Clinical presentations and epidemiology of β-haemolytic streptococcal bacteraemia: a population-based study |
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Authors: | S. Rantala,J. Vuopio-Varkila,R. Vuento,H. Huhtala, J. Syrjä nen |
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Affiliation: | Department of Internal Medicine, Tampere University Hospital, Tampere;, National Public Health Institute, Helsinki;, Centre for Laboratory Medicine, Tampere University Hospital;, Tampere School of Public Health, University of Tampere;, Medical School, University of Tampere, Tampere, Finland |
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Abstract: | In this population-based study, all 314 episodes of β-haemolytic streptococcal bacteraemia in adult patients in the Pirkanmaa area, Finland, during the 10-year period 1995–2004 were retrospectively reviewed. Altogether, 92 cases of bacteraemia caused by Lancefield group A β-haemolytic streptococci (GAS), 76 caused by group B β-haemolytic streptococci (GBS), 18 caused by group C β-haemolytic streptococci (GCS) and 128 caused by group G β-haemolytic streptococci (GGS) were identified. The most important finding was that the incidence of GGS increased during the study period. Disruption of the cutaneous barrier was a very common predisposing factor in GAS and GGS bacteraemias. Skin infections were the presenting clinical manifestations in two-thirds of GAS and GGS bacteraemias. |
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Keywords: | Bacteraemia β-haemolytic clinical presentations epidemiology streptococci |
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