Dissertations / Theses on the topic 'Pyogenes'
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Berge, Andreas. "Molecular analysis of Streptococcus pyogenes and its interactions with the human host." Lund : Lund University, 1997. http://catalog.hathitrust.org/api/volumes/oclc/68945123.html.
Full textZhang, Meng. "Proteomic analysis of streptococcus pyogenes." Thesis, Northumbria University, 2007. http://nrl.northumbria.ac.uk/842/.
Full textThern, Anette. "Interactions between Streptococcus pyogenes and the human immune system with special reference to C4b-binding protein /." Lund : Dept. of Medical Microbiology, Lund University, 1998. http://catalog.hathitrust.org/api/volumes/oclc/39224761.html.
Full textDesai, Meeta. "Molecular epidemiological typing of Streptococcus pyogenes." Thesis, Open University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299021.
Full textBecherelli, Marco <1979>. "Functional characterization of Streptococcus pyogenes pili." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2010. http://amsdottorato.unibo.it/3015/.
Full textBroglia, Laura. "Regulating with ribonucleases in Streptococcus pyogenes." Doctoral thesis, Humboldt-Universität zu Berlin, 2020. http://dx.doi.org/10.18452/21573.
Full textBacteria have developed a plethora of strategies to cope with constantly changing environmental conditions, including post-transcriptional regulatory mechanisms. With this regard, regulation of gene expression can be achieved by either the rapid removal or stabilization of RNA molecules by ribonucleases (RNases). RNases exhibit species-specific effects on gene expression, bacterial physiology and different strategies of target recognition, indicating that our understanding of the RNA degradation machinery is not yet complete. The aim of this thesis was to investigate the features and functions of endoRNase Y from the strict human pathogen Streptococcus pyogenes. To gain insight into the role and specificity of this RNase, we identified RNase Y cleavage positions (i.e. targetome) genome-wide by RNA sequencing. Next, to investigate the RNA degradation pathway depending on RNase Y, we compared the RNase Y targetome with the ones of the three 3′-to-5′ exoribonuclease (exoRNases), namely PNPase, YhaM and RNase R. Finally, to dissect the requirements for RNase Y processing and to decipher the role of RNase Y in virulence gene regulation, we studied the impact of RNase Y on speB mRNA, encoding a major virulence factor. This study reveals that RNase Y preferentially cleaves RNAs downstream of a guanosine and for the first time we were able to show that the presence of a guanosine residue is essential for the processing of speB mRNA, in vivo. Although RNase Y cleaves the speB mRNA, our data underpin a model in which RNase Y-mediated regulation of speB expression occurs at the transcriptional level. Using the targetome comparative approach, we demonstrated that RNase Y initiates RNA decay in S. pyogenes and that the RNase Y-generated RNA 3′ ends are usually further trimmed by PNPase and/or YhaM. Overall, these findings increase our understanding of RNase Y functionality and RNA degradation in Gram-positive bacteria.
Siou, GeÌrard Paul Serge. "Streptococcus pyogenes interactions with human tonsils." Thesis, University of Newcastle upon Tyne, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.424082.
Full textMcNamara, Case W. "Molecular analysis of Streptococcus pyogenes M1 protein." Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2006. http://wwwlib.umi.com/cr/ucsd/fullcit?p3230034.
Full textTitle from first page of PDF file (viewed November 17, 2006). Available via ProQuest Digital Dissertations. Vita. Includes bibliographical references.
Dixon, Emma Victoria. "Mechanisms of immunoglobulin deactivation by Streptococcus pyogenes." Thesis, University of Oxford, 2014. http://ora.ox.ac.uk/objects/uuid:ec80e3f9-0c73-4d39-bc68-c39b927365d4.
Full textCaswell, Clayton Christopher. "The SCL1 protein of Streptococcus pyogenes a structure-function analysis /." Morgantown, W. Va. : [West Virginia University Libraries], 2008. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=6026.
Full textTitle from document title page. Document formatted into pages; contains xi, 190 p. : ill. (some col.). Includes abstract. Includes bibliographical references.
