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Group G streptococci in healthy school-children and in patients with glomerulonephritis in Trinidad

Published online by Cambridge University Press:  19 October 2009

H. F. M. Reid ,
D. C. J. Bassett ,
T. Poon-King ,
J. B. Zabriskie  and
S. E. Read
H. F. M. Reid
Affiliation:
Trinidad and Tobago Public Health Laboratory, Port of Spain, Trinidad
D. C. J. Bassett
Affiliation:
PAHO/WHO Caribbean Epidemiology Centre (CAREC), Port of Spain, Trinidad
T. Poon-King
Affiliation:
General Hospital, San Fernando, Trinidad
J. B. Zabriskie
Affiliation:
The Rockefeller University, New York, U.S.A.
S. E. Read
Affiliation:
The Hospital for Sick Children, Toronto, Canada
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Summary

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The group G streptococcus has generally not been considered a prominent pathogen. In a 1982 study of the colonization rate by β-haemoly tic streptococci in apparently healthy children, age 5–11 years, 25 of 69 isolates belonged to group G. This surprisingly high rate of group G colonization (14·3%) led to a retrospective study of school surveys in 1967 which showed that the colonization rate with this organism was 2·3% (range 1·3–3·5%). A review of bacitracin-sensitive streptococcal isolates from hospital admissions of patients with acute glomerulonephritis (AGN), rheumatic fever, and their siblings, between January 1967 and July 1980, was conducted. Of 1063 bacitracin-sensitive isolates, 63 were group G, and 52 of these were isolated from AGN patients and their siblings, i.e. 7 from skin lesions of AGN patients, 40 from the throats of siblings and only 5 from the skins of the siblings. The other 11 group G isolates were from rheumatic-fever patients and their siblings. Thus, the group G colonization rate fluctuates in the population. The isolation of only group G streptococci from skin lesions of patients with AGN suggests a possible association between group G streptococcal pyoderma and acute post-streptococcal glomerulonephritis.

Type
Research Article
Information
Journal of Hygiene , Volume 94 , Issue 1 , February 1985 , pp. 61 - 68
Copyright
Copyright © Cambridge University Press 1985

References

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