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Increasing incidence of group B streptococcus neonatal infections in the Netherlands is associated with clonal expansion of CC17 and CC23.

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Peer-reviewed

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Article

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Authors

Bijlsma, Merijn W 
de Goffau, Marcus C  ORCID logo  https://orcid.org/0000-0001-7032-1852
van de Beek, Diederik  ORCID logo  https://orcid.org/0000-0002-4571-044X
Kuijpers, Taco W 

Abstract

Group B streptococcus (GBS) is the leading cause of neonatal invasive disease worldwide. In the Netherlands incidence of the disease increased despite implementation of preventive guidelines. We describe a genomic analysis of 1345 GBS isolates from neonatal (age 0-89 days) invasive infections in the Netherlands reported between 1987 and 2016. Most isolates clustered into one of five major lineages: CC17 (39%), CC19 (25%), CC23 (18%), CC10 (9%) and CC1 (7%). There was a significant rise in the number of infections due to isolates from CC17 and CC23. Phylogenetic clustering analysis revealed that this was caused by expansion of specific sub-lineages, designated CC17-A1, CC17-A2 and CC23-A1. Dating of phylogenetic trees estimated that these clones diverged in the 1960s/1970s, representing historical rather than recently emerged clones. For CC17-A1 the expansion correlated with acquisition of a new phage, carrying gene encoding a putative cell-surface protein. Representatives of CC17-A1, CC17-A2 and CC23-A1 clones were identified in datasets from other countries demonstrating their global distribution.

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Keywords

Bacterial Proteins, DNA, Bacterial, Female, Genomics, Humans, Incidence, Infant, Infant, Newborn, Male, Multilocus Sequence Typing, Netherlands, Phylogeny, Serogroup, Streptococcal Infections, Streptococcus

Journal Title

Sci Rep

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Journal ISSN

2045-2322
2045-2322

Volume Title

10

Publisher

Springer Science and Business Media LLC