Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in Lebanon

Streptococcus pyogenes [Group A Streptococcus (GAS)] is one of the most important human pathogens, responsible for numerous diseases with diverse clinical manifestations. As the epidemiology of GAS infections evolves, a rapid and reliable characterization of the isolates remains essential for epidem...

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Main Author: Tokajian, Sima T. (author)
Other Authors: Karaky, Nathalie M. (author), Araj, George F. (author)
Format: article
Published: 2014
Online Access:http://hdl.handle.net/10725/3484
http://dx.doi.org/10.1099/jmm.0.063412-0
http://jmm.microbiologyresearch.org/content/journal/jmm/10.1099/jmm.0.063412-0
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author Tokajian, Sima T.
author2 Karaky, Nathalie M.
Araj, George F.
author2_role author
author
author_facet Tokajian, Sima T.
Karaky, Nathalie M.
Araj, George F.
author_role author
dc.creator.none.fl_str_mv Tokajian, Sima T.
Karaky, Nathalie M.
Araj, George F.
dc.date.none.fl_str_mv 2014
2016-04-05T09:06:25Z
2016-04-05T09:06:25Z
2016-04-05
dc.identifier.none.fl_str_mv 0022-2615
http://hdl.handle.net/10725/3484
http://dx.doi.org/10.1099/jmm.0.063412-0
Karaky, N. M., Araj, G. F., & Tokajian, S. T. (2014). Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in Lebanon. Journal of medical microbiology, 63(9), 1197-1204.
http://jmm.microbiologyresearch.org/content/journal/jmm/10.1099/jmm.0.063412-0
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv Journal of Medical Microbiology
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in Lebanon
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Streptococcus pyogenes [Group A Streptococcus (GAS)] is one of the most important human pathogens, responsible for numerous diseases with diverse clinical manifestations. As the epidemiology of GAS infections evolves, a rapid and reliable characterization of the isolates remains essential for epidemiological analysis and infection control. This study investigated the epidemiological patterns and genetic characteristics of 150 GAS isolates from a tertiary hospital in Lebanon by emm typing, superantigens (SAgs) detection, PFGE and antibiotic profiling. The results revealed 41 distinct emm types, the most prevalent of which were emm89 (16 %), emm12 (10 %), emm2 (9 %) and emm1 (8 %). Testing for the presence of superantigens showed that speB (87 %), ssa (36 %) and speG (30 %) were predominant. PFGE detected 39 pulsotypes when a similarity cut-off value of 80 % was implemented. Antibiotic-susceptibility testing against seven different classes of antibiotics showed that 9 % of the isolates were resistant to clindamycin, 23 % were resistant to erythromycin and 4 % showed the macrolide–lincosamide–streptogramin B (MLSB) phenotype. The emergence of tetracycline-resistant strains (37 %) was high when compared with previous reports from Lebanon. This study provided comprehensive evidence of the epidemiology of GAS in Lebanon, highlighting the association between emm types and toxin genes, and providing valuable information about the origin and dissemination of this pathogen.
eu_rights_str_mv openAccess
format article
id LAURepo_ff69ea72f7df8a12bd43e36b9b5f6310
identifier_str_mv 0022-2615
Karaky, N. M., Araj, G. F., & Tokajian, S. T. (2014). Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in Lebanon. Journal of medical microbiology, 63(9), 1197-1204.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/3484
publishDate 2014
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spelling Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in LebanonTokajian, Sima T.Karaky, Nathalie M.Araj, George F.Streptococcus pyogenes [Group A Streptococcus (GAS)] is one of the most important human pathogens, responsible for numerous diseases with diverse clinical manifestations. As the epidemiology of GAS infections evolves, a rapid and reliable characterization of the isolates remains essential for epidemiological analysis and infection control. This study investigated the epidemiological patterns and genetic characteristics of 150 GAS isolates from a tertiary hospital in Lebanon by emm typing, superantigens (SAgs) detection, PFGE and antibiotic profiling. The results revealed 41 distinct emm types, the most prevalent of which were emm89 (16 %), emm12 (10 %), emm2 (9 %) and emm1 (8 %). Testing for the presence of superantigens showed that speB (87 %), ssa (36 %) and speG (30 %) were predominant. PFGE detected 39 pulsotypes when a similarity cut-off value of 80 % was implemented. Antibiotic-susceptibility testing against seven different classes of antibiotics showed that 9 % of the isolates were resistant to clindamycin, 23 % were resistant to erythromycin and 4 % showed the macrolide–lincosamide–streptogramin B (MLSB) phenotype. The emergence of tetracycline-resistant strains (37 %) was high when compared with previous reports from Lebanon. This study provided comprehensive evidence of the epidemiology of GAS in Lebanon, highlighting the association between emm types and toxin genes, and providing valuable information about the origin and dissemination of this pathogen.PublishedN/A2016-04-05T09:06:25Z2016-04-05T09:06:25Z20142016-04-05Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article0022-2615http://hdl.handle.net/10725/3484http://dx.doi.org/10.1099/jmm.0.063412-0Karaky, N. M., Araj, G. F., & Tokajian, S. T. (2014). Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in Lebanon. Journal of medical microbiology, 63(9), 1197-1204.http://jmm.microbiologyresearch.org/content/journal/jmm/10.1099/jmm.0.063412-0enJournal of Medical Microbiologyinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/34842018-05-23T05:56:39Z
spellingShingle Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in Lebanon
Tokajian, Sima T.
status_str publishedVersion
title Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in Lebanon
title_full Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in Lebanon
title_fullStr Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in Lebanon
title_full_unstemmed Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in Lebanon
title_short Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in Lebanon
title_sort Molecular characterization of Streptococcus pyogenes group A isolates from a tertiary hospital in Lebanon
url http://hdl.handle.net/10725/3484
http://dx.doi.org/10.1099/jmm.0.063412-0
http://jmm.microbiologyresearch.org/content/journal/jmm/10.1099/jmm.0.063412-0