Belén Moltó-García1, María del Carmen Liébana-Martos2, Elena Cuadros-Moronta3, Javier Rodríguez-Granger4, Antonio Sampedro-Martínez5, Manuel Rosa-Fraile6, José Gutierrez-Fernández7, Alberto Puertas-Priet8, José María Navarro-Marí9. 1. Emergency Service, University Hospital Virgen de las Nieves, Avenida de Fuerzas Armadas s/n, Granada 18014, Spain. Electronic address: bemolt@hotmail.com. 2. Service of Microbiology, University Hospital Virgen de las Nieves, Avenida de Fuerzas Armadas s/n, Granada 18014, Spain. Electronic address: c.liebma@hotmail.com. 3. Service of Microbiology, University Hospital Virgen de las Nieves, Avenida de Fuerzas Armadas s/n, Granada 18014, Spain. Electronic address: ecm_mg@hotmail.com. 4. Service of Microbiology, University Hospital Virgen de las Nieves, Avenida de Fuerzas Armadas s/n, Granada 18014, Spain. Electronic address: javierm.rodriguez.sspa@juntadeandalucia.es. 5. Service of Microbiology, University Hospital Virgen de las Nieves, Avenida de Fuerzas Armadas s/n, Granada 18014, Spain. Electronic address: antonioj.sampedro.sspa@juntadeandalucia.es. 6. Service of Microbiology, University Hospital Virgen de las Nieves, Avenida de Fuerzas Armadas s/n, Granada 18014, Spain. Electronic address: manuel.rosa.sspa@juntadeandalucia.es. 7. School of Medicine, Department of Microbiology, University of Granada, Av. de Madrid, 11, Granada 18012, Spain. Electronic address: josegf1199@gmail.com. 8. Service of Gynaecology and Obstetrics, University Hospital Virgen de las Nieves, Avenida de Fuerzas Armadas s/n, Granada 18014, Spain. Electronic address: apuertas51@hotmail.com. 9. Service of Microbiology, University Hospital Virgen de las Nieves, Avenida de Fuerzas Armadas s/n, Granada 18014, Spain. Electronic address: josem.navarro.sspa@juntadeandalucia.es.
Abstract
PURPOSE: Streptococcus agalactiae (Group B streptococcus, GBS) is increasingly recognized as a pathogen in adult populations, including the elderly. Appropriate treatment involves antibiotics. An alternative to this strategy would be the administration of a polysaccharide vaccine therefore the capsular serotypes and molecular characterization of circulating strains needs to be known. Few studies have been conducted in this population. METHODS: One hundred and seven GBS isolates collected from vagino-rectal swabs from 600 post-menopausal women were analysed for their capsular type, antimicrobial resistance and genetic relatedness (multilocus sequence typing, MLST). RESULTS: The colonization rate was 17.8%. Capsular type III was predominant (34.6%), followed by type V (22.4%). The most frequent sequence type (ST) was 19 (23.3%), followed by 23 (18.7%), 1 (16.8%) and 17 (12.1%). Isolates were assembled into three phylogenetic groups from ST-19, ST-23 and ST-17 founders. All isolates were susceptible to penicillin, whereas resistance to erythromycin and clindamycin was recorded in 23.4% and 20.6% of isolates, respectively. CONCLUSIONS: In our setting, the GBS colonization rate in postmenopausal women is similar to that reported in others populations studied. The population structure of these isolates is highly diverse and contains different STs. These data can contribute to the future development of a polysaccharide vaccine for preventing GBS infection in older adults.
PURPOSE:Streptococcus agalactiae (Group B streptococcus, GBS) is increasingly recognized as a pathogen in adult populations, including the elderly. Appropriate treatment involves antibiotics. An alternative to this strategy would be the administration of a polysaccharide vaccine therefore the capsular serotypes and molecular characterization of circulating strains needs to be known. Few studies have been conducted in this population. METHODS: One hundred and seven GBS isolates collected from vagino-rectal swabs from 600 post-menopausal women were analysed for their capsular type, antimicrobial resistance and genetic relatedness (multilocus sequence typing, MLST). RESULTS: The colonization rate was 17.8%. Capsular type III was predominant (34.6%), followed by type V (22.4%). The most frequent sequence type (ST) was 19 (23.3%), followed by 23 (18.7%), 1 (16.8%) and 17 (12.1%). Isolates were assembled into three phylogenetic groups from ST-19, ST-23 and ST-17 founders. All isolates were susceptible to penicillin, whereas resistance to erythromycin and clindamycin was recorded in 23.4% and 20.6% of isolates, respectively. CONCLUSIONS: In our setting, the GBS colonization rate in postmenopausal women is similar to that reported in others populations studied. The population structure of these isolates is highly diverse and contains different STs. These data can contribute to the future development of a polysaccharide vaccine for preventing GBS infection in older adults.