Capsule typing and clonal relationships of group B streptococci isolated from male patients diagnosed with urinary tract infection

. 2025 Sep 17 ; () : . [epub] 20250917

Status Publisher Jazyk angličtina Země Spojené státy americké Médium print-electronic

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/pmid40960729
Odkazy

PubMed 40960729
DOI 10.1007/s12223-025-01343-8
PII: 10.1007/s12223-025-01343-8
Knihovny.cz E-zdroje

Group B streptococcus (GBS) is a uropathogen capable of causing urinary tract infections (UTIs), although its role in male patients is not well characterized. This study aimed to investigate the capsule serotypes and clonal relationships of GBS strains isolated from male patients with urinary symptoms. A total of 69 GBS isolates from male patients admitted to Adana City Hospital were analyzed. Capsule serotypes were determined by multiplex PCR (Thermo Fisher Scientific, USA), and clonal relationships were assessed using pulsed-field gel electrophoresis (PFGE) (Bio-Rad, USA). The most common capsule serotypes identified were Ib (n = 28; 40.6%), V (n = 23; 33.3%), and III (n = 18; 26.1%). All isolates were susceptible to ampicillin and vancomycin. Resistance rates were 69.5% for ciprofloxacin, 30.4% for erythromycin, 24.6% for clindamycin, and 11.5% for tetracycline. PFGE analysis revealed that two isolates from different patients, collected on separate dates, were 100% identical, indicating possible clonal spread. In conclusion, although GBS-related UTIs are uncommon in male patients, the data obtained in this study provide valuable insights for future epidemiological research on GBS in this population.

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Alp F, Findik D, Dagi HT, Arslan U, Pekin AT, Yilmaz SA (2016) Screening and genotyping of group B streptococcus in pregnant and non-pregnant women in Turkey. J Infect Dev Ctries 10:222–226. https://doi.org/10.3855/jidc.6190 PubMed DOI

Awwad E, Srour M, Hasan S, Khatib S (2022) Molecular determination, serotyping, antibiotic profile and virulence factors of group B streptococcus isolated from invasive patients at Arabcare hospital laboratory, Palestine. Am J Infect Control 50(8):934–940. https://doi.org/10.1016/j.ajic.2021.12.006 PubMed DOI

Baba S, Aydın MD (2016) Investigation of the serotype distribution, biofilm production and antibiotic susceptibilities of group B streptococci isolated from urinary samples. Mikrobiyol Bul 50(3):353–360. https://doi.org/10.5578/mb.26466 PubMed DOI

Centers for Disease Control and Prevention (CDC) (2017) Standardized protocol for molecular subtyping of Listeria monocytogenes by pulsed-field gel electrophoresis (PFGE). https://www.cdc.gov/pulsenet/protocols/pulsenet_listeria_protocol%20.pdf . Accessed 25 August 2025

Centers for Disease Control and Prevention (CDC) (2024) Active bacterial core surveillance (ABCs) report: group B streptococcus. Atlanta, GA, US department of health and human services, CDC. https://www.cdc.gov/abcs/reports-findings/survreports/gbs.html

Clinical and Laboratory Standards Institute (CLSI) (2014) Performance standards for antimicrobial susceptibility testing; twenty-fourth informational supplement. CLSI document M100-S24. Wayne, PA, CLSI.  https://clsi.org/shop/standards/m100/

Dahesh S, Hensler ME, Van Sorge NM, Gertz RE, Schrag S, Nizet V, Beall BW (2008) Point mutation in the group B streptococcal pbp2x gene conferring decreased susceptibility to beta-lactam antibiotics. Antimicrob Agents Chemother 52(8):2915–2918. https://doi.org/10.1128/AAC.00461-08 PubMed DOI PMC

Dobrut A, Ochońska D, Brzozowska E, Górska S, Kaszuba ZJ, Gołda CM, Gamian A, Brzychczy WM (2022) Molecular characteristic, antibiotic resistance, and detection of highly immunoreactive proteins of group B streptococcus strains isolated from urinary tract infections in Polish adults. Front Microbiol 13:809–724. https://doi.org/10.3389/fmicb.2022.809724 DOI

Dutra VG, Alves VMN, Olendzki AN (2014) Streptococcus agalactiae in Brazil: serotype distribution, virulence determinants and antimicrobial susceptibility. BMC Infect Dis 14:323. https://doi.org/10.1186/1471-2334-14-323 PubMed DOI PMC

Farley MM (1995) Group B streptococcal infection in older patients: spectrum of disease and management strategies. Drugs Aging 6:293–300. https://doi.org/10.2165/00002512-199506040-00004 PubMed DOI

Foxman B, Gillespie B, Manning SD, Howard LJ, Tallman P, Zhang L, Marrs CF (2006) Incidence and duration of group B streptococcus by serotype among male and female college students living in a single dormitory. Am J Epidemiol 163(6):544–551. https://doi.org/10.1093/aje/kwj075 PubMed DOI

Foxman B, Gillespie BW, Manning SD, Marrs CF (2007) Risk factors for group B streptococcal colonization: potential for different transmission systems by capsular type. Ann Epidemiol 17(11):854–862. https://doi.org/10.1016/j.annepidem.2007.05.014 PubMed DOI PMC

Gosiewski T, Brzychczy WM, Heczko PB (2012) The application of multiplex PCR to detect seven different DNA targets in group B streptococci. Folia Microbiol (Praha) 57(3):163–167. https://doi.org/10.1007/s12223-012-0108-7 PubMed DOI PMC

Graux E, Hites M, Martiny D, Maillart E, Delforge M, Melin P, Dauby N (2021) Invasive group B streptococcus among non-pregnant adults in Brussels capital region, 2005–2019. Eur J Clin Microbiol Infect Dis 40:515–523. https://doi.org/10.1007/s10096-020-04041-0 PubMed DOI

Jalalifar S, Havaei SA, Motallebirad T, Moghim S, Fazeli H, Esfahani BN (2019) Determination of surface proteins profile, capsular genotyping, and antibiotic susceptibility patterns of group B streptococcus isolated from urinary tract infection of Iranian patients. BMC Res Notes 12(1):437. https://doi.org/10.1186/s13104-019-4428-4 PubMed DOI PMC

Kapatai G, Patel D, Efstratiou A, Chalker VJ (2017) Comparison of molecular serotyping approaches of Streptococcus agalactiae from genomic sequences. BMC Genomics 18(1):1–11. https://doi.org/10.1186/s12864-017-3883-7 DOI

Kimura K, Suzuki S, Wachino J, Kurokawa H, Yamane K, Shibata N, Nagano N, Kato H, Shibayama K, Arakawa Y (2008) First molecular characterization of group B streptococci with reduced penicillin susceptibility. Antimicrob Agents Chemother 52(8):2890–2897. https://doi.org/10.1128/AAC.00185-08 PubMed DOI PMC

Kong F, Lambertsen LM, Slotved HC, Ko D, Wang H, Gilbert GL (2008) Use of phenotypic and molecular serotype identification methods to characterize previously non-serotypeable group B streptococci. J Clin Microbiol 46(8):2745–2750. https://doi.org/10.1128/JCM.00189-08 PubMed DOI PMC

Lamy MC, Dramsi S, Billoët A, Réglier PH, Tazi A, Raymond J, Guérin F, Couvé E, Kunst F, Glaser P, Trieu-Cuot P, Poyart C (2006) Rapid detection of the “highly virulent” group B streptococcus ST-17 clone. Microbes Infect 8(7):1714–1722. https://doi.org/10.1016/j.micinf.2006.02.008 PubMed DOI

Lopes E, Fernandes T, Machado MP, Carriço JA, Melo CJ, Ramirez M, Martins ER (2018) Portuguese Group for the study of streptococcal infections increasing macrolide resistance among streptococcus agalactiae causing invasive disease in non-pregnant adults was driven by a single capsular-transformed lineage, Portugal, 2009 to 2015. Euro Surveill 23(21):1700473. https://doi.org/10.2807/1560-7917.ES.2018.23.21.1700473 PubMed DOI PMC

Malkoçoğlu G, Bulut ME, Bayraktar B, Otlu B, Aktaş E (2025) Detection of hypervirulent ST-17 clone among clinical group B streptococcus isolates using MALDI-TOF MS and PCR. Infect Dis Clin Microbiol 7(2):166–173. https://doi.org/10.36519/idcm.2025.455

Manning SD, Neighbors K, Tallman PA, Gillespie B, Marrs CF, Borchardt SM, Baker CJ, Pearlman MD, Foxman B (2004) Prevalence of group B streptococcus colonization and potential for transmission by casual contact in healthy young men and women. Clin Infect Dis 39(3):380–388. https://doi.org/10.1086/422321 PubMed DOI

McKenna DS, Matson S, Northern I (2003) Maternal group B streptococcal (GBS) genital tract colonization at term in women who have asymptomatic GBS bacteriuria. Infect Dis Obstet Gynecol 11(4):203–207. https://doi.org/10.1080/10647440300025522 PubMed DOI PMC

Motallebirad T, Fazeli H, Azadi D, Shokri D, Moghim S, Esfahani BN (2021) Determination of capsular serotypes, antibiotic susceptibility pattern, and molecular mechanism of erythromycin resistance among clinical isolates of group B streptococcus in Isfahan, Iran. Adv Biomed Res 10:27. https://doi.org/10.4103/abr.abr_269_20 PubMed DOI PMC

Mudzana R, Mavenyengwa RT, Gudza-MM (2021) Analysis of virulence factors and antibiotic resistance genes in group B streptococcus from clinical samples. BMC Infect Dis 21(1):125. https://doi.org/10.1186/s12879-021-05820-6

Périchon B, Szili N, Merle L, Rosinski CI, Gominet M, Bellais S, Poyart C, Trieu CP, Dramsi S (2017) Regulation of PI-2b pilus expression in hypervirulent Streptococcus agalactiae ST-17 BM110. PLoS ONE 12(1):e0169840. https://doi.org/10.1371/journal.pone.0169840 PubMed DOI PMC

Poyart C, Tazi A, Réglier PH, Billoët A, Tavares N, Raymond J, Trieu CP (2007) Multiplex PCR assay for rapid and accurate capsular typing of group B streptococci. J Clin Microbiol 45(6):1985–1988. https://doi.org/10.1128/JCM.00159-07 PubMed DOI PMC

Poyart C, Réglier PH, Tazi A, Billoët A, Dmytruk N, Bidet P, Bingen E, Raymond J, Trieu CP (2008) Invasive group B streptococcal infections in infants. France Emerg Infect Dis 14(10):1647–1649. https://doi.org/10.3201/eid1410.080185 PubMed DOI

Raabe VN, Shane AL (2019) Group B streptococcus (Streptococcus agalactiae). Microbiol Spectr. https://doi.org/10.1128/microbiolspec.GPP3-0007-2018 PubMed DOI PMC

Skerk V, Schönwald S, Krhen I, Markovinović L, Beus A, Kuzmanović NS, Kruzić V, Vince A (2002) Etiology of chronic prostatitis. Int J Antimicrob Agents 19(6):471–474. https://doi.org/10.1016/S0924-8579(02)00087-0 PubMed DOI

Smith JM, Rexroth JA, Chaffin DG, Jackman SH (2002) Serotyping group B streptococci in a small community hospital: an analysis of distribution and site of isolation. Infect Dis Obstet Gynecol 10(4):165–169. https://doi.org/10.1155/S1064744902000182 PubMed DOI PMC

Ulett KB, Benjamin WH, Zhuo F, Xiao M, Kong F, Gilbert GL, Schembri MA, Ulett GC (2009) Diversity of group B streptococcus serotypes causing urinary tract infection in adults. J Clin Microbial 47(7):2055–2060. https://doi.org/10.1128/JCM.00154-09 DOI

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