Meinhart, Anton. "Kristallstrukturanalyse des e, z-Proteinkomplexes [Epsilon, zeta-Proteinkomplexes], kodiert vom Plasmid pSM19035 aus Streptrococcus pyogenes." [S.l.] : [s.n.], 2001. http://www.diss.fu-berlin.de/2001/188/index.html.
Full textRussell, Hugh Hayden. "Molecular basis of epithelial internalisation of Streptococcus pyogenes." Thesis, Imperial College London, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.423540.
Full textLe, Rhun Anaïs. "Multifaceted RNA-mediated regulatory mechanisms in Streptococcus pyogenes." Doctoral thesis, Umeå universitet, Molekylär Infektionsmedicin, Sverige (MIMS), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-111090.
Full textSethman, Chad Robert. "Attachment of Streptococcus pyogenes to Host Epithelial Cells." Miami University / OhioLINK, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=miami1071776892.
Full textCunningham, Cynthia A. "Induction of myosin cross-reactive antibody and cytolytic T cell responses in mice with Streptococcus pyogenes." Morgantown, W. Va. : [West Virginia University Libraries], 2000. http://etd.wvu.edu/templates/showETD.cfm?recnum=1530.
Full textSmeesters, Pierre. "Epidémiologie, pathogénie et prise en charge des infections à Streptococcus pyogenes touchant les enfants de Bruxelles et de Brasília." Doctoral thesis, Universite Libre de Bruxelles, 2007. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/210620.
Full textPour mieux évaluer ces variations, nous avons mené une analyse prospective de l’épidémiologie clinique et moléculaire d’isolats de GAS provenant d’enfants présentant une infection à GAS, simultanément en deux localisations géographiques différentes (Bruxelles et Brasília, Brésil).
Un des points importants de notre étude a été la mise en évidence de la diversité génétique de la protéine M des isolats belges et brésiliens. Alors que de nombreux emm-types différents sont retrouvés à Brasília (48 emm-types sur 128 isolats), ceux retrouvés à Bruxelles sont relativement peu nombreux (20 emm-types sur 200 isolats) et sont ceux communément retrouvés dans les pays industrialisés. Afin de mieux comprendre les bases moléculaires de cette différence, une analyse phylogénétique basée sur la quasi-totalité de la séquence de la protéine M exposée à la surface de la bactérie a été réalisée. Cette analyse a permis de montrer que les emm-types belges sont génétiquement éloignés les uns des autres alors que les emm-types brésiliens sont génétiquement plus proches. De manière intéressante, cette analyse a montré que les souches belges présentent une grande diversité au niveau de la région de la protéine M dite ‘constante’. En conséquence, la diversité génétique globale des protéines M belges et brésiliennes est similaire, mais elle se situe dans des régions différentes de la protéine M, ce qui pourrait indiquer l’existence de pressions de sélection différentes entre les deux pays. D’un point de vue vaccinal, ces résultats indiquent qu’un vaccin dirigé contre certaines des parties constantes de M présenterait une bonne couverture théorique dans les deux pays. Par contre, le vaccin 26-valent, en cours d’évaluation clinique, aurait une couverture théorique de 76% à Bruxelles et de 32% à Brasília.
Notre analyse phylogénétique a également permis de montrer que la non-sensibilité à la ciprofloxacine (observée dans 22,5 % et 9% des souches belges et brésiliennes respectivement) survient dans des souches génétiquement éloignées, contrairement à ce qui est proposé actuellement dans la littérature. De plus, nous avons mis en évidence un polymorphisme au sein des gènes codant les topoisomérases cibles de la ciprofloxacine. L’identification de mutations responsables du phénotype de non-sensibilité nécessite par conséquent une confirmation expérimentale.
Les manifestations cliniques sont assez différentes entre Bruxelles et Brasília. Les infections cutanées sont beaucoup plus fréquentes à Brasília. De manière intéressante au Brésil, des souches de GAS présentant un tropisme cutané sont isolées du pharynx. Ces souches ‘cutanées’ pourraient avoir acquis des déterminants génétiques leur permettant de se développer dans des tissus pharyngés. De plus, ces résultats pourraient remettre en question le postulat que seules les souches de tropisme pharyngé sont impliquées dans le développement du RAA. D’autres études épidémiologiques dans des pays où le RAA est endémique devront être réalisées afin de préciser nos résultats et de mieux comprendre les mécanismes moléculaires menant au développement du RAA.
Cependant, étant donné la prévalence du RAA et l’accès limité au diagnostic microbiologique des pharyngites dans le réseau public de soins au Brésil, nous avons développé un score clinique permettant de limiter les traitements antibiotiques chez les enfants probablement atteints de pharyngites virales. L’utilisation de ce score permettrait de réduire le nombre de prescriptions antibiotiques dans les pharyngites de l’enfant de 41 à 55% à Brasília.
Le choc toxi-infectieux est une pathologie relativement rare et le RAA n’est quasi plus décrit dans les pays développés. Cependant, deux nourrissons ont présenté un choc toxi-infectieux suivi d’un RAA (HUDERF, Bruxelles). A notre connaissance, cette association clinique n’a jamais été décrite. L’analyse de ces deux cas du point de vue de la virulence bactérienne a révélé la présence de nombreux gènes de facteurs de virulence, portés par des phages et différents dans les deux souches. Nos résultats illustrent la complexité de la relation hôte-pathogène.
La capacité des bactéries à s’adapter à leurs hôtes et à causer des pathologies dépend de nombreux facteurs, qui varient d’un isolat à l’autre, et dont l’importance varie d’un hôte à l’autre. Notre travail a permis d’exemplifier la diversité génétique des GAS, aussi bien au niveau du gène emm qu’au niveau des facteurs de virulence, et de l’implication de ceux-ci dans le développement de pathologies streptococciques rares.
Doctorat en Sciences médicales
info:eu-repo/semantics/nonPublished
Delgado, Giselle M. "SIAA and Neat2 Heme Binding Proteins from Streptococcus Pyogenes." Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/chemistry_theses/24.
Full textGaleas, Pena Trilce Michelle. "Thermoregulation of capsule production of Streptococcus pyogenes strain HSC5 /." Available to subscribers only, 2009. http://proquest.umi.com/pqdweb?did=1967978671&sid=7&Fmt=2&clientId=1509&RQT=309&VName=PQD.
Full textCalusni, Ana Lucia Roscani. "Interação entre o Streptococcus pyogenes e a hemoglobina S." [s.n.], 1994. http://repositorio.unicamp.br/jspui/handle/REPOSIP/316745.
Full textDissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Biologia
Made available in DSpace on 2018-07-19T08:31:44Z (GMT). No. of bitstreams: 1 Calusni_AnaLuciaRoscani_M.pdf: 1715301 bytes, checksum: acd3974eacbc813ea7e1416eeec145b7 (MD5) Previous issue date: 1994
Mestrado
Genetica
Mestre em Ciências Biológicas
Galeas, Trilce Michelle. "Thermoregulation of Capsule Production of Streptococcus pyogenes Strain HSC5." OpenSIUC, 2009. https://opensiuc.lib.siu.edu/theses/122.
Full textWright, Jordan. "Capsule Thermoregulation and Non-Coding RNA in Streptococcus pyogenes." OpenSIUC, 2014. https://opensiuc.lib.siu.edu/theses/1505.
Full textLE, BOUGUENEC-BRIVE CHANTAL. "Etude d'un element genetique mobile (tn3701) chez streptococcus pyogenes." Paris 7, 1989. http://www.theses.fr/1989PA077082.
Full textSteinberg, Gregory. "Long-term Stationary Phase Behavior of Streptococcus pyogenes Biofilms." Master's thesis, Temple University Libraries, 2012. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/170151.
Full textM.S.
Long-term Stationary Phase Behavior of Streptococcus pyogenes Biofilms Department of Microbiology and Immunology Streptococcus pyogenes is the etiological agent of many human diseases ranging from mild superficial skin infections and pharyngitis to life-threatening necrotizing fasciitis. There can be several complications as a result of S. pyogenes infection including post-streptococcal glomerulonephritis and rheumatic fever, which leads to rheumatic heart disease. Despite the significant virulence associated with the pathogen, the bacteria can also persist asymptomatically in human host carriers. S. pyogenes is characterized by significant strain-to-strain variation with many single nucleotide polymorphisms and differences in genetic content of up to 33% of the genome. Active infection is associated with the rapid growth of the pathogen, whereas survival or carriage is associated with slow growth. Our laboratory has demonstrated that during survival in long-term stationary phase cultures and in eukaryotic cells, S. pyogenes diversifies into a mixed population. Isolates from this population show diversification in their proteome, in metabolism, and in virulence factor transcription patterns. These are stable, heritable changes with unique mutations in global gene regulators in some isolates, suggesting that an accumulation of genetic mutations leads to diversification. There are two proposed modes of survival in the human host; by taking residence intracellularly in host cells and as biofilms. Previous studies showed that isolates surviving within eukaryotic cells acquire heritable changes in metabolism and virulence factor expression. Biofilms are highly organized structures formed by many bacteria, which provide resiliency to harsh environmental conditions. It has been demonstrated that S. pyogenes form biofilms in vivo and in vitro, and up to 90% of clinical isolates can form biofilms. Considering the resiliency of biofilms, and the organized roles played by individual cells in biofilms, we hypothesized that biofilms may provide S. pyogenes with a niche for persistence and diversification. Despite the capacity for survival of planktonic cells, we have found that viable cells could not be isolated from static biofilms after 10 days. No metabolic variants were found among biofilm isolates prior to loss of biofilm viability. Biofilm structure was examined using confocal microscopy to image cells after LiveDead® staining. These experiments revealed that the biofilms lost viability rapidly, and also appeared to disperse. Dispersion of 2-day old biofilms could be induced with culture supernatants collected from 7-day old planktonic cells. Overall, the results of these studies suggest that secreted factors from late stationary phase cultures induce biofilm dispersion and biofilms do not serve as a niche for long-term survival and diversification of S. pyogenes. Therefore, S. pyogenes biofilms may be more critical for initial colonization of the oropharynx. These studies may provide a valuable insight to the role of biofilms in S. pyogenes infections.
Temple University--Theses
Weinstein, Kathryn Elizabeth. "Generation of Diversity During the Survival of Streptococcus pyogenes." Diss., Temple University Libraries, 2010. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/105846.
Full textPh.D.
Streptococcus pyogenes is a human-specific pathogen that can cause a wide variety of diseases. These diseases range from the relatively mild pharyngitis and impetigo to invasive diseases such as necrotizing fasciitis to post-streptococcal sequelae such as rheumatic heart disease. The bacteria are frequently carried asymptomatically and may cause recurrent disease. Corresponding with their etiologic variation amongst diseases, clinical isolates demonstrate diverse virulence factor expression and random genetic mutations. In these studies, we examine the role of intracellular residence during survival as a niche for the diversification of S. pyogenes. Survival was previously studied using two in vitro systems: long-term stationary phase survival in culture and survival within epithelial cells in the presence of extracellular antibiotics. The surviving populations diversified, giving rise to stable strains with alternate colony morphologies, distinct proteomes, and altered metabolic properties. Further analysis in these studies showed that alterations in colony morphology were not solely observed during survival, but could also be induced in models mimicking acute infection. However, diversification in certain metabolic pathways occurred only during survival, and this metabolic diversification was observed at the transcriptional level. Further, one of three clinical isolates from patients with recurrent pharyngitis was altered in its metabolic profile, suggesting metabolic diversification may be occurring in vivo. The survivor strains had varied transcriptional changes in the genes encoding the virulence factors emm, slo, and speB. All of the stationary phase-derived survivor strains and two intracellular survival-derived strains had attenuated virulence in zebrafish. Most of the attenuated strains disseminated to the spleen and were cleared within three days. A whole blood killing assay showed a strong correlation between bacterial killing and emm expression. While the diversification appeared random, these strains retained their multilocus sequence type (MLST). These results suggest S. pyogenes strains with the same MLST, but diverse virulence properties, may arise during survival in the host.
