Molecular epidemiology of nonpharyngeal group A streptococci isolates in northern Lebanon

Author:

Rafei Rayane1ORCID,Hawli Malaik1,Osman Marwan1ORCID,Khelissa Simon2ORCID,Salloum Tamara3ORCID,Dabboussi Fouad1ORCID,Tokajian Sima3ORCID,Hamze Monzer1ORCID

Affiliation:

1. Laboratoire Microbiologie Santé et Environnement (LMSE), Doctoral School for Science & Technology, Faculty of Public Health, Lebanese University, Tripoli, 1300, Lebanon

2. Université de Lille, Centre National de la Recherche Scientifique, Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement, Centrale Lille, Unité Mixte de Recherche 8207 – Unité Matériaux et Transformations, Lille, 59000, France

3. Department of Natural Sciences, School of Arts & Sciences, Lebanese American University, Byblos campus, Postal Box 36, Byblos, 1401, Lebanon

Abstract

Aim: To characterize the epidemiology of group A Streptococcus (GAS) involved in nonpharyngeal infections sparingly addressed in Lebanon. Materials & methods: A collection of 63 nonpharyngeal GAS isolates recovered between 2010 and 2019 from northern Lebanon were analyzed through emm typing, virulence gene profiling, FCT typing and antibiotic susceptibility analysis. Results & conclusion: A total of 29 emm subtypes was detected, with emm1 being the most dominant. A great intraclonal divergence driven by the loss and gain of superantigens or by the structural variability within the FCT regions was unraveled. The resistance rates for erythromycin and tetracycline were 8 and 20.6%, respectively. The 30-valent vaccine coverage was 76%. This study evidences the complexity of the neglected GAS pathogen in Lebanon.

Funder

Université Libanaise

Publisher

Future Medicine Ltd

Subject

Microbiology (medical),Microbiology

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