Microbiological characteristics of perianal streptococcal dermatitis: a retrospective study of 105 patients in a 10-year period
Beta-hemolytic streptococci (BHS) are the most common causative agents of perianal streptococcal dermatitis (PSD). This study evaluates the distribution of BHS isolates in perianal bacterial cultures. We retrospectively reviewed microbiological results for perianal BHS that were isolated in our labo...
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| Veröffentlicht in: | Acta dermatovenerologica Alpina, Panonica, et Adriatica Panonica, et Adriatica, 2016-01, Vol.25 (4), p.73-76 |
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| container_title | Acta dermatovenerologica Alpina, Panonica, et Adriatica |
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| creator | Šterbenc, Anja Seme, Katja Lah, Liza Lea Točkova, Olga Kamhi Trop, Tina Švent-Kučina, Nataša Pirš, Mateja |
| description | Beta-hemolytic streptococci (BHS) are the most common causative agents of perianal streptococcal dermatitis (PSD). This study evaluates the distribution of BHS isolates in perianal bacterial cultures. We retrospectively reviewed microbiological results for perianal BHS that were isolated in our laboratory between 2006 and 2015. We identified a total of 105 BHS isolates from rectal swabs and swabs of clinically intact perianal skin. The majority of BHS were of group A (GABHS) (73/105; 69.5%), followed by group B BHS (GBBHS) (27/105; 25.7%), and non-group A or B BHS (5/105; 4.8%). The distribution of GABHS was age-specific, with the majority of GABHS obtained from young children. All BHS isolates were susceptible to penicillin. GABHS were universally susceptible to clindamycin, whereas 1.4% were resistant to erythromycin. GBBHS were resistant to erythromycin and clindamycin in 14.8% and 7.4% of cases. In addition, we wanted to emphasize the importance of correct diagnosis of PSD. Hence, we provide a review of protocols that can decrease the time to diagnosis and treatment of PSD, reduce patients' discomfort, and prevent unnecessary diagnostic procedures. |
| doi_str_mv | 10.15570/actaapa.2016.21 |
| format | Article |
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This study evaluates the distribution of BHS isolates in perianal bacterial cultures. We retrospectively reviewed microbiological results for perianal BHS that were isolated in our laboratory between 2006 and 2015. We identified a total of 105 BHS isolates from rectal swabs and swabs of clinically intact perianal skin. The majority of BHS were of group A (GABHS) (73/105; 69.5%), followed by group B BHS (GBBHS) (27/105; 25.7%), and non-group A or B BHS (5/105; 4.8%). The distribution of GABHS was age-specific, with the majority of GABHS obtained from young children. All BHS isolates were susceptible to penicillin. GABHS were universally susceptible to clindamycin, whereas 1.4% were resistant to erythromycin. GBBHS were resistant to erythromycin and clindamycin in 14.8% and 7.4% of cases. In addition, we wanted to emphasize the importance of correct diagnosis of PSD. Hence, we provide a review of protocols that can decrease the time to diagnosis and treatment of PSD, reduce patients' discomfort, and prevent unnecessary diagnostic procedures.</description><identifier>ISSN: 1318-4458</identifier><identifier>EISSN: 1581-2979</identifier><identifier>EISSN: 1318-4458</identifier><identifier>DOI: 10.15570/actaapa.2016.21</identifier><identifier>PMID: 28006879</identifier><language>eng</language><publisher>Slovenia: Association of Slovenian Dermatovenerologists</publisher><subject>Adolescent ; Adult ; Aged ; Anal Canal ; Child ; Child, Preschool ; Dermatitis - diagnosis ; Dermatitis - microbiology ; Dermatitis - therapy ; Female ; Humans ; Infant ; Male ; Middle Aged ; Retrospective Studies ; Skin Diseases, Bacterial - diagnosis ; Skin Diseases, Bacterial - microbiology ; Skin Diseases, Bacterial - therapy ; Streptococcal Infections - diagnosis ; Streptococcal Infections - microbiology ; Streptococcal Infections - therapy ; Young Adult</subject><ispartof>Acta dermatovenerologica Alpina, Panonica, et Adriatica, 2016-01, Vol.25 (4), p.73-76</ispartof><rights>COPYRIGHT 2016 Association of Slovenian Dermatovenerologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-6dd895a055e1f5c279a6807b1d96326fe7cd39cbc522515b0f978857eda0da923</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28006879$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Šterbenc, Anja</creatorcontrib><creatorcontrib>Seme, Katja</creatorcontrib><creatorcontrib>Lah, Liza Lea</creatorcontrib><creatorcontrib>Točkova, Olga</creatorcontrib><creatorcontrib>Kamhi Trop, Tina</creatorcontrib><creatorcontrib>Švent-Kučina, Nataša</creatorcontrib><creatorcontrib>Pirš, Mateja</creatorcontrib><title>Microbiological characteristics of perianal streptococcal dermatitis: a retrospective study of 105 patients in a 10-year period</title><title>Acta dermatovenerologica Alpina, Panonica, et Adriatica</title><addtitle>Acta Dermatovenerol Alp Pannonica Adriat</addtitle><description>Beta-hemolytic streptococci (BHS) are the most common causative agents of perianal streptococcal dermatitis (PSD). This study evaluates the distribution of BHS isolates in perianal bacterial cultures. We retrospectively reviewed microbiological results for perianal BHS that were isolated in our laboratory between 2006 and 2015. We identified a total of 105 BHS isolates from rectal swabs and swabs of clinically intact perianal skin. The majority of BHS were of group A (GABHS) (73/105; 69.5%), followed by group B BHS (GBBHS) (27/105; 25.7%), and non-group A or B BHS (5/105; 4.8%). The distribution of GABHS was age-specific, with the majority of GABHS obtained from young children. All BHS isolates were susceptible to penicillin. GABHS were universally susceptible to clindamycin, whereas 1.4% were resistant to erythromycin. GBBHS were resistant to erythromycin and clindamycin in 14.8% and 7.4% of cases. In addition, we wanted to emphasize the importance of correct diagnosis of PSD. Hence, we provide a review of protocols that can decrease the time to diagnosis and treatment of PSD, reduce patients' discomfort, and prevent unnecessary diagnostic procedures.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anal Canal</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Dermatitis - diagnosis</subject><subject>Dermatitis - microbiology</subject><subject>Dermatitis - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Skin Diseases, Bacterial - diagnosis</subject><subject>Skin Diseases, Bacterial - microbiology</subject><subject>Skin Diseases, Bacterial - therapy</subject><subject>Streptococcal Infections - diagnosis</subject><subject>Streptococcal Infections - microbiology</subject><subject>Streptococcal Infections - therapy</subject><subject>Young Adult</subject><issn>1318-4458</issn><issn>1581-2979</issn><issn>1318-4458</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kUFv1DAQhS0EoqVw54Qicekly9iJY5tbVVGKVMSlnK2JPSlG2TjYXqQ98dfr7S49zYzme0-jeYy957DhUir4hK4grrgRwIeN4C_YOZeat8Io87L2Hddt30t9xt7k_Bug7_oBXrMzoQEGrcw5-_c9uBTHEOf4EBzOjfuFqbpSCrkEl5s4NWsdcKm7XBKtJbroDqSntMUSSsifG2wSlRTzSq6Ev1TJnd8ftBxks1aKlpKbsFSQQ7snTE-u0b9lryacM7071Qv28-bL_fVte_fj67frq7vWdYMp7eC9NhJBSuKTdEIZHDSokXszdGKYSDnfGTc6KYTkcoTJKK2lIo_g0Yjugl0efdcU_-woF7sN2dE840Jxly3XUigNElRFPx7RB5zJhmWKpX7kgNurXvf9wLXWlYIjVd-Xc6LJrilsMe0tB_sUjj2FYw_hWMGr5MPpht24Jf8s-J9G9wg_yIzA</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Šterbenc, Anja</creator><creator>Seme, Katja</creator><creator>Lah, Liza Lea</creator><creator>Točkova, Olga</creator><creator>Kamhi Trop, Tina</creator><creator>Švent-Kučina, Nataša</creator><creator>Pirš, Mateja</creator><general>Association of Slovenian