Characterization of group B Streptococcus isolated from sterile and non-sterile specimens in China

Group B streptococcus (GBS) is a leading cause of invasive neonatal infections and has increasingly been associated with invasive diseases in non-pregnant adults. We collected 113 GBS isolates recovered from sterile and non-sterile specimens from seven tertiary hospitals in China between October 201...

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Veröffentlicht in:Diagnostic microbiology and infectious disease 2018-09, Vol.92 (1), p.56-61
Hauptverfasser: Nie, Shuping, Lu, Xuedong, Jin, Zhengjiang, Gao, Juyi, Ma, Dongli, Deng, Jikui, Wu, Xianglin, Hu, Yan-Wei, Zheng, Lei, Wang, Qian
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container_title Diagnostic microbiology and infectious disease
container_volume 92
creator Nie, Shuping
Lu, Xuedong
Jin, Zhengjiang
Gao, Juyi
Ma, Dongli
Deng, Jikui
Wu, Xianglin
Hu, Yan-Wei
Zheng, Lei
Wang, Qian
description Group B streptococcus (GBS) is a leading cause of invasive neonatal infections and has increasingly been associated with invasive diseases in non-pregnant adults. We collected 113 GBS isolates recovered from sterile and non-sterile specimens from seven tertiary hospitals in China between October 2014 and September 2016. Medical records were retrospectively reviewed and the sequence types, serotypes, virulence, and antimicrobial resistance profiles of the isolates were characterized and correlated. Significantly higher C-reactive protein and procalcitonin levels and absolute neutrophil counts were observed in patients with invasive infections than in those with non-invasive infections (P 
doi_str_mv 10.1016/j.diagmicrobio.2018.04.014
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We collected 113 GBS isolates recovered from sterile and non-sterile specimens from seven tertiary hospitals in China between October 2014 and September 2016. Medical records were retrospectively reviewed and the sequence types, serotypes, virulence, and antimicrobial resistance profiles of the isolates were characterized and correlated. Significantly higher C-reactive protein and procalcitonin levels and absolute neutrophil counts were observed in patients with invasive infections than in those with non-invasive infections (P &lt; 0.05). The 113 isolates were grouped into 24 sequence types, 5 clonal complexes, and 6 serotypes. multivariate analysis revealed that clonal complex 17 isolates characterized by serotype iii, the surface protein gene rib, and the pilus island pi-2b were independently correlated with invasive infection (or: 6.79; 95% ci: 2.31–19.94, P &lt; 0.001). These results suggest alternative molecular biomarkers for diagnosis and prognosis of GBS infections. •Fifty-one GBS isolates recovered from sterile sites and 62 isolates from non-sterile sites were characterized.•GBS isolates recovered from sterile sites were more common in newborns aged 7–89 days.•The inflammatory markers CRP, PCT, and ANC may play roles in the diagnosis of invasive GBS infections.•Clonal complex 17 isolates were independently correlated with invasive infections in China.</description><identifier>ISSN: 0732-8893</identifier><identifier>EISSN: 1879-0070</identifier><identifier>DOI: 10.1016/j.diagmicrobio.2018.04.014</identifier><identifier>PMID: 29858112</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents - therapeutic use ; Child ; Child, Preschool ; China ; Clonal complex ; Drug Resistance, Bacterial - drug effects ; Drug Resistance, Bacterial - genetics ; Female ; Genotype ; Group B Streptococcus ; Humans ; Infant ; Infant, Newborn ; Male ; Microbial Sensitivity Tests - methods ; Middle Aged ; Multilocus sequence typing ; Multilocus Sequence Typing - methods ; Retrospective Studies ; Serogroup ; Serotyping ; Serotyping - methods ; Streptococcal Infections - drug therapy ; Streptococcal Infections - microbiology ; Streptococcus - drug effects ; Streptococcus - genetics ; Streptococcus - isolation &amp; purification ; Virulence factor ; Young Adult</subject><ispartof>Diagnostic microbiology and infectious disease, 2018-09, Vol.92 (1), p.56-61</ispartof><rights>2018 Elsevier Inc.</rights><rights>Copyright © 2018 Elsevier Inc. 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These results suggest alternative molecular biomarkers for diagnosis and prognosis of GBS infections. •Fifty-one GBS isolates recovered from sterile sites and 62 isolates from non-sterile sites were characterized.•GBS isolates recovered from sterile sites were more common in newborns aged 7–89 days.•The inflammatory markers CRP, PCT, and ANC may play roles in the diagnosis of invasive GBS infections.•Clonal complex 17 isolates were independently correlated with invasive infections in China.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>China</subject><subject>Clonal complex</subject><subject>Drug Resistance, Bacterial - drug effects</subject><subject>Drug Resistance, Bacterial - genetics</subject><subject>Female</subject><subject>Genotype</subject><subject>Group B Streptococcus</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Microbial Sensitivity Tests - methods</subject><subject>Middle Aged</subject><subject>Multilocus sequence typing</subject><subject>Multilocus Sequence Typing - methods</subject><subject>Retrospective Studies</subject><subject>Serogroup</subject><subject>Serotyping</subject><subject>Serotyping - methods</subject><subject>Streptococcal Infections - drug therapy</subject><subject>Streptococcal Infections - microbiology</subject><subject>Streptococcus - drug effects</subject><subject>Streptococcus - genetics</subject><subject>Streptococcus - isolation &amp; 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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adolescent
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents - therapeutic use
Child
Child, Preschool
China
Clonal complex
Drug Resistance, Bacterial - drug effects
Drug Resistance, Bacterial - genetics
Female
Genotype
Group B Streptococcus
Humans
Infant
Infant, Newborn
Male
Microbial Sensitivity Tests - methods
Middle Aged
Multilocus sequence typing
Multilocus Sequence Typing - methods
Retrospective Studies
Serogroup
Serotyping
Serotyping - methods
Streptococcal Infections - drug therapy
Streptococcal Infections - microbiology
Streptococcus - drug effects
Streptococcus - genetics
Streptococcus - isolation & purification
Virulence factor
Young Adult
title Characterization of group B Streptococcus isolated from sterile and non-sterile specimens in China
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