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Antibiotic Resistance and Serotypes Distribution in Streptococcus agalactiae Bulgarian Clinical Isolates During the Years of 2021–2024 Cover

Antibiotic Resistance and Serotypes Distribution in Streptococcus agalactiae Bulgarian Clinical Isolates During the Years of 2021–2024

Open Access
|Dec 2024

Figures & Tables

graphic/j_pjm-2024-042_ufig_001.jpg
Table I

Primer sequences and amplification conditions for detection of GBS resistance genes.

Primer sequence (5’→3’)Product size (bp)Annealing temperature (°C)Reference
ermBF: TGGTATTCCAAATGCGTAATG
R: CTGTGGTATGGCGGGTAAGT
74559Malhotra-Kumar et al. 2005
ermA/TRF: AACTTGTGGAAATGAGTCAACGG
R: CAGAATCTACATTAGGCTTAGGG
37559Pérez-Trallero et al. 2007
ermCF: AATCGTCAATTCCTGCATGT
R: TAATCGTGGAATACGGGTTTG
29755Duran et al. 2012
msrDF: TTGGACGAAGTAACTCTG
R: GCTTGGCTCTAACGTTC
37153Daly et al. 2004
mefAF: AGTATCATTAATCACTAGTGC
R: TTCTTCTGGTACTAAAAGTGG
34653Poyart et al. 2003
mefEF: ATGGAAAAATACAACAATTGGAAACGA
R: TTATTTTAAATCTAATTTTCTAACCTC
1,21858Arpin et al. 1999
lsaCF: CGGAATTGGGAAATCAACAC
R: TCTAAATGGTTTGTTGGTTCATC
32756Douarre et al. 2015
lsaEF: TGTCAAATGGTGAGCAAACG
R: TGTAAAACGGCTTCCTGATG
49656Douarre et al. 2015
lnuBF: ACCAAAGGAGAAGGTGACCAA
R: ACCTTATCTAATCGAGCAGTGGT
58459Zhou et al. 2019
tetMF: AGTGGAGCGATTACAGAA
R: CATATGTCCTGGGGTGTCTA
15955Strommenger et al. 2003
tetOF: AACTTAGGCAATCTGGCTCAC
R: TCCCACTGTTCCATATCGTCA
51555Zakerifar et al. 2023

1 F – forward primer, R – reverse primer

Table II

Distribution of serotypes according to the sample source.

SerotypesVaginal samples (n = 191)Extra-vaginal samplesTotal number (n = 257)p-value (vaginal/extravaginal samples)
Invasive (n = 36)Non-invasive (n = 30)Total extravaginal (n = 66)
Ia54 (28.3%)7 (19.4%)7 (23.3%)14 (21.2%)68 (26.5%)0.3317
Ib2 (1.0%)0002 (0.8%)1.0000
II29 (15.2%)10 (27.8%)4 (13.3%)14 (21.2%)43 (16.7%)0.2572
III37 (19,4%)8 (22.2%)7 (23.3%)15 (22.7%)52 (20.2%)0.5952
IV13 (6,8%)1(2.8%)4 (13.3%)5 (7.6%)18 (7.0%)0.7852
V41 (21.5%)6 (16.7%)4 (13.3%)10 (15.2%)51 (19.8%)0.2897
VI00000
VII1 (0.5%)0001 (0.4%)1.000
VIII00000
NT14 (7.3%)4 (11.1%)4 (13.3%)8 (12.1%)22 (8.6%)0.3054

1 NT – non-typeable

1 p-value < 0.05 is considered statistically significant

Table III

Macrolide, lincosamide, and tetracycline resistance in vaginal and extra-vaginal samples.

AntibioticsVaginal samples (n = 191)Extra-vaginal samplesTotal number (n = 257)p-value (vaginal/extra-vaginal samples)
Invasive (n = 36)Non-invasive (n = 30)Total extra-vaginal (n = 66)
ERY110 (57.6%)24 (66.7%)21 (70.0%)45 (68.2%)155 (60.3%)0.1459
CLI44 (23.0%)8 (23.5%)12 (40.0%)20 (30.3%)64 (24.9%)0.2508
TET172 (90.1%)31 (86.1%)26 (86.7%)57 (86.4%)229 (89.1%)0.4914

1 p-value < 0.05 is considered statistically significant

Table IV

Combinations of genes associated with macrolide/lincosamide and tetracycline resistance.

ermB (n = 84)ermА/TR (n = 47)ermC (n = 28)mefA (n = 32)mefE (n = 13)msrD (n = 22)lsaC (n = 13)lsaE (n = 10)lnuB (n = 12)tetM (n = 204)tetO (n = 33)
ermB56.0%*12.8%50.0%3.1%4,5%92,3%70.0%58,3%24.5%60.6%
ermА/TR7.1%63.8%*39.3%18.8%7,7%17.2%6.1%
ermC16.7%23.4%10.7%*18.8%7.7%13.6%7,7%10.8%18.2%
mefA1.2%12.8%21.4%9.4%*100.0%95.5%12.7%9.1%
mefE3.6%43.8%54.5%5.9%
msrD1.2%10.7%65.6%92.3%9.3%9.1%
lsaC14.3%2.1%3.6%30.0%25.0%4.9%18.2%
lsaE8.3%23.1%83.3%3.4%9.1%
lnuB8.3%23.1%100.0%8.3%*3.9%9.1%
tetM59.5%76.6%78.6%81.3%92.3%86.4%76.9%70.0%66.7%41.2%*24.2%
tetO23.8%4.3%21.4%9.4%13.6%46.2%30.0%25%3.9%9.1%*

1 * resistant isolates in which only one gene was detected

Fig. 1.

Association between resistance and serotype – total number. The predominant serotypes are colored red.

Fig. 2.

Association between phenotype and serotype – total number. The predominant serotypes are colored red.

DOI: https://doi.org/10.33073/pjm-2024-042 | Journal eISSN: 2544-4646 | Journal ISSN: 1733-1331
Language: English
Page range: 505 - 514
Submitted on: Jun 17, 2024
Accepted on: Oct 16, 2024
Published on: Dec 13, 2024
Published by: Polish Society of Microbiologists
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Vasil S. Boyanov, Alexandra S. Alexandrova, Preslava M. Hristova, Hristina Y. Hitkova, Raina T. Gergova, published by Polish Society of Microbiologists
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.