Increase in invasive group A streptococcal infections and emergence of novel, rapidly expanding sub-lineage of the virulent Streptococcus pyogenes M1 clone, Denmark, 2023

被引:47
|
作者
Johannesen, Thor Bech [1 ]
Munkstrup, Charlotte [2 ]
Edslev, Sofie Marie [1 ]
Baig, Sharmin [1 ]
Nielsen, Stine [2 ]
Funk, Tjede [2 ]
Kristensen, Dennis Karsten [3 ]
Jacobsen, Lars Hervig [3 ]
Ravn, Signe Fischer [3 ]
Bindslev, Niels [3 ]
Gubbels, Sophie [3 ]
Voldstedlund, Marianne [3 ]
Jokelainen, Pikka [4 ]
Hallstrom, Soren [1 ]
Rasmussen, Astrid [1 ]
Kristinsson, Karl Gustaf [5 ,6 ]
Fuglsang-Damgaard, David [7 ]
Dessau, Ram B. [8 ,9 ]
Olsen, Agnieszka Barbara [10 ]
Jensen, Christian Salgaard [11 ]
Skovby, Annette [12 ]
Ellermann-Eriksen, Svend [13 ]
Jensen, Thoger Gorm [14 ,15 ]
Dzajic, Esad [16 ]
Ostergaard, Claus [17 ]
Andersen, Steen Lomborg [18 ]
Hoffmann, Steen [1 ]
HenrikAndersen, Peter [2 ]
Stegger, Marc [1 ,19 ]
机构
[1] Statens Serum Inst, Bacteria Parasites & Fungi, Copenhagen, Denmark
[2] Statens Serum Inst, Infect Dis Epidemiol & Prevent, Copenhagen, Denmark
[3] Statens Serum Inst, Data Integrat & Anal, Copenhagen, Denmark
[4] Statens Serum Inst, Infect Dis Preparedness, Copenhagen, Denmark
[5] Landspitali Natl Univ Hosp, Dept Clin Microbiol, Reykjavik, Iceland
[6] Univ Iceland, Fac Med, Reykjavik, Iceland
[7] Aalborg Univ Hosp, Dept Clin Microbiol, Aalborg, Denmark
[8] Zealand Univ Hosp, Dept Clin Microbiol, Slagelse, Denmark
[9] Univ Southern Denmark, Dept Reg Hlth Res, Odense, Denmark
[10] Univ Hosp, Herlev & Gentofte Hosp, Dept Clin Microbiol, Herlev, Denmark
[11] Rigshosp, Dept Clin Microbiol, Copenhagen, Denmark
[12] Copenhagen Univ Hosp Amager & Hvidovre, Hvidovre, Denmark
[13] Aarhus Univ Hosp, Dept Clin Microbiol, Aarhus, Denmark
[14] Odense Univ Hosp, Dept Clin Microbiol, Odense, Denmark
[15] Res Unit Clin Microbiol, Odense, Denmark
[16] Univ Hosp Southern Denmark, Hosp South West Jutland, Clin Diagnost Dept, Clin Microbiol, Esbjerg, Denmark
[17] Univ Hosp Southern Denmark, Lillebaelt Hosp, Dept Clin Microbiol, Vejle, Denmark
[18] Univ Hosp Southern Denmark, Sonderjylland Hosp, Dept Clin Microbiol, Aabenraa, Denmark
[19] Murdoch Univ, Harry Butler Inst, Antimicrobial Resistance & Infect Dis Lab, Perth, Australia
关键词
Denmark; Iceland; M1; M1DK; Streptococcus pyogenes; bacterial genomics; group A Streptococcus; virulence;
D O I
10.2807/1560-7917.ES.2023.28.26.2300291
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A highly virulent sub-lineage of the Streptococcus pyogenes M1 clone has been rapidly expanding throughout Denmark since late 2022 and now accounts for 30% of the new invasive group A streptococcal infections. We aimed to investigate whether a shift in variant composition can account for the high incidence rates observed over winter 2022/23, or if these are better explained by the impact of COVID-19-related restrictions on population immunity and carriage of group A Streptococcus.
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页数:6
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