Continued Increase of Erythromycin Nonsusceptibility and Clindamycin Nonsusceptibility Among Invasive Group A Streptococci Driven by Genomic Clusters, United States, 2018-2019.

Li, Yuan; Rivers, Joy; Mathis, Saundra; Li, Zhongya; McGee, Lesley; Chochua, Sopio; Metcalf, Benjamin J; Fleming-Dutra, Katherine E et al. · Clin Infect Dis · 2023

retrospective_cohort · Level III

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Abstract

We analyzed 9630 invasive GAS surveillance isolates in the USA. From 2015-2017 to 2018-2019, significant increases in erythromycin-nonsusceptibility (18% vs 25%) and clindamycin-nonsusceptibility (17% vs 24%) occurred, driven by rapid expansions of genomic subclones. Prevention and control of clustered infections appear key to containing antimicrobial resistance.

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