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Sustained increase of paediatric invasive Streptococcus pyogenes infections dominated by M1(UK) and diverse emm12 isolates, Portugal, September 2022 to May 2023
Since autumn 2022, observed numbers of paediatric invasive group A Streptococcus infections in Portugal (n = 89) were higher than in pre-COVID-19 seasons. Between September 2022 and May 2023, the dominant diagnoses were pneumonia (25/79), mostly with empyema (20/25), and sepsis (22/79). A number of...
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| Formato: | Online Artículo Texto |
| Lenguaje: | English |
| Publicado: |
European Centre for Disease Prevention and Control (ECDC)
2023
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| Materias: | |
| Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10486195/ https://www.ncbi.nlm.nih.gov/pubmed/37676143 http://dx.doi.org/10.2807/1560-7917.ES.2023.28.36.2300427 |
| _version_ | 1785102953930031104 |
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| author | Gouveia, Catarina Bajanca-Lavado, Maria Paula Mamede, Rafael Araújo Carvalho, Ana Rodrigues, Fernanda Melo-Cristino, José Ramirez, Mario Friães, Ana Pinto, Margarida Seruca, Miguel Marques, João Peres, Isabel Pina, Teresa Lourenço, Isabel Ferreira, Teresa Marcelo, Cristina Daniel, Isabel Chantre, Odete Vaz, Teresa Gião, Marília Ferreira, Rui Ribeiro, Rui Tomé Pontes, Celeste Boaventura, Luísa Chaves, Catarina Reis, Teresa Oliveira, Henrique Chaves, Catarina Silva, Mariana Aguiar, Ana Loureiro, Hugo Pedrosa, Adriana Costa, Hermínia Silva, Maria Fátima Afonso, Maria Amélia Fardilha, Mariana Novais, Natália Brito, Isabel Marques Lito, Luís Bruschy Fonseca, Ana Martins, Filomena Pessanha, Maria Ana Gonçalves, Elsa Morais, Teresa Toscano, Cristina Lopes, Paulo Lameirão, Angelina Abreu, Gabriela Selaru, Aurélia Mota Vieira, Ana Paula Tomaz, Margarida Ferreira, Cláudia Nicolau, Marta Ramos, Maria Helena Castro, Ana Paula Lopes, Virgínia Fonseca, Fernando Castro, Ana Paula Canhoto, Nuno Afonso, Teresa Fontes, Ilse Martinho, Paulo Marrão, Gina Domingos, Ana Grossinho, José Ribeiro, Manuela Gonçalves, Helena Faustino, Alberta Iglesias, Maria Cármen Pinheiro, Maria Paula Semedo, Rui Coutinho, Adriana Gonçalves, Luísa Neto, Olga Sancho, Luísa Diogo, José Fortunato, Filipa Nascimento, Isabel Kruptsala, Nadiya Fidalgo, Cláudia Ramalheira, Elmano Diaz, Raquel Ferreia, Sónia Cravo Roxo, Inês Vale, Isabel Tomás, Maria João Read, Maria Antónia Alves, Valquíria Monteiro, Margarida Rodrigues, Margarida Freitas, José Mota Vieira, Sandra Calado, Elsa Pinto, Paula Custódio, Ana Menezes, Maria Favila Germano de Sousa, José Bettencourt Viana, Mariana Oliveira, Marvin Terra, Isaura Rodrigues, Vitória Marques, Sofia Selada, Joana Pereira, Patrícia Duarte, Jesuína Pinto, Paula Moreira, Ezequiel Vicente, Adília Vale, Fátima Ramos, Joana Gralha, Rita Correia, Ana Helena Gama, Paula Silva-Costa, Catarina Gomes-Silva, Joana Pinho, Marcos Rodrigues Bettencourt, Célia Pinto, Miguel Aires, Sónia Gaspar, Eurico Ferreira, Manuela Pereira, Fernanda Pombo, Graça Dinis, Maria José Teixeira, Paulo Amorim, José