Dermatovenerologists</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160101</creationdate><title>Microbiological characteristics of perianal streptococcal dermatitis: a retrospective study of 105 patients in a 10-year period</title><author>Šterbenc, Anja ; Seme, Katja ; Lah, Liza Lea ; Točkova, Olga ; Kamhi Trop, Tina ; Švent-Kučina, Nataša ; Pirš, Mateja</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c369t-6dd895a055e1f5c279a6807b1d96326fe7cd39cbc522515b0f978857eda0da923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anal Canal</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Dermatitis - diagnosis</topic><topic>Dermatitis - microbiology</topic><topic>Dermatitis - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Skin Diseases, Bacterial - diagnosis</topic><topic>Skin Diseases, Bacterial - microbiology</topic><topic>Skin Diseases, Bacterial - therapy</topic><topic>Streptococcal Infections - diagnosis</topic><topic>Streptococcal Infections - microbiology</topic><topic>Streptococcal Infections - therapy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Šterbenc, Anja</creatorcontrib><creatorcontrib>Seme, Katja</creatorcontrib><creatorcontrib>Lah, Liza Lea</creatorcontrib><creatorcontrib>Točkova, Olga</creatorcontrib><creatorcontrib>Kamhi Trop, Tina</creatorcontrib><creatorcontrib>Švent-Kučina, Nataša</creatorcontrib><creatorcontrib>Pirš, Mateja</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta dermatovenerologica Alpina, Panonica, et Adriatica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Šterbenc, Anja</au><au>Seme, Katja</au><au>Lah, Liza Lea</au><au>Točkova, Olga</au><au>Kamhi Trop, Tina</au><au>Švent-Kučina, Nataša</au><au>Pirš, Mateja</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Microbiological characteristics of perianal streptococcal dermatitis: a retrospective study of 105 patients in a 10-year period</atitle><jtitle>Acta dermatovenerologica Alpina, Panonica, et Adriatica</jtitle><addtitle>Acta Dermatovenerol Alp Pannonica Adriat</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>25</volume><issue>4</issue><spage>73</spage><epage>76</epage><pages>73-76</pages><issn>1318-4458</issn><eissn>1581-2979</eissn><eissn>1318-4458</eissn><abstract>Beta-hemolytic streptococci (BHS) are the most common causative agents of perianal streptococcal dermatitis (PSD). This study evaluates the distribution of BHS isolates in perianal bacterial cultures. We retrospectively reviewed microbiological results for perianal BHS that were isolated in our laboratory between 2006 and 2015. We identified a total of 105 BHS isolates from rectal swabs and swabs of clinically intact perianal skin. The majority of BHS were of group A (GABHS) (73/105; 69.5%), followed by group B BHS (GBBHS) (27/105; 25.7%), and non-group A or B BHS (5/105; 4.8%). The distribution of GABHS was age-specific, with the majority of GABHS obtained from young children. All BHS isolates were susceptible to penicillin. GABHS were universally susceptible to clindamycin, whereas 1.4% were resistant to erythromycin. GBBHS were resistant to erythromycin and clindamycin in 14.8% and 7.4% of cases. In addition, we wanted to emphasize the importance of correct diagnosis of PSD. 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| subjects | Adolescent Adult Aged Anal Canal Child Child, Preschool Dermatitis - diagnosis Dermatitis - microbiology Dermatitis - therapy Female Humans Infant Male Middle Aged Retrospective Studies Skin Diseases, Bacterial - diagnosis Skin Diseases, Bacterial - microbiology Skin Diseases, Bacterial - therapy Streptococcal Infections - diagnosis Streptococcal Infections - microbiology Streptococcal Infections - therapy Young Adult |
| title | Microbiological characteristics of perianal streptococcal dermatitis: a retrospective study of 105 patients in a 10-year period |
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