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Dissemination of emm28 Erythromycin-, Clindamycin- and Bacitracin-Resistant Streptococcus pyogenes in Spain

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Abstract

Reported here is an unusual cluster of non-invasive infections caused by an emm28 Streptococcus pyogenes strain resistant to bacitracin, erythromycin and clindamycin detected in Santander, Spain. Since one of the characteristics of group A streptococci is their almost uniform susceptibility to bacitracin, this finding was unusual, and a search for bacitracin-resistant Streptococcus pyogenes strains was conducted in two other distant cities of Spain (Madrid and San Sebastián) where their presence was confirmed. These strains were frequently associated with erythromycin- and clindamycin-resistance, and most of them belonged to a unique emm28 T28, ST52 clone.

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Perez-Trallero, E., Garcia, C., Orden, B. et al. Dissemination of emm28 Erythromycin-, Clindamycin- and Bacitracin-Resistant Streptococcus pyogenes in Spain. Eur J Clin Microbiol Infect Dis 23, 123–126 (2004). https://doi.org/10.1007/s10096-003-1069-1

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