Monteiro, Cláudia Moreira, Diana Arosa, Sofia Marques, Laura Tavares, Margarida Zarcos, Maria Manuel Almeida, Sílvia Rodrigues, Fernanda Rodrigues, Jorge Carvalho, Pedro Gouveia, Catarina Carvalho, Ana Isabel Costa, Alexandra Gonçalves, Elsa Prata, Filipa Calado Nunes, João Morais, Julieta Cunha, Florbela Correia, Paula Chaves, Ana Margarida Lima, Sofia Neves, João Bivar, João Flores, Pedro Fraga, Sofia Brito, Isabel Didelet, Cristina Veiga, Estela Cruz, Carla Seves, Graça Novais, Céu Virtuoso, Maria João Guerreiro, Nancy Gomes, Francisco Gomes, Dora Gonçalves, Carolina Canhoto, Nuno |
| author_facet | Gouveia, Catarina Bajanca-Lavado, Maria Paula Mamede, Rafael Araújo Carvalho, Ana Rodrigues, Fernanda Melo-Cristino, José Ramirez, Mario Friães, Ana Pinto, Margarida Seruca, Miguel Marques, João Peres, Isabel Pina, Teresa Lourenço, Isabel Ferreira, Teresa Marcelo, Cristina Daniel, Isabel Chantre, Odete Vaz, Teresa Gião, Marília Ferreira, Rui Ribeiro, Rui Tomé Pontes, Celeste Boaventura, Luísa Chaves, Catarina Reis, Teresa Oliveira, Henrique Chaves, Catarina Silva, Mariana Aguiar, Ana Loureiro, Hugo Pedrosa, Adriana Costa, Hermínia Silva, Maria Fátima Afonso, Maria Amélia Fardilha, Mariana Novais, Natália Brito, Isabel Marques Lito, Luís Bruschy Fonseca, Ana Martins, Filomena Pessanha, Maria Ana Gonçalves, Elsa Morais, Teresa Toscano, Cristina Lopes, Paulo Lameirão, Angelina Abreu, Gabriela Selaru, Aurélia Mota Vieira, Ana Paula Tomaz, Margarida Ferreira, Cláudia Nicolau, Marta Ramos, Maria Helena Castro, Ana Paula Lopes, Virgínia Fonseca, Fernando Castro, Ana Paula Canhoto, Nuno Afonso, Teresa Fontes, Ilse Martinho, Paulo Marrão, Gina Domingos, Ana Grossinho, José Ribeiro, Manuela Gonçalves, Helena Faustino, Alberta Iglesias, Maria Cármen Pinheiro, Maria Paula Semedo, Rui Coutinho, Adriana Gonçalves, Luísa Neto, Olga Sancho, Luísa Diogo, José Fortunato, Filipa Nascimento, Isabel Kruptsala, Nadiya Fidalgo, Cláudia Ramalheira, Elmano Diaz, Raquel Ferreia, Sónia Cravo Roxo, Inês Vale, Isabel Tomás, Maria João Read, Maria Antónia Alves, Valquíria Monteiro, Margarida Rodrigues, Margarida Freitas, José Mota Vieira, Sandra Calado, Elsa Pinto, Paula Custódio, Ana Menezes, Maria Favila Germano de Sousa, José Bettencourt Viana, Mariana Oliveira, Marvin Terra, Isaura Rodrigues, Vitória Marques, Sofia Selada, Joana Pereira, Patrícia Duarte, Jesuína Pinto, Paula Moreira, Ezequiel Vicente, Adília Vale, Fátima Ramos, Joana Gralha, Rita Correia, Ana Helena Gama, Paula Silva-Costa, Catarina Gomes-Silva, Joana Pinho, Marcos Rodrigues Bettencourt, Célia Pinto, Miguel Aires, Sónia Gaspar, Eurico Ferreira, Manuela Pereira, Fernanda Pombo, Graça Dinis, Maria José Teixeira, Paulo Amorim, José Monteiro, Cláudia Moreira, Diana Arosa, Sofia Marques, Laura Tavares, Margarida Zarcos, Maria Manuel Almeida, Sílvia Rodrigues, Fernanda Rodrigues, Jorge Carvalho, Pedro Gouveia, Catarina Carvalho, Ana Isabel Costa, Alexandra Gonçalves, Elsa Prata, Filipa Calado Nunes, João Morais, Julieta Cunha, Florbela Correia, Paula Chaves, Ana Margarida Lima, Sofia Neves, João Bivar, João Flores, Pedro Fraga, Sofia Brito, Isabel Didelet, Cristina Veiga, Estela Cruz, Carla Seves, Graça Novais, Céu Virtuoso, Maria João Guerreiro, Nancy Gomes, Francisco Gomes, Dora Gonçalves, Carolina Canhoto, Nuno |
