Increasing incidence of group B streptococcus neonatal infections in the Netherlands is associated with clonal expansion of CC17 and CC23.

Group B streptococcus (GBS) is the leading cause of neonatal invasive disease worldwide. In the Netherlands incidence of the disease increased despite implementation of preventive guidelines. We describe a genomic analysis of 1345 GBS isolates from neonatal (age 0-89 days) invasive infections in the Netherlands reported between 1987 and 2016. Most isolates clustered into one of five major lineages: CC17 (39%), CC19 (25%), CC23 (18%), CC10 (9%) and CC1 (7%). There was a significant rise in the number of infections due to isolates from CC17 and CC23. Phylogenetic clustering analysis revealed tha... Mehr ...

Verfasser: Jamrozy, Dorota
Bijlsma, Merijn W
de Goffau, Marcus C
van de Beek, Diederik
Kuijpers, Taco W
Parkhill, Julian
van der Ende, Arie
Bentley, Stephen D
Dokumenttyp: Artikel
Erscheinungsdatum: 2020
Verlag/Hrsg.: Springer Science and Business Media LLC
Schlagwörter: Bacterial Proteins / DNA / Bacterial / Female / Genomics / Humans / Incidence / Infant / Newborn / Male / Multilocus Sequence Typing / Netherlands / Phylogeny / Serogroup / Streptococcal Infections / Streptococcus
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29195175
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://www.repository.cam.ac.uk/handle/1810/308721

Group B streptococcus (GBS) is the leading cause of neonatal invasive disease worldwide. In the Netherlands incidence of the disease increased despite implementation of preventive guidelines. We describe a genomic analysis of 1345 GBS isolates from neonatal (age 0-89 days) invasive infections in the Netherlands reported between 1987 and 2016. Most isolates clustered into one of five major lineages: CC17 (39%), CC19 (25%), CC23 (18%), CC10 (9%) and CC1 (7%). There was a significant rise in the number of infections due to isolates from CC17 and CC23. Phylogenetic clustering analysis revealed that this was caused by expansion of specific sub-lineages, designated CC17-A1, CC17-A2 and CC23-A1. Dating of phylogenetic trees estimated that these clones diverged in the 1960s/1970s, representing historical rather than recently emerged clones. For CC17-A1 the expansion correlated with acquisition of a new phage, carrying gene encoding a putative cell-surface protein. Representatives of CC17-A1, CC17-A2 and CC23-A1 clones were identified in datasets from other countries demonstrating their global distribution.