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Population Structure and Antimicrobial Resistance of Invasive Serotype IV Group B Streptococcus,Toronto, Ontario,Canada
Authors:Sarah Teatero  Allison McGeer  Aimin Li  Janice Gomes  Christine Seah  Walter Demczuk  Irene Martin  Jessica Wasserscheid  Ken Dewar  Roberto G. Melano  Nahuel Fittipaldi
Affiliation:Public Health Ontario, Toronto, Ontario, Canada (S. Teatero, A. Li, J. Gomes, C. Seah, R.G. Melano, N. Fittipaldi); ;University of Toronto, Toronto (A. McGeer, R.G. Melano, N. Fittipaldi); ;Mount Sinai Hospital, Toronto (A. McGeer, R.G. Melano); ;Public Health Agency of Canada, Winnipeg, Manitoba, Canada (W. Demczuk, I. Martin); ;McGill University, Montreal, Quebec, Canada (J. Wasserscheid, K. Dewar); ;Genome Quebec Innovation Centre, Montreal (J. Wasserscheid, K. Dewar)
Abstract:
We recently showed that 37/600 (6.2%) invasive infections with group B Streptococcus (GBS) in Toronto, Ontario, Canada, were caused by serotype IV strains. We report a relatively high level of genetic diversity in 37 invasive strains of this emerging GBS serotype. Multilocus sequence typing identified 6 sequence types (STs) that belonged to 3 clonal complexes. Most isolates were ST-459 (19/37, 51%) and ST-452 (11/37, 30%), but we also identified ST-291, ST-3, ST-196, and a novel ST-682. We detected further diversity by performing whole-genome single-nucleotide polymorphism analysis and found evidence of recombination events contributing to variation in some serotype IV GBS strains. We also evaluated antimicrobial drug resistance and found that ST-459 strains were resistant to clindamycin and erythromycin, whereas strains of other STs were, for the most part, susceptible to these antimicrobial drugs.
Keywords:bacterial infection   invasive bacterial disease   group B Streptococcus   streptococci   Streptococcus agalactiae   bacteria   serotype IV   multilocus sequence typing   whole-genome sequencing   antimicrobial resistance   population structure   Toronto   Canada
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