| author_sort | Gouveia, Catarina |
| collection | PubMed |
| description | Since autumn 2022, observed numbers of paediatric invasive group A Streptococcus infections in Portugal (n = 89) were higher than in pre-COVID-19 seasons. Between September 2022 and May 2023, the dominant diagnoses were pneumonia (25/79), mostly with empyema (20/25), and sepsis (22/79). A number of cases required admission to intensive care (27/79) and surgery (35/79), and the case fatality rate was 5.1% (4/79). Genomic sequencing (n = 55) revealed multiple genetic lineages, dominated by the M1(UK) sublineage (26/55) and more diverse emm12 isolates (12/55). |
| format | Online Article Text |
| id | pubmed-10486195 |
| institution | National Center for Biotechnology Information |
| language | English |
| publishDate | 2023 |
| publisher | European Centre for Disease Prevention and Control (ECDC) |
| record_format | MEDLINE/PubMed |
| spelling | pubmed-104861952023-09-09 Sustained increase of paediatric invasive Streptococcus pyogenes infections dominated by M1(UK) and diverse emm12 isolates, Portugal, September 2022 to May 2023 Gouveia, Catarina Bajanca-Lavado, Maria Paula Mamede, Rafael Araújo Carvalho, Ana Rodrigues, Fernanda Melo-Cristino, José Ramirez, Mario Friães, Ana Pinto, Margarida Seruca, Miguel Marques, João Peres, Isabel Pina, Teresa Lourenço, Isabel Ferreira, Teresa Marcelo, Cristina Daniel, Isabel Chantre, Odete Vaz, Teresa Gião, Marília Ferreira, Rui Ribeiro, Rui Tomé Pontes, Celeste Boaventura, Luísa Chaves, Catarina Reis, Teresa Oliveira, Henrique Chaves, Catarina Silva, Mariana Aguiar, Ana Loureiro, Hugo Pedrosa, Adriana Costa, Hermínia Silva, Maria Fátima Afonso, Maria Amélia Fardilha, Mariana Novais, Natália Brito, Isabel Marques Lito, Luís Bruschy Fonseca, Ana Martins, Filomena Pessanha, Maria Ana Gonçalves, Elsa Morais, Teresa Toscano, Cristina Lopes, Paulo Lameirão, Angelina Abreu, Gabriela Selaru, Aurélia Mota Vieira, Ana Paula Tomaz, Margarida Ferreira, Cláudia Nicolau, Marta Ramos, Maria Helena Castro, Ana Paula Lopes, Virgínia Fonseca, Fernando Castro, Ana Paula Canhoto, Nuno Afonso, Teresa Fontes, Ilse Martinho, Paulo Marrão, Gina Domingos, Ana Grossinho, José Ribeiro, Manuela Gonçalves, Helena Faustino, Alberta Iglesias, Maria Cármen Pinheiro, Maria Paula Semedo, Rui Coutinho, Adriana Gonçalves, Luísa Neto, Olga Sancho, Luísa Diogo, José Fortunato, Filipa Nascimento, Isabel Kruptsala, Nadiya Fidalgo, Cláudia Ramalheira, Elmano Diaz, Raquel Ferreia, Sónia Cravo Roxo, Inês Vale, Isabel Tomás, Maria João Read, Maria Antónia Alves, Valquíria Monteiro, Margarida Rodrigues, Margarida Freitas, José Mota Vieira, Sandra Calado, Elsa Pinto, Paula Custódio, Ana Menezes, Maria Favila Germano de Sousa, José Bettencourt Viana, Mariana Oliveira, Marvin Terra, Isaura Rodrigues, Vitória Marques, Sofia Selada, Joana Pereira, Patrícia Duarte, Jesuína Pinto, Paula Moreira, Ezequiel Vicente, Adília Vale, Fátima Ramos, Joana Gralha, Rita Correia, Ana Helena Gama, Paula Silva-Costa, Catarina