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Serological characterization of group-A streptococci associated with skin sepsis in meat handlers

Published online by Cambridge University Press:  15 May 2009

Cherry A. M. Fraser
Affiliation:
Streptococcus Reference Laboratory, Central Public Health Laboratory, Colindale Avenue, London NW 9 5 HT
Lyn C. Ball
Affiliation:
Streptococcus Reference Laboratory, Central Public Health Laboratory, Colindale Avenue, London NW 9 5 HT
C. A. Morris
Affiliation:
Public Health Laboratory, Shrewsbury SY 3 8 XH
N. D. Noah
Affiliation:
Epidemiological Research Laboratory, Central Public Health Laboratory, Colindale Avenue, London NW 9 5 HT
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Summary

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A series of outbreaks of skin sepsis among meat handlers in England during 1974 and 1975 afforded an opportunity to study the group-A streptococci commonly isolated from the lesions. Few of these streptococci could be M typed with existing antisera. Intensive study of strains from two outbreaks of sepsis in one abattoir in Shropshire led to the recognition of three new provisional M types. The streptococci were first sorted according to T-typing pattern and ability to produce opacity factor. Opacity-factor producing strains with the same T pattern were then screened for inhibition of opacity production by the sera of convalescents from the same outbreak. Finally, M antisera were made in rabbits against representative cultures.

Sera against the three new provisional types were used to re-examine streptococci from 20 other outbreaks or incidents of sporadic infection among meat handlers. This increased the proportion of typable strains from 3% to 55%. Two of the new provisional types (nos. 2015 and 1658; both T25/Imp 19, opacity-factor positive) were confined to the Shropshire outbreak, but the third (no. 2681; T14, opacity-factor negative) was found among strains from meat workers in eight other geographically distinct areas. In all, 31% of 131 distinct strains from meat workers, but less than 1% of 2816 strains from other British sources, belonged to provisional type 2681. Thus, in Britain, one M-type of group-A streptococcus appears at present to be almost exclusively associated with sepsis in meat workers.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1977

References

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