Temple University--Theses
Miller, Aleisha Nadine Altovese. "The effect of arcanobacterium pyogenes in the bovine uterus." Thesis, Royal Veterinary College (University of London), 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.522690.
Full textJohansson, Söderberg Jenny. "The streptococcal IgG degrading enzyme IdeS : studies on host-pathogen interactions." Doctoral thesis, Umeå universitet, Institutionen för molekylärbiologi (Medicinska fakulteten), 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-53706.
Full textLibkind, Marianna. "SiaA, a heme protein." unrestricted, 2006. http://etd.gsu.edu/theses/available/etd-02192007-092252/.
Full textTitle from title screen. Under the direction of Dabney White Dixon. Electronic text (46 p. : ill. (some col.)) : digital, PDF file. Description based on contents viewed Aug. 1, 2007. Includes bibliographical references (p 45-46).
Fontaine, Michael Christopher. "Allel-replacement mutagenesis of group A streptococci." Thesis, University of Newcastle Upon Tyne, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.285338.
Full textAbe, Lucienne M. "Adhesion and internalization of group A streptococcus isolates found in Hawaii." Thesis, University of Hawaii at Manoa, 2003. http://proquest.umi.com/pqdweb?index=0&did=764803591&SrchMode=2&sid=1&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1233167604&clientId=23440.
Full textParks, Thomas Edward. "Host genetic susceptibility to group A streptococcal disease." Thesis, University of Cambridge, 2016. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.709471.
Full textFERNANDEZ, FRANCK. "Les infections humaines a actinomyces pyogenes : a propos de deux cas rencontres en france." Aix-Marseille 2, 1993. http://www.theses.fr/1993AIX20911.
Full textAlmengor, Audry C. "Transcriptional regulation of the MGA virulence regulon in Streptococcus pyogenes." Access to abstract only; dissertation is embargoed until after 12/19/2006, 2005. http://www4.utsouthwestern.edu/library/ETD/etdDetails.cfm?etdID=115.
Full textAnderton, Stephen M. "A study of murine T lymphocyte responses to Streptococcus pyogenes." Thesis, University of Newcastle Upon Tyne, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287332.
Full textAl-Jeldah, Mohammed M. "Investigating pathogenesis of streptococus pyogenes using molecular and cellular methods." Thesis, University of Manchester, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.517722.
Full textTurner, Claire Elizabeth. "SpyCEP : The Interleukin 8 Cleaving Streptococcus pyogenes Cell Envelope Proteinase." Thesis, Imperial College London, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.501216.
Full textTesorero, Melendez Rafael Angel. "Experimental validation for computationally predicted small RNAs of Streptococcus pyogenes." OpenSIUC, 2011. https://opensiuc.lib.siu.edu/theses/769.
Full textAbou, El Enien Ibrahim. "Caractérisation des propriétés biologiques du facteur d'opacité de Streptococcus pyogenes." Lyon 1, 1991. http://www.theses.fr/1991LYO1T067.
Full textZarate, Bonilla Lina Johana. "Characterization of Chromosomally Encoded Toxin-Antitoxin Systems in Streptococcus pyogenes." Doctoral thesis, Humboldt-Universität zu Berlin, 2019. http://dx.doi.org/10.18452/20547.
Full textStreptococcus pyogenes is a human pathogen with a remarkable ability to colonize different tissues and to endure diverse host-induced stress conditions through mechanisms that have yet to be fully understood. One strategy employed by bacteria to cope with changing environments are toxin-antitoxin (TA) genetic modules. Under non-ideal conditions, the antitoxin is subject to proteolysis and thus the freed toxin protein can target crucial pathways in the cell modulating bacterial growth. This study, describes the characterization of two chromosomally encoded ParDE-like TA systems from the human pathogen S. pyogenes. The antitoxin-toxin genes of the parDEF1 and parDE2 TA systems are co-transcribed and triggered by stress-induced conditions. The parDE2 TA showed an inspected mRNA processing under amino acid starvation which suggest a putative post-transcriptional regulation. At the post-translational level, both systems are controlled by ClpXP antitoxin-protein degradation in vivo, an important factor for TA triggering. Furthermore, bacterial plasmid-based expression of the toxins ParE1 and ParE2 resulted in effects in cell viability while the antitoxin molecules ParD1 and ParD2 were able to prevent the toxins lethality, respectably. Unlike canonical antitoxins, both ParD1 and ParD2 molecules also displayed deleterious effects, which seemed to be exclusive and related with the N-terminus domain potentially involved in DNA-interaction. Finally, the ParE toxins presented remarkable plasticity, able to harm not only gyrase but also topoisomerase IV, two important bacterial drug targets that modulate DNA-topology. These results expand the view on the ParE molecular targets and highlight the diverse mechanisms TAs employ to modulate bacterial physiology. We also provide more insights into possible mechanisms that S. pyogenes employs to endure stress in the host and efficiently cause disease.
Swe, Pearl M., and n/a. "Mode of action of dysgalacticin and mechanism of its producer cell immunity." University of Otago. Department of Microbiology & Immunology, 2008. http://adt.otago.ac.nz./public/adt-NZDU20081119.111402.
Full textSylla, Maguette Dème. "Contribution à l'étude de l'action opsonisante des immunoglobulines sur les streptocoques du groupe A." Lyon 1, 1987. http://www.theses.fr/1987LYO1T126.
Full textRivera, Martínez M. Alba. "Estudi epidemiològic d'infeccions invasives i no invasives produïdes per Streptococcus pyogenes." Doctoral thesis, Universitat Autònoma de Barcelona, 2008. http://hdl.handle.net/10803/3920.
Full textS'ha realitzat un estudi retrospectiu de base hospitalària que inclou 126 soques de S. pyogenes (27 procedents d'infeccions invasives i 99 d'infeccions no invasives) aïllades entre gener de 1999 i juny de 2003. Les soques de S. pyogenes es van caracteritzar en base a la distribució de tipus i subtipus emm i els perfils genètics de superantígens (SAgs) (speA-C, speF-J, speL, speM, ssa i smeZ). Tanmateix, es va determinar la prevalença i els mecanismes de resistència a macròlids, tetraciclina i levofloxacino.
Les formes clíniques més freqüents d'infecció invasiva van ser les infeccions de la pell i teixits tous (40,7%). La SSTS es va registrar en quatre (14,8%) dels casos invasius i es va associar a FN en la meitat dels casos. La majoria dels pacients afectats de quadres invasius eren adults, en particular d'edat avançada i de mitjana edat, i una elevada proporció presentaven factors predisposants, destacant l'alteració de la barrera cutània, la infecció per HIV, l'ús de drogues per via parenteral, i les neoplàsies.
En la col·lecció de 126 soques analitzada es van identificar un total de 29 tipus emm amb una distribució encapçalada pel tipus emm1 (17,5%), seguit d'emm3 (8,7%), emm4 (8,7%), emm12 (7,1%), emm28 (7,1%), emm11 (6,3%) i emm77 (6,3%). Aquests set tipus van constituir el 61,9% del total de soques. No es van observar diferències significatives en la distribució de tipus emm entre soques aïllades d'infeccions invasives i no invasives amb l'única excepció del tipus poc freqüent emm25 que es va trobar associat a infeccions invasives en addictes a drogues per via parenteral. Es va trobar una forta correlació entre el patró de SAgs i el tipus emm independentment del tipus d'infecció.
La resistència a eritromicina va mostrar un increment anual progressiu del 16,6% (1999) al 38,8% (2003) i va estar causada per soques pertanyents a 11 tipus emm. Les soques mef(A) positives dels tipus emm4, emm12 i emm75 i erm(B) positives dels tipus emm11 i emm25 constituïren el 80% de les soques resistents. La freqüència de resistència a tetraciclina va fluctuar durant el període estudiat (màxim 34,6% el 2002 i mínim 15,8% el 2001) i va ser superior en les soques resistents a eritromicina que en les soques sensibles (42,8% vs 18,7%). En les soques resistents a tetraciclina el gen tet(M) va ser el predominant i es va trobar en soques pertanyents a 14 tipus emm, mentre que el gen tet(O) només es va trobar en soques emm77. No es van observar diferències significatives en la prevalença de resistència a eritromicina ni a tetraciclina en el grup invasiu respecte del no invasiu.