Gomes-Silva, Joana Pinho, Marcos Rodrigues Bettencourt, Célia Pinto, Miguel Aires, Sónia Gaspar, Eurico Ferreira, Manuela Pereira, Fernanda Pombo, Graça Dinis, Maria José Teixeira, Paulo Amorim, José Monteiro, Cláudia Moreira, Diana Arosa, Sofia Marques, Laura Tavares, Margarida Zarcos, Maria Manuel Almeida, Sílvia Rodrigues, Fernanda Rodrigues, Jorge Carvalho, Pedro Gouveia, Catarina Carvalho, Ana Isabel Costa, Alexandra Gonçalves, Elsa Prata, Filipa Calado Nunes, João Morais, Julieta Cunha, Florbela Correia, Paula Chaves, Ana Margarida Lima, Sofia Neves, João Bivar, João Flores, Pedro Fraga, Sofia Brito, Isabel Didelet, Cristina Veiga, Estela Cruz, Carla Seves, Graça Novais, Céu Virtuoso, Maria João Guerreiro, Nancy Gomes, Francisco Gomes, Dora Gonçalves, Carolina Canhoto, Nuno Euro Surveill Rapid Communication Since autumn 2022, observed numbers of paediatric invasive group A Streptococcus infections in Portugal (n = 89) were higher than in pre-COVID-19 seasons. Between September 2022 and May 2023, the dominant diagnoses were pneumonia (25/79), mostly with empyema (20/25), and sepsis (22/79). A number of cases required admission to intensive care (27/79) and surgery (35/79), and the case fatality rate was 5.1% (4/79). Genomic sequencing (n = 55) revealed multiple genetic lineages, dominated by the M1(UK) sublineage (26/55) and more diverse emm12 isolates (12/55). European Centre for Disease Prevention and Control (ECDC) 2023-09-07 /pmc/articles/PMC10486195/ /pubmed/37676143 http://dx.doi.org/10.2807/1560-7917.ES.2023.28.36.2300427 Text en This article is copyright of the authors or their affiliated institutions, 2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made. |
| spellingShingle | Rapid Communication Gouveia, Catarina Bajanca-Lavado, Maria Paula Mamede, Rafael Araújo Carvalho, Ana Rodrigues, Fernanda Melo-Cristino, José Ramirez, Mario Friães, Ana Pinto, Margarida Seruca, Miguel Marques, João Peres, Isabel Pina, Teresa Lourenço, Isabel Ferreira, Teresa Marcelo, Cristina Daniel, Isabel Chantre, Odete Vaz, Teresa Gião, Marília Ferreira, Rui Ribeiro, Rui Tomé Pontes, Celeste Boaventura, Luísa Chaves, Catarina Reis, Teresa Oliveira, Henrique Chaves, Catarina Silva, Mariana Aguiar, Ana Loureiro, Hugo Pedrosa, Adriana Costa, Hermínia Silva, Maria Fátima Afonso, Maria Amélia Fardilha, Mariana Novais, Natália Brito, Isabel Marques Lito, Luís Bruschy Fonseca, Ana Martins, Filomena Pessanha, Maria Ana Gonçalves, Elsa Morais, Teresa Toscano, Cristina Lopes, Paulo Lameirão, Angelina Abreu, Gabriela Selaru, Aurélia Mota Vieira, Ana Paula Tomaz, Margarida Ferreira, Cláudia Nicolau, Marta Ramos, Maria Helena Castro, Ana Paula Lopes, Virgínia Fonseca, Fernando Castro, Ana Paula Canhoto, Nuno Afonso, Teresa Fontes, Ilse Martinho, Paulo Marrão, Gina Domingos, Ana Grossinho, José Ribeiro, Manuela Gonçalves, Helena Faustino, Alberta Iglesias, Maria Cármen Pinheiro, Maria Paula Semedo, Rui Coutinho, Adriana Gonçalves, Luísa Neto, Olga Sancho, Luísa Diogo, José Fortunato, Filipa Nascimento, Isabel Kruptsala, Nadiya Fidalgo, Cláudia Ramalheira, Elmano Diaz, Raquel Ferreia, Sónia Cravo Roxo, Inês Vale, Isