Characterisation of invasive group B streptococci from adults in Denmark 1999 to 2004

The aim of this study was to characterise the group B streptococci (GBS) isolates causing severe invasive infections in patients >15 years of age in Denmark from 1999 to 2004. A total of 411 invasive GBS isolates were phenotypically characterised by the capsular polysaccharide (CPS) serotype and...

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Veröffentlicht in:European journal of clinical microbiology & infectious diseases 2010-09, Vol.29 (9), p.1071-1077
Hauptverfasser: Lambertsen, L, Ekelund, K, Skovsted, I. C, Liboriussen, A, Slotved, H.-C
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container_issue 9
container_start_page 1071
container_title European journal of clinical microbiology & infectious diseases
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creator Lambertsen, L
Ekelund, K
Skovsted, I. C
Liboriussen, A
Slotved, H.-C
description The aim of this study was to characterise the group B streptococci (GBS) isolates causing severe invasive infections in patients >15 years of age in Denmark from 1999 to 2004. A total of 411 invasive GBS isolates were phenotypically characterised by the capsular polysaccharide (CPS) serotype and protein Cα, Cβ and R4. The incidence of invasive GBS disease ranged from 2.2 to 3.2 per 100,000 adults in the study period, being highest among adults over 65 years of age. Diabetes was observed in 15% of the cases, 12% had alcohol abuse and 7% had cancer. Of all isolates, 77% were CPS serotypes Ia, Ib, III or V. The surface proteins Cα or R4 were detected as the only protein in 57% of the GBS isolates. Cβ was detected in 12% of the isolates, but always in combination with either Cα or both Cα and R4. The incidence of invasive GBS infections continued to increase in Denmark from 1999 to 2004. In that period, the overall case fatality was 14%. The most prevalent CPS serotypes were serotypes III, Ia, V and Ib. The most prevalent surface protein was R4 when testing for R4, Cα and Cβ. There was no clear relation between the GBS phenotype and infections with fatal outcome.
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C</creatorcontrib><creatorcontrib>Liboriussen, A</creatorcontrib><creatorcontrib>Slotved, H.-C</creatorcontrib><title>Characterisation of invasive group B streptococci from adults in Denmark 1999 to 2004</title><title>European journal of clinical microbiology &amp; infectious diseases</title><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><description>The aim of this study was to characterise the group B streptococci (GBS) isolates causing severe invasive infections in patients &gt;15 years of age in Denmark from 1999 to 2004. A total of 411 invasive GBS isolates were phenotypically characterised by the capsular polysaccharide (CPS) serotype and protein Cα, Cβ and R4. The incidence of invasive GBS disease ranged from 2.2 to 3.2 per 100,000 adults in the study period, being highest among adults over 65 years of age. Diabetes was observed in 15% of the cases, 12% had alcohol abuse and 7% had cancer. 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identifier ISSN: 0934-9723
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subjects Adolescent
Adult
Age
Age Factors
Aged
Aged, 80 and over
Biomedical and Life Sciences
Biomedicine
Cancer
Denmark
Diabetes
Disease
Fatalities
Female
Humans
Incidence
Infections
Internal Medicine
Laboratories
Male
Medical Microbiology
Methods
Middle Aged
Patients
Proteins
Risk Factors
Serotyping
Streptococcal Infections - epidemiology
Streptococcal Infections - microbiology
Streptococcus agalactiae - classification
Streptococcus agalactiae - isolation & purification
Vaccines
Young Adult
title Characterisation of invasive group B streptococci from adults in Denmark 1999 to 2004
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