La prevalença de resistència a levofloxacino fou del 3,2%, incloent quatre soques amb sensibilitat reduïda o resistència intermèdia (CIM 2-4 µg/ml) i dues soques amb resistència d'alt nivell (CIM >32 µg/ml). La resistència de baix nivell es va associar a substitucions únicament en ParC (Ser80Pro, Ser79Ala, Ser79Phe i Ala121Val), mentre que la resistència d'alt nivell es va relacionar amb mutacions en ParC (Ser79Phe i Ala121Val) i GyrA (Ser81Tyr).
Streptococcus pyogenes (GAS) is a human pathogen responsible for a wide array of infections, ranging from pharyngitis and impetigo to severe invasive infections such as necrotizing fasciitis (NF) and streptococcal toxic shock syndrome (STSS). The resurgence and persistence of severe forms of GAS diseases reported since the mid 1980s have motivated intensive research on epidemiological, microbiological and clinical aspects of these diseases.
A retrospective hospital-based study was conducted including 126 GAS isolates (27 from invasive infections and 99 from non-invasive infections) collected from January 1999 to June 2003. GAS isolates were characterized by emm type and subtype and superantigen (SAg) gene profile (speA-C, speF-J, speL, speM, ssa and smeZ). The prevalence and mechanisms of macrolide, tetracycline and levofloxacin resistance were also determined.
The most common clinical presentations of invasive cases were skin and soft-tissue infections (40.7%). SSTS occurred in four cases (14.8%) and was associated to NF in half of the cases. Most invasive cases were found in adults, in particular among the elderly and the middle-aged, and a large proportion had underlying conditions, the most frequent being skin lesions, HIV infection, injection drug use, and malignancy.
A total of 29 emm types were identified among the 126 isolates; the most prevalent were emm1 (17.5 %), followed by emm3 (8.7 %), emm4 (8.7 %), emm12 (7.1 %), emm28 (7.1 %), emm11 (6.3 %) and emm77 (6.3 %). These seven emm types accounted for 61.9 % of isolates. There were no differences in the emm type distribution between invasive and non-invasive infections, except for emm25 isolates, which were associated with invasive infections in injecting drug users. The SAg gene profiles were closely associated with the emm type and were independent of the disease type.
The prevalence of erythromycin resistance showed an annual progressive increase from 16.6% (1999) to 38.8% (2003) and was caused by isolates belonging to 11 emm types. mef(A)-positive emm types 4, 12 and 75, and erm(B)-positive emm types 11 and 25 were responsible for up to 80% of the erythromycin-resistant isolates. The prevalence of tetracycline resistance fluctuated over the period studied (maximum 34.6% in 2002 and minimum 15.8% in 2001) and was higher in erythromycin-resistant isolates than in susceptible isolates (42.8% vs 18.7%). Among the tetracycline-resistant isolates, the tet(M) determinant was the most prevalent and was distributed in isolates belonging to 14 emm types, whereas tet(O) was only found in emm77 isolates. No significant differences in resistance rates to erythromycin or tetracycline were found between invasive and non-invasive isolates. The rate of resistance to levofloxacin was 3.2%, encompassing four isolates with reduced susceptibility or intermediate resistance (MIC 2-4 µg/ml) and two isolates with a high level of resistance (MIC >32 µg/ml). Low-level resistance was associated with alterations in ParC (Ser80Pro, Ser79Ala, Ser79Phe and Ala121Val), while high-level resistance was associated with alterations involving both ParC (Ser79Phe and Ala121Val) and GyrA (Ser81Tyr).
Darenberg, Jessica. "Streptococcus pyogenes infections and toxic shock syndrome : molecular epidemiology and immunotherapy /." Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-676-X/.
Full textVindebro, Reine. "Studies on secreted cysteine proteases of Streptococcus pyogenes : IdeS and SpeB." Doctoral thesis, Umeå universitet, Institutionen för molekylärbiologi (Medicinska fakulteten), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-88223.
Full textWhatmore, Adrian Mark. "Sequence analysis of the emm-like gene family of Streptococcus pyogenes." Thesis, University of Newcastle Upon Tyne, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.357642.
Full textAlam, Faraz Mainul. "Modelling nasopharyngeal colonisation by Streptococcus pyogenes : bioluminescence and other longitudinal techniques." Thesis, Imperial College London, 2013. http://hdl.handle.net/10044/1/14463.
Full textLuis, Philippe Renard Vincent. "Le TDR modifie-t-il la pratique des médecins généralistes d'Ile de France ?" Créteil : Université de Paris-Val-de-Marne, 2006. http://doxa.scd.univ-paris12.fr:80/theses/th0240166.pdf.
Full textFischer, Christian Ansgar Alexander. "Resistenzentwicklung von S. pneumoniae, S. pyogenes und anderer Streptokokken-Spezies gegenüber Fluorchinolonen." [S.l.] : [s.n.], 2004. http://deposit.ddb.de/cgi-bin/dokserv?idn=972397817.
Full textEnlund, Åström Caroline, and Sandra Gullström. "Omvårdnad av nyförlöst kvinna som har infektion av Streptococcus pyogenes : En litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-241448.
Full textBakgrund: Barnsängsfeber, som orsakas av grupp A streptokocker, är globalt sett en vanlig dödsorsak i samband med förlossningar. Syfte: Att undersöka vad grupp A streptokocker har för konsekvenser för nyförlöst kvinna postpartum, samt att se vad sjuksköterskan kan göra för att sätta in rätt omvårdnadsåtgärder och undvika eventuell smittspridningen mellan patienter. Metod: Detta är en litteraturstudie som innefattar 15 artiklar. Dessa lästes i sin helhet och granskades enligt strukturerad mall. Resultat: Kvinnor postpartum löper 20 gånger ökad risk att smittas av grupp A streptokocker än ickegravida. Konsekvenserna för nyförlöst kvinna som drabbas av Grupp A streptokockinfektion kan leda till hög feber, abscesser kring uterus, sepsis, acute respiratory distress syndrom (ARDS), hysterektomi och dödsfall. Patienter som delar rum med smittade patienter löper ökad risk att drabbas av en infektion. Gardiner mellan patienternas sängar kan vara koloniserade av grupp A streptokocker. Sjuksköterskans omvårdnadsåtgärder är god handhygien och desinficering och rengöring av inredningen på patientrummet, eftersom grupp A streptokocker kan leva länge på olika ytor. Den nyförlösta kvinnans temperatur ska mätas. Vid ett utbrott av bakterien kan vårdpersonal vara bärare och det är viktigt att sjuksköterskan informerar personal om vikten av god hygien. Slutsats: En kvinna som drabbas av grupp A streptokocker postpartum får i flera fall allvarliga konsekvenser av detta. Om inte adekvat behandling sätts in kan hon i värsta fall avlida. En sjuksköterska ska arbeta preventivt för att förhindra smittspridning. Sjuksköterskor behöver kunskap inom ämnet för att förhindra smittspridning och minska lidandet. Sjuksköterskan är ansvarig för att organisera arbetet på avdelningen och ska undervisa personalen så att de arbetar på ett patientsäkert sätt
Johansson, Björn. "Analysis of the molecular interplay between Streptococcus pyogenes and its human host." Lund : Lund University, 2006. http://theses.lub.lu.se/scripta-archive/2006/04/24/med_1300/Johansson_Kappa.pdf.
Full textBruner, Patricia Jane. "A role for Streptococcus pyogenes in apoptotic dysregulation of neutrophilic polymorphonuclear leukocytes /." Connect to Digital dissertations. Restricted to UC campuses. Access is free to UC campus dissertations, 2002. http://uclibs.org/PID/11984.
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