2005, Number 1-2
<< Back Next >>
Microbiología 2005; 47 (1-2)
Serotypes of 286 group B streptococci isolated from asymptomatic carriers and invasive disease cases in Mexico
Gerardo C. Palacios, María N. González, Magdalena Beltrán, José L. Arredondo, Torres J, Solórzano F
Language: English
References: 25
Page: 21-24
PDF size: 50.13 Kb.
ABSTRACT
Background: Group B Streptococcus (GBS) remains as a leading cause of neonatal sepsis and meningitis in developed countries, where type III is the most common serotype. Although GBS is considered an uncommon cause of perinatal pathology in Mexico, a vaginal colonization rate of 14% in pregnant women and a neonatal infection rate of 1/1500 live births have been reported. The aim of this study was to determine the serotype distribution in a collection of 286 GBS strains isolated in Mexico from asymptomatic carriers and in adult and neonatal invasive disease cases.
Methods: The collection included GBS strains isolated between January 1988 and April 1998 at the Instituto Nacional de Perinatologia and Hospital de Pediatria in Mexico City. GBS and serotype were confirmed by latex agglutination.
Results: Most strains were isolated from asymptomatic carriers (66%). 30% were invasive isolates, and 10% of them were from neonates. 48.6% were type I, 32.9% type III, 14% type II, and 4% were non-typeable.
Conclusion: Serotype I is predominant in Mexico but participation of serotype III is increasing, and a decrease of non-typeable isolates was detected.
REFERENCES
Amundson, N.R., A.E. Flores, S.L. Hillier, C.L. Baker, & P. Ferrieri. 2005. DNA macrorestriction analysis of nontypeable group B streptococcal isolates: clonal evolution of nontypeable and type V isolates. J Clin Microbiol. 43:572-576.
Baker, C.J. & M.S. Edwards. 1995. Group B streptococcal infections. pp. 980-1054 In: J.S. Remington and J.O. Klein (Eds) Infectious diseases of the fetus and newborn infant, 4th ed. W.B Saunders, Philadelphia.
Collado, M.L., R.R. Kretschmer, I. Becker, A. Guzmán, L. Gallardo, & C.M. Lepe. 1981. Colonization of Mexican pregnant women with group B Streptococcus. J Infect Dis. 143:134.
Doran, T.I., D.C. Straus & S.J. Mattingly. 1981. Factors influencing release of type III antigens by group B streptococci. Infect Immun. 31:615-623.
Elliott, J.A., T.A. Thompson, & R.R. Facklam. 2004. Increased sensitivity of a latex agglutination method for serotyping group B Streptococcus. J Clin Microbiol. 42:3907.
Farley, M.M. Group B streptococcal disease in nonpregnant adults. Clin Infect Dis. 33:556-561.
Fleming, K.E., J.F. Bohnsack, G.C. Palacios, S. Takahashi, & E.E. Adderson. 2004. Equivalence of high-virulence clonotypes of serotype III group B Streptococcus agalactiae (GBS). J Med Microbiol. 53:1-4.
González-Pedraza, A.A., M.C. Ortiz-Zaragoza & R. Mota-Vázquez. 2002. Serotypes and antimicrobial susceptibility of group B Streptococcus isolated from pregnant women in Mexico. Rev Latinoamer Microbiol. 44:133-136.
Helmig, R., N. Uldbjerg, J. Boris, & M. Kilian. 1993. Clonal analysis of Streptococcus agalactiae isolated from infants with neonatal sepsis or meningitis and their mothers and from healthy pregnant women. J Infect Dis. 168:904-909.
Kong, F., S. Gowan, D. Martin, G. James & G.L. Gilbert. 2002. Serotype identification of group B streptococci by PCR and sequencing. J Clin Microbiol. 40:216-226.
Mattingly, S.J., J.J. Maurer, E.K. Eskew & F. Cox. 1990. Identification of a high-virulence clone of serotype III Streptococcus agalactiae by growth characteristics at 40ºC. J Clin Microbiol. 28:1676-1677.
Mattingly, S.J. & E.K. Eskew. 1993. Temperature sensivity of fructuose-1,6-biphosphate aldolase accounts for the inability of the high virulence clone of Streptococcus agalactiae to grow at 40oC. Curr Microbiol. 26:147-150.
Musser, J.M., S.J. Mattingly, R. Quentin, A. Goudeau & R.K. Selander. 1989. Identification of a high-virulence clone of type III Streptococcus agalactiae (group B Streptococcus) causing invasive neonatal disease. Proc Natl Acad Sci USA. 86:4731-4735.
Palacios, G.C., E.K. Eskew, F. Solorzano & S.J. Mattingly. 1997. Decreased capacity for type-specific-antigen synthesis accounts for high prevalence of nontypeable strains of group B streptococci in Mexico. J Clin Microbiol. 35:2923-2926.
Palacios, G.C., E.K. Eskew, F. Solorzano & S.J. Mattingly. 1999. Identification of the high-virulence clone of group B streptococci in mexican isolates by growth characteristics at 40°C. Curr Microbiol. 38:126-131.
Palacios, G.C., B.C. Timmons, E.K. Eskew, F. Solorzano & S.J. Mattingly. 2003. Identification of the high-virulence clone of group B streptocci by using a probe containing a putative aldolase gene. Curr Microbiol. 47:319-322.
Palacios-Saucedo, G., R. Caltenco-Serrano, J. Torres-Lopez, R. Tapia-Conyer, O. Muñoz-Hernandez & F. Solorzano-Santos. 2002. Exposición a Estreptococo del grupo B en mujeres mexicanas en edad reproductiva. Salud Pub Mex. 44:50-56.
Payne, R.N., A.B. Burke, L.D. Day, D.P. Christenson, R.T Thompson & P. Ferrieri. 1988. Correlation of clinical and pathologic findings in early onset neonatal group B Streptococcal infection with disease severity and prediction of outcome. Pediatr Infect Dis J. 7:836-47.
Quentin, R., H. Huet, F. Wang, P. Geslin, A. Goideau & R. Selander. 1995. Characterization of Streptococcus agalactiae strains by multilocus enzyme genotype and serotype: Identification of multiple virulent clone families that cause invasive neonatal disease. J Clin Microbiol 33:2576-2581.
Solorzano-Santos, F., G. Echaniz-Aviles, C.J. Conde-Gonzalez, E. Calderon-Jaimes, J.L. Arredondo-Garcia & M. Beltran-Zuñiga. 1989. Cervicovaginal infection with group B Streptococci among pregnant Mexican women. J Infect Dis. 159:1003-1004.
Solorzano-Santos, F., R.D. Diaz-Ramos & J.L. Arredondo-García. 1990. Diseases caused by group B Streptococcus in Mexico. Pediatr Infect Dis J. 9:66.
Takahashi, S., E.E. Adderson, Y. Nagano, N. Nagano, M.R. Briesacher & J.F. Bohnsack. 1998. Identification of a highly encapsulated, genetically related group of invasive type III group B streptocci. J Infect Dis. 177:1116-1119.
Tirrell, G.J., L.D. Senzilet, J.S. Spika, D.A. Kertesz, M. Alagaratnam, M. Lovgren & J.A. Talbot. 2000. Invasive disease due to group B streptococcal infection in adults: results from a Canadian, population-based, active laboratory surveillance study-1996. Sentinel Health Unit Surveillance System Site Coordinators. J Infect Dis. 182:168-173.
Villaseñor-Sierra, A., P. Morales-Velázquez, G. Palacios-Saucedo & F. Solórzano-Santos. 2004. Prevalencia de Streptococcus agalactiae del serotipo III en embarazadas. Ginecol Obstet Mex. 72:103-108.
Walsh, J.A. & S. Hutchins. 1989. Group B streptococcal disease: its importance in the developing world and prospect for prevention with vaccines. Pediatr Infect Dis J. 8:271-277.