Post-pandemic upsurge in Group A <i>Streptococcus</i> infections at an Italian tertiary university hospital
<i>Streptococcus pyogenes</i> (GAS) is a narrow-spectrum pathogen, circulating only in humans. Following the loosening of various public health measures implemented to face the challenge of the COVID-19 pandemic, a significant rise in GAS cases has been observed. Our study revealed a significant rise in GAS cases, particularly invasive infections, over the last two years. Genomic analysis identified multiple sequence types, including isolates belonging to an emerging lineage named M1<sub>UK</sub>. These findings underscore the importance of ongoing surveillance and genomic monitoring of GAS infections, especially considering their rising incidence and severity. Public health strategies should consider not only microbe-associated aspects but also host-associated and external factors to effectively address this resurgence and prevent future outbreaks.
Authors
- Riccardo Capuano
- Nicola Clementi (ORCID: https://orcid.org/0000-0002-1822-9861)
- Francesco Iannelli (ORCID: https://orcid.org/0000-0001-5064-1496)
- Renée Pasciuta
- Mattia Carbotti (ORCID: https://orcid.org/0000-0001-8484-3205)
- Gianluca Cassani
- Angelo Genoni (ORCID: https://orcid.org/0000-0001-9848-2981)
- Nicasio Mancini (ORCID: https://orcid.org/0000-0003-0637-0910)
- Lorenzo Colombini (ORCID: https://orcid.org/0000-0003-0171-7495)
- Sara Boutahar
- Francesco Santoro (ORCID: https://orcid.org/0000-0003-3052-3518)
- Federica Novazzi (ORCID: https://orcid.org/0000-0002-2741-8840)
- Francesca Drago Ferrante (ORCID: https://orcid.org/0000-0003-4950-0703)
- Gabriele Arcari (ORCID: https://orcid.org/0000-0001-9629-4637)
- Mariana Tirziu (ORCID: https://orcid.org/0009-0004-8668-7479)
- Alessandro Bianco
- Paolo Gigante
Institutions
- University of Siena (IT)
- University of Insubria (IT)
- Vita-Salute San Raffaele University (IT)
- Ospedale di Circolo e Fondazione Macchi (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele (IT)
Publication Details
- Journal
- Microbiology Spectrum
- Published
- 2025-03-26
- DOI
- https://doi.org/10.1128/spectrum.02494-24
- Citations
- 4
- Primary Topic
- Streptococcal Infections and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 7.51