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Streptococcus pyogenes vulvovaginitis in children in Nottingham

Published online by Cambridge University Press:  19 October 2009

F. E. Donald
Affiliation:
Department of Microbiology and PHLS Laboratory, University Hospital, Queen's Medical Centre, Nottingham, NG7 2UH
R. C. B. Slack
Affiliation:
Department of Microbiology and PHLS Laboratory, University Hospital, Queen's Medical Centre, Nottingham, NG7 2UH
G. Colman
Affiliation:
Division of Hospital Infection, Central Public Health Laboratory, 61 Colindale Avenue, London, NW9 5HT
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Summary

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Isolates of Streptococcus pyogenes from vaginal swabs of children with vulvovaginitis received at Nottingham Public Health Laboratory during 1986–9 were studied. A total of 159 isolates was made during the 4 years, increasing from 17 in 1986 to 64 in 1989 and accounting for 11% of all vaginal swabs received from children. The numbers of throat swabs yielding S. pyogenes also showed an increase from 974 in 1986 to 1519 in 1989. A winter peak of isolates was noted for both vaginal swabs and throat swabs. A total of 98 strains from vaginal swabs were serotyped: 22 different types were identified, 61% of which were the common types M4, M6, R28 and M12. Erythromycin sensitivity was done on 89 strains; 84% were highly sensitive (MIC < 0·03 mg/1). There are no other reports of such large numbers in the literature; the reason for seeing this increase in Nottingham is unclear.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1991

References

REFERENCES

1.Forfar, Jo, Arneil, Gc, eds. Textbook of paediatrics. 3rd ed.Edinburgh: Churchill Livingstone 1984; 1095–6.Google Scholar
2.Ginsburg, Cm.Group A streptococcal vaginitis in children. Ped Infect Dis 1982; 1: 36–7.CrossRefGoogle Scholar
3.Boisvert, PL, Walcher, DN.Hemolytic streptococcal vaginitis in children. Pediatrics 1948; 2: 24–9.Google ScholarPubMed
4.Hedlund, P.Acute vulvovaginitis in streptococcal infections. Acta Paediat 1953; 42: 388–9.Google Scholar
5.O'Connor, PA, Oliver, WJ.Group A β-haemoIytic streptococcal vulvovaginitis: A recurring problem. Ped Emerg Care 1985; 1: 94–5.CrossRefGoogle Scholar
6.Morris, CA.Seasonal variation of streptococcal vulvovaginitis in an urban community. J Clin Path 1971; 24: 805–7.CrossRefGoogle Scholar
7.Scott, RJD, Naidoo, J, Lightfoot, NF, George, RC.A community outbreak of group A beta haemolytic streptococci with transferable resistance to erythromycin. Epidemiol Infect 1989; 102: 8591.CrossRefGoogle Scholar
8.Figueroa-Colon, R, Grunow, JE, Torres-Pinedo, R, Rettig, PJ.Group A streptococcal proctitis and vulvovaginitis in a prepubertal girl. Ped Infect Dis 1984; 3: 439–42.CrossRefGoogle Scholar
9.Cowan, ST.Cowan and Steel's manual for the identification of medical bacteria, 2nd ed.London: Cambridge University Press, 1974.Google Scholar
10.Schoenknecht, FD, Batjer, JD, Sherris, JC.Anal streptococci. New Eng J Med 1969; 281: 220.Google ScholarPubMed
11.Asnes, RS, Vail, D, Grebin, B, Sprunt, K.Anal carrier rate of group A beta hemolytic streptococci in children with streptococcal pharyngitis. Pediatrics 1973; 52: 438–41.CrossRefGoogle Scholar
12.Hammerschlag, MR, Alpert, S, Rosner, I et al. Microbiology of the vagina in children: Normal and potentially pathogenic organisms. Pediatrics 1978; 62: 5762.CrossRefGoogle Scholar
13.Lewis, RFM. Beta-haemolytic streptococci from the female genital tract: clinical correlates and outcome of treatment. Epidemiol Infect 1989; 102: 391400.CrossRefGoogle ScholarPubMed
14.Boycott, JA.Seasonal variations in streptococcal infections. Lancet 1966; i: 706–7.CrossRefGoogle Scholar
15.Gaworzewska, E, Colman, G. Changes in the pattern of infection caused by Streptococcus pyogenes. Epidemiol Infect 1988; 100: 257–69.CrossRefGoogle ScholarPubMed
16.Francis, J, Warren, RE.Streptococcus pyogenes bacteraemia in Cambridge – A review of 67 episodes. Quart J Med 1988; 68: 603–13.Google Scholar
17.Ispahani, P, Donald, FE, Aveline, AJD. Streptococcus pyogenes bacteraemia: an old enemy subdued, but not defeated. J Infect 1988; 16: 3746.CrossRefGoogle Scholar
18.Barnham, M, Cole, G. Erythromycin-resistant beta-haemolytic streptococci in North Yorkshire. J Infect 1986; 13: 200–2.CrossRefGoogle ScholarPubMed
19.Youngs, ER.Erythromycin resistant Streptococcus pyogenes in Merseyside. J Infect 1984; 8: 86–7.CrossRefGoogle ScholarPubMed
20.Walker, M, Whetstone, RJ, Whipp, J. Erythromycin resistant Streptococcus pyogenes in Cambridge. J Infect 1984; 8: 88–9.CrossRefGoogle ScholarPubMed
21.Spencer, RC, Wheat, PF, Magee, JT, Brown, EH.Erythromycin resistance in streptococci. Lancet 1989; i: 168.CrossRefGoogle Scholar