Increase in invasive group A streptococcal (Streptococcus pyogenes) infections (iGAS) in young children in the Netherlands, 2022

Brechje de Gier; Niek Marchal; Ilse de Beer-Schuurman; Margreet te Wierik; Mariëtte Hooiveld; ISIS-AR Study Group; GAS Study group; Hester E. de Melker; Nina M. van Sorge

doi:10.2807/1560-7917.ES.2023.28.1.2200941

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Increase in invasive group A streptococcal (Streptococcus pyogenes) infections (iGAS) in young children in the Netherlands, 2022
Brechje de Gier¹ , Niek Marchal¹ , Ilse de Beer-Schuurman² , Margreet te Wierik¹ , Mariëtte Hooiveld³ , ISIS-AR Study Group⁴ , GAS Study group⁵ , Hester E. de Melker¹ , Nina M. van Sorge^2,6
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Affiliations: ¹ Center for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands ² Netherlands Reference Laboratory for Bacterial Meningitis, Amsterdam University Medical Center location AMC, Amsterdam, the Netherlands ³ Nivel, Utrecht, the Netherlands ⁴ Members of the ISIS-AR Study Group are listed under Collaborators. ⁵ Members of the GAS Study Group are listed under Collaborators. ⁶ Department of Medical Microbiology and Infection Prevention, Amsterdam UMC location University of Amsterdam, Amsterdam Institute for Infection and Immunity, Amsterdam, the Netherlands

Correspondence:
Brechje de Gier
brechje.de.gier rivm.nl
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Members of the ISIS-AR study group: J.W.T. Cohen Stuart, D.C. Melles, K. van Dijk, A. Alzubaidy, M. Scholing, S.D. Kuil, G.J. Blaauw, W. Altorf-van der Kuil, S.M. Bierman, S.C. de Greeff, S.R. Groenendijk, R. Hertroys, E.J. Kuijper, N. Marchal, J.C.M Monen, D.W. Notermans, J. Polman, W.J. van den Reek, C. Schneeberger–van der Linden, A.F. Schoffelen, C.C.H. Wielders, B.J. de Wit, R.E. Zoetigheid, W. van den Bijllaardt, E.M. Kraan, M.B. Haeseker, J.M. da Silva, E. de Jong, B. Maraha, A.J. van Griethuysen, B.B. Wintermans, M.J.C.A. van Trijp, M. Wong, A.E. Muller, A. Ott, M. Lokate, E. Bathoorn, J. Sinnige, D.C. Melles, W. Silvis, N.H. Renders, L.J. Bakker, J.W. Dorigo-Zetsma, K. Waar, M.T. van der Beek, M.A. Leversteijn-van Hall, S.P. van Mens, E. Schaftenaar, M.H. Nabuurs-Franssen, I. Maat, B.M.W. Diederen, L.G.M. Bode, D.S.Y. Ong, M. van Rijn, S. Dinant, O. Pontesilli, D.W. van Dam, E.I.G.B. de Brauwer, R.G. Bentvelsen, A.G.M. Buiting, A.L.M. Vlek, M. de Graaf, A. Troelstra, A.R. Jansz, M.P.A. van Meer, J. de Vries, C. Oliveira dos Santos;

Members of the GAS study group: Lidewij W. Rümke, Stefan M. T. Vestjens, Bart J.M. Vlaminckx

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Citation style for this article: de Gier Brechje, Marchal Niek, de Beer-Schuurman Ilse, te Wierik Margreet, Hooiveld Mariëtte, ISIS-AR Study Group, GAS Study group, de Melker Hester E., van Sorge Nina M.. Increase in invasive group A streptococcal (Streptococcus pyogenes) infections (iGAS) in young children in the Netherlands, 2022. Euro Surveill. 2023;28(1):pii=2200941. https://doi.org/10.2807/1560-7917.ES.2023.28.1.2200941 Received: 15 Dec 2022; Accepted: 05 Jan 2023

Abstract

In 2022, a sevenfold increase in the number of notifiable invasive Streptococcus pyogenes (iGAS) infections among children aged 0–5 years was observed in the Netherlands compared with pre-COVID-19 pandemic years. Of 42 cases in this age group, seven had preceding or coinciding varicella zoster infections, nine were fatal. This increase is not attributable to a specific emm type. Vigilance for clinical deterioration as iGAS sign is warranted in young children, especially those with varicella zoster infection.

This work is licensed under a Creative Commons Attribution 4.0 International License.

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2023-01-05

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Increase in invasive group A streptococcal (Streptococcus pyogenes) infections (iGAS) in young children in the Netherlands, 2022

Citation style for this article: <a href="/search?value1=Brechje+de+Gier&option1=author&noRedirect=true" class="nonDisambigAuthorLink">de Gier Brechje</a>, <a href="/search?value1=Niek+Marchal&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Marchal Niek</a>, <a href="/search?value1=Ilse+de+Beer-Schuurman&option1=author&noRedirect=true" class="nonDisambigAuthorLink">de Beer-Schuurman Ilse</a>, <a href="/search?value1=Margreet+te+Wierik&option1=author&noRedirect=true" class="nonDisambigAuthorLink">te Wierik Margreet</a>, <a href="/search?value1=Mari%C3%ABtte+Hooiveld&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hooiveld Mariëtte</a>, <a href="/search?value1=ISIS-AR+Study+Group&option1=author&noRedirect=true" class="nonDisambigAuthorLink">ISIS-AR Study Group</a>, <a href="/search?value1=GAS+Study+group&option1=author&noRedirect=true" class="nonDisambigAuthorLink">GAS Study group</a>, <a href="/search?value1=Hester+E.+de+Melker&option1=author&noRedirect=true" class="nonDisambigAuthorLink">de Melker Hester E.</a>, <a href="/search?value1=Nina+M.+van+Sorge&option1=author&noRedirect=true" class="nonDisambigAuthorLink">van Sorge Nina M.</a>. Increase in invasive group A streptococcal (Streptococcus pyogenes) infections (iGAS) in young children in the Netherlands, 2022. <a href="/content/ecdc">Euro Surveill.</a> 2023;28(1):pii=2200941. <a href="https://doi.org/10.2807/1560-7917.ES.2023.28.1.2200941" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2023.28.1.2200941</a> Received: 15 Dec 2022;   Accepted: 05 Jan 2023

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Increase in invasive group A streptococcal (Streptococcus pyogenes) infections (iGAS) in young children in the Netherlands, 2022

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