year survey and presentation of a case of recurring infection due to Streptococcusequisimilis”. Infection 1993; 6:358–361
    [Google Scholar]
  18. Auckenthaler R., Hermans P. E., Washington J. A. Group G streptococcal bacteremia: clinical study and review of the literature. Rev Infect Dis 1983; 5:196–204
    [Google Scholar]
  19. Bradley S. F., Gordon J. J., Baumgartner D. D., Marasco W. A., Kauffman C. A. Group C streptococcal bacteremia: analysis of 88 cases. Rev Infect Dis 1991; 13:270–280
    [Google Scholar]
  20. Bucher A., Martin P. R., Høiby E. A Spectrum of disease in bacteraemic patients during a Streptococcus pyogenes serotype M-l epidemic in Norway in 1988. Eur J Clin Microbiol Infect Dis 1992; 11:416–426
    [Google Scholar]
  21. Strøbaek S., Jepsen O. B., Zimakoff J., Ronne T. Increased number of sporadic nosocomial group A streptococcal bacteraemias during a community epidemic. J Hosp Infect 1991; 19:129–136
    [Google Scholar]
  22. Bucher A., Gaustad P. Septicemia and endocarditis caused by group G streptococci in a Norwegian hospital. Eur J Clin Microbiol Infect Dis 1990; 9:251–256
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/00222615-43-1-63
Loading
/content/journal/jmm/10.1099/00222615-43-1-63
Loading

Data & Media loading...

Most cited this month Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error