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The epidemiology of beta-haemolytic non-Group A streptococci isolated from the throats of children over a one-year period

Published online by Cambridge University Press:  15 May 2009

N. Cimolai
Affiliation:
Division of Medical Microbiology, Department of Pathology, University of British, Columbia. Program of Microbiology, Department of Pathology, British Columbia's Children's Hospital.
L. MacCulloch
Affiliation:
Program of Microbiology, Department of Pathology, British Columbia's Children's Hospital.
S. Damm
Affiliation:
Program of Microbiology, Department of Pathology, British Columbia's Children's Hospital.
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Summary

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The incidence of beta-haemolytic non-Group A streptococci (BHNAS) in the throats of a paediatric population was examined over a 1-year period. There was minimal seasonal fluctuation of Lancefield groups including species and biotypes within Groups C and G streptococci. A trend of increasing incidence with age of Streptococcus anginosus (‘Streptococcus milleri’) (possessing Groups C and G Lancefield antigens) was evident. A clinical impression of streptococcal pharyngitis was more common in patients with large-colony Groups C or G streptococci isolated from their throats compared with those patients where other BHNAS were isolated. This study is requisite to the planning of case control studies which are required to test the association of BHNAS (especially Groups C and G subgroups) and pharyngitis.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1990

References

REFERENCES

1.Cimolai, N, Elford, RW, Bryan, L, Anand, C, Berger, P.Do the beta-hemolvtic non-group A streptococci cause pharyngitis? Rev Infect Dis 1988; 10: 587601.CrossRefGoogle ScholarPubMed
2.Duca, E, Teodorovici, G, Radu, C, et al. , A new nephritogenic streptococcus. J Hyg 1969; 67: 691–8.Google ScholarPubMed
3.Benjamin, JT, Perriello, VA Jr. Pharyngitis due to group C hemolytic streptococci in children. J Pediatr 1976; 89: 254–6.CrossRefGoogle Scholar
4.Hill, HR, Caldwell, GG, Wilson, E, Hagar, D, Zimmerman, RA.Epidemic of pharyngitis due to streptococci of Lancefield group C. Lancet 1969; ii: 371–4.CrossRefGoogle Scholar
5.Stryker, WS, Fraser, DW, Facklam, RR.Foodborne outbreak of group G streptococcaln pharyngitis. Am J Epidemiol 1982; 116: 533–40.CrossRefGoogle Scholar
6.McCue, JD.Group G streptococcal pharyngitis: analysis of an outbreak at a college. JAMA 1982; 248: 1333–6.Google Scholar
7.Cohen, D, Ferne, M, Rouach, T, Bergner-Rabinowitz, S.Food-borne outbreak of group G streptococcal sore throat in an Israeli military base. Epidemiol Infect 1987; 99: 249255.CrossRefGoogle Scholar
8.Berger, PC, Elford, RW, Yeo, M, Cimolai, N, Anand, CM.Pharyngitis 1987: a survey of physicians' attitudes and practices in southern Alberta. Canad J Pub Health 1989; 80: 3841.Google Scholar
9.Facklam, RR.The major differences in the American and British streptococcus toxonomy schemes with special reference to Streptococcus milleri. Eur J Clin Micro 1984; 3: 91–3.CrossRefGoogle Scholar
10.Ruoff, KL, Kunz, LJ, Ferraro, MJ.Occurrence of Streptococcus milleri among beta-hemolytic streptococci isolated from clinical specimens. J Clin Microbiol 1985; 22: 149–51.CrossRefGoogle ScholarPubMed
11.Lawrence, J, Yajko, DM, Hadley, WK.Incidence and characterization of beta-hemolytic Streptococcus milleri and differentiation from S. pyogenes (group A), S. equisimilis (group C). and large-colony group G streptococci. J Clin Microbiol 1985; 22: 772–7.CrossRefGoogle Scholar
12.Bucher, C, von Graevenitz, A.Differentiation in throat cultures of group C and G streptococci from Streptococcus milleri with identical antigens. Eur J Clin Microbiol 1984; 3: 44–5.Google Scholar
13.Barnham, M, Thornton, TJ, Lange, K.Nephritis caused by Streptococcus zooepidemicus (Lancefield group C). Lancet 1983; I:945–7.Google Scholar
14.Margileth, AM, Mella, GW, Zilvetti, EE.Streptococci in children's respiratory infections: diagnosis and treatment. Clin Pediatr 1971; 10: 6977.CrossRefGoogle ScholarPubMed
15.Murray, PR, Wold, AD, Washington, JA II.Recovery of group A and non-group A beta-hemolytic streptococci from throat swab specimens. Mayo Clin Proc 1977; 52: 81–4.Google Scholar
16.Quinn, RW, Denny, FW, Riley, HD.Natural occurrence of hemolytic streptococci in normal school children. Am J Public Health 1957; 47: 9951008.CrossRefGoogle ScholarPubMed
17.Facklam, RR, Carey, RB. Streptococci and aerococci. In Lennette, EH, Balows, A.Hausler, WJ Jr., Shadomy, HJ, eds. Manual of clinical microbiology. Washington, D.C.: American Society for Microbiology, 1985: 154–75.Google Scholar
18.Clark, RB, Berrafati, JF, Janda, JM, Bottone, EJ.Biotyping and exoenzyme profiling as an aid in the differentiation of human from bovine group G streptococci. J Clin Microbiol 1984; 20: 706–10.CrossRefGoogle ScholarPubMed
19.Edwards, AT, Roulson, M, Ironside, MJ.A milk-borne outbreak of serious infection due to Streptococcus zooepidemicus (Lancefield Group C). Epidemiol Infect 1988; 101: 4351.CrossRefGoogle ScholarPubMed
20.Hamrick, HJ.The throat culture reconsidered. J Pediatr 1986: 108: 416–7.CrossRefGoogle ScholarPubMed