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Chapter 27 - Streptococcus pyogenes and Staphylococcus aureus

from Section 5 - Bacterial Infections

Published online by Cambridge University Press:  18 June 2025

David Mabey
Affiliation:
London School of Hygiene and Tropical Medicine
Martin W. Weber
Affiliation:
World Health Organization
Moffat Nyirenda
Affiliation:
London School of Hygiene and Tropical Medicine
Dorothy Yeboah-Manu
Affiliation:
Noguchi Memorial Institute for Medical Research, University of Ghana
Jackson Orem
Affiliation:
Uganda Cancer Institute, Kampala
Laura Benjamin
Affiliation:
University College London
Michael Marks
Affiliation:
London School of Hygiene and Tropical Medicine
Nicholas A. Feasey
Affiliation:
Liverpool School of Tropical Medicine
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Summary

Gram-positive bacteria can be commensals of the skin and mucous membranes but can also cause disease with clearly defined clinical syndromes. Streptococci are usually penicillin susceptible, while staphylococci are often penicillin resistant. Understanding of the epidemiology of streptococcal and staphylococcal disease, and in particular patterns of antimicrobial susceptibility, has improved over the past decade (Schaumburg et al. 2014a; Barth et al. 2016).

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Publisher: Cambridge University Press
Print publication year: 2025

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References

Adeleke, OE, Odelola, HA (1997) Plasmid profiles of multiple drug resistant local strains of Staphylococcus aureus. Afr J Med Sci; 26: 119–21.Google ScholarPubMed
Angwafo, FF, Sosso, AM, Muna, WF, Edzoa, T, Juimo, AG (1996) Prostatic abscesses in sub-Saharan Africa: a hospital-based experience from Cameroon. Eur Urol; 30: 2833.10.1159/000474141CrossRefGoogle ScholarPubMed
Armitage, EP, Senghore, E, Darboe, S et al. (2019) High burden and seasonal variation of paediatric scabies and pyoderma prevalence in The Gambia: a cross-sectional study. Plos Neglect Trop Dis; 13: e0007801.10.1371/journal.pntd.0007801CrossRefGoogle ScholarPubMed
Barth, DD, Engel, ME, Whitelaw, A et al. (2016) Rationale and design of the African group A streptococcal infection registry: the AFROStrep study. BMJ Open; 6: e010248.10.1136/bmjopen-2015-010248CrossRefGoogle ScholarPubMed
Barth, DD, Moloi, A, Mayosi, BM, Engel, ME (2020) Prevalence of group A Streptococcal infection in Africa to inform GAS vaccines for rheumatic heart disease: a systematic review and meta-analysis. Int J Cardiol; 307: 200–8.10.1016/j.ijcard.2019.11.109CrossRefGoogle ScholarPubMed
Berkley, JA, Lowe, BS, Mwangi, I et al. (2005) Bacteremia among children admitted to a rural hospital in Kenya. N Engl J Med; 352: 3947.10.1056/NEJMoa040275CrossRefGoogle ScholarPubMed
Bisno, AL (2001) Primary care: acute pharyngitis. N Engl J Med; 344: 205–11.10.1056/NEJM200101183440308CrossRefGoogle ScholarPubMed
Breurec, S, Zriouil, S, Fall, C et al. (2011) Epidemiology of methicillin-resistant Staphylococcus aureus lineages in five major African towns: emergence and spread of atypical clones. Clin Microbiol Infect; 17: 160–5.Google ScholarPubMed
Carapetis, JR, Steer, AC, Mulholland, EK, Weber, M (2005) The global burden of group A streptococcal diseases. Lancet Infect Dis; 5: 685–94.10.1016/S1473-3099(05)70267-XCrossRefGoogle Scholar
Carroll, K, Reimer, L (1996) Microbiology and laboratory diagnosis of upper respiratory tract infections. Clin Infect Dis; 23: 442–8.10.1093/clinids/23.3.442CrossRefGoogle ScholarPubMed
Chang, AY, Scheel, A, Dewyer, A et al. (2019) Prevalence, clinical features and antibiotic susceptibility of group A streptococcal skin infections in school children in urban Western and Northern Uganda. Pediatric Infect Dis J; 38: 1183–8.10.1097/INF.0000000000002467CrossRefGoogle Scholar
Cohen, JF, Bertille, N, Cohen, R, Chalumeau, M (2016) Rapid antigen detection test for group A streptococcus in children with pharyngitis. Cochrane Database Syst Rev; 7: CD010502.Google Scholar
Comegna, L, Guidone, PI, Prezioso, G et al. (2016) Pyomyositis is not only a tropical pathology: a case series. J Med Case Reports; 10: 372.10.1186/s13256-016-1158-2CrossRefGoogle ScholarPubMed
Conceição, T, Santos Silva, I, de Lencastre, H, Aires-de-Sousa, M (2014) Staphylococcus aureus nasal carriage among patients and health care workers in São Tomé and Príncipe. Microb Drug Resist; 20: 5766.10.1089/mdr.2013.0136CrossRefGoogle ScholarPubMed
DeWyer, A, Scheel, A, Webel, AR et al. (2020) Prevalence of Group A β-hemolytic streptococcal throat carriage and prospective pilot surveillance of streptococcal sore throat in Ugandan school children. Int J Infect Dis; 93: 245–51.10.1016/j.ijid.2020.01.013CrossRefGoogle Scholar
Engel, ME, Cohen, K, Gounden, R et al. (2017) The Cape Town Clinical Decision Rule for Streptococcal Pharyngitis in Children. Pediatric Infect Dis J; 36: 250–5.10.1097/INF.0000000000001413CrossRefGoogle ScholarPubMed
Fraser, JL, Mwatondo, A, Alimi, YH, Varma, JK, Vilas, VJDR (2020) Healthcare-associated outbreaks of bacterial infections in Africa, 2009–2018: A review. Int J Infect Dis; 103: 469477.Google ScholarPubMed
Gillet, Y, Henry, T, Vandenesch, F (2018) Fulminant staphylococcal infections. Microbiol Spectr; 6. doi: 10.1128/microbiolspec.GPP3-0036-2018.CrossRefGoogle ScholarPubMed
Katzenberger, RH, Rösel, A, Vonberg, RP (2021) Bacterial survival on inanimate surfaces: a field study. BMC Res Notes; 14(1): 97. doi: 10.1186/s13104-021-05492-0.CrossRefGoogle ScholarPubMed
Khan, KS, Wojdyla, D, Say, L, Gülmezoglu, AM, Look, PFAV (2006) WHO analysis of causes of maternal death: a systematic review. Lancet; 367: 1066–74.10.1016/S0140-6736(06)68397-9CrossRefGoogle ScholarPubMed
Löffler, B, Niemann, S, Ehrhardt, C et al. (2013) Pathogenesis of Staphylococcus aureus necrotizing pneumonia: the role of PVL and an influenza coinfection. Expert Rev Anti Infect Ther; 11: 1041–51.10.1586/14787210.2013.827891CrossRefGoogle Scholar
McDonald, M, Towers, R, Fagan, P et al. (2006) Recovering streptococci from the throat, a practical alternative to direct plating in remote tropical communities. J Clin Microbiol; 44: 547–52.10.1128/JCM.44.2.547-552.2006CrossRefGoogle Scholar
Okello, E, Murali, M, Rwebembera, J et al. (2020) Cross-sectional study of population-specific streptococcal antibody titres in Uganda. Arch Dis Child; 105: 825829.10.1136/archdischild-2020-318859CrossRefGoogle ScholarPubMed
Oliver, J, Wadu, EM, Pierse, N et al. (2018) Group A streptococcus pharyngitis and pharyngeal carriage: a meta-analysis. PLoS Negl Trop Dis; 12: e0006335.10.1371/journal.pntd.0006335CrossRefGoogle ScholarPubMed
Parks, T, Smeesters, PR, Curtis, N, Steer, AC (2015) ASO titer or not? When to use streptococcal serology: a guide for clinicians. Eur J Clin Microbiol Infect Dis; 34: 845–9.10.1007/s10096-014-2303-8CrossRefGoogle ScholarPubMed
Parks, T, Wilson, C, Curtis, N et al. (2018) Polyspecific intravenous immunoglobulin in clindamycin-treated patients with streptococcal toxic shock syndrome: a systematic review and meta-analysis. Clin Infect Dis; 67: 1434–6.10.1093/cid/ciy401CrossRefGoogle ScholarPubMed
Rothenbühler, M, O’Sullivan, CJ, Stortecky, S et al. (2014) Active surveillance for rheumatic heart disease in endemic regions: a systematic review and meta-analysis of prevalence among children and adolescents. Lancet Glob Health; 2: e717–26.10.1016/S2214-109X(14)70310-9CrossRefGoogle ScholarPubMed
Ruffing, U, Alabi, A, Kazimoto, T et al. (2017) Community-associated Staphylococcus aureus from sub-Saharan Africa and Germany: a cross-sectional geographic correlation study. Sci Rep; 7: 154.10.1038/s41598-017-00214-8CrossRefGoogle Scholar
Schaumburg, F, Alabi, AS, Peters, G, Becker, K (2014a) New epidemiology of Staphylococcus aureus infection in Africa. Clin Microbiol Infect; 20: 589–96.10.1111/1469-0691.12690CrossRefGoogle ScholarPubMed
Schaumburg, F, Alabi, AS, Mombo-Ngoma, G et al. (2014b) Transmission of Staphylococcus aureus between mothers and infants in an African setting. Clin Microbiol Infect; 20(6): O390–6. doi: 10.1111/1469-0691.12417.CrossRefGoogle Scholar
Schuler, F, Barth, PJ, Niemann, S, Schaumburg, F (2021) A narrative review on the role of Staphylococcus aureus bacteriuria in S. aureus bacteremia. Open Forum Infect Dis; 8: ofab158.10.1093/ofid/ofab158CrossRefGoogle ScholarPubMed
Shittu, A, Deinhardt-Emmer, S, Vas Nunes, J et al. (2020) Tropical pyomyositis: an update. Trop Med Int Health; 25: 660–5.10.1111/tmi.13395CrossRefGoogle ScholarPubMed
Shulman, ST, Bisno, AL, Clegg, HW et al. (2012) Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin Infect Dis; 55: e86102.10.1093/cid/cis629CrossRefGoogle Scholar
Steinhoff, M, Walker, C, Rimoin, A, Hamza, H (2005) A clinical decision rule for management of streptococcal pharyngitis in low-resource settings. Acta Paediatr; 94: 1038–42.10.1111/j.1651-2227.2005.tb02042.xCrossRefGoogle ScholarPubMed
Steer, AC, Lamagni, T, Curtis, N, Carapetis, JR (2012) Invasive group A streptococcal disease: epidemiology, pathogenesis and management. Drugs; 72: 1213–27.10.2165/11634180-000000000-00000CrossRefGoogle Scholar
Stevens, DL, Bryant, AE (2016a) Impetigo, erysipelas and cellulitis. In Ferretti, JJ, Stevens, DL, Fischetti, VA, eds. Streptococcus pyogenes: Basic Biology to Clinical Manifestations. Oklahoma: University of Oklahoma Health Sciences Center.Google Scholar
Stevens, DL, Bryant, AE (2016b) Severe Group A streptococcal infections. In Ferretti, JJ, Stevens, DL, Fischetti, VA, eds. Streptococcus pyogenes: Basic Biology to Clinical Manifestations. Oklahoma: University of Oklahoma Health Sciences Center.Google Scholar
van Belkum, A, Verkaik, NJ, de Vogel, CP et al. (2009) Reclassification of Staphylococcus aureus nasal carriage types. J Infect Dis; 199: 1820–6.10.1086/599119CrossRefGoogle ScholarPubMed
von Eiff, C, Becker, K, Machka, K, Stammer, H, Peters, G (2001) Nasal carriage as a source of Staphylococcus aureus bacteremia. N Engl J Med; 344: 1116.10.1056/NEJM200101043440102CrossRefGoogle ScholarPubMed
Walker, MJ, Barnett, TC, McArthur, JD et al. (2014) Disease manifestations and pathogenic mechanisms of group A streptococcus. Clin Microbiol Rev; 27: 264301.10.1128/CMR.00101-13CrossRefGoogle ScholarPubMed
Young, BC, Earle, SG, Soeng, S et al. (2019) Panton–Valentine leucocidin is the key determinant of Staphylococcus aureus pyomyositis in a bacterial GWAS. Elife; 8: e42486.10.7554/eLife.42486CrossRefGoogle Scholar
Zühlke, L, Karthikeyan, G, Engel, ME et al. (2016) Clinical outcomes in 3343 children and adults with rheumatic heart disease from 14 low- and middle-income countries: two-year follow-up of the Global Rheumatic Heart Disease Registry (the REMEDY Study). Circulation; 134: 1456–66.10.1161/CIRCULATIONAHA.116.024769CrossRefGoogle ScholarPubMed

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