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Dissemination of emm28 Erythromycin-, Clindamycin- and Bacitracin-Resistant Streptococcus pyogenes in Spain
Authors:E.?Perez-Trallero  author-information"  >  author-information__contact u-icon-before"  >  mailto:mikrobiol@terra.es"   title="  mikrobiol@terra.es"   itemprop="  email"   data-track="  click"   data-track-action="  Email author"   data-track-label="  "  >Email author,C.?Garcia,B.?Orden,J.?M.?Marimon,M.?Montes
Affiliation:(1) Microbiology Department, Hospital Donostia, Paseo Dr. Beguiristain s/n, 20014 San Sebastián, Spain;(2) Microbiology Department, Hospital "ldquo"Marques de Valdecilla"rdquo", Avenida Valdecilla s/n, 39008 Santander, Spain;(3) Microbiology Laboratory, Centro Especialidades Arguelles, Quintana 11, 28008 Madrid, Spain
Abstract:Reported here is an unusual cluster of non-invasive infections caused by an emm28 Streptococcus pyogenes strain resistant to bacitracin, erythromycin and clindamycin detected in Santander, Spain. Since one of the characteristics of group A streptococci is their almost uniform susceptibility to bacitracin, this finding was unusual, and a search for bacitracin-resistant Streptococcus pyogenes strains was conducted in two other distant cities of Spain (Madrid and San Sebastián) where their presence was confirmed. These strains were frequently associated with erythromycin- and clindamycin-resistance, and most of them belonged to a unique emm28 T28, ST52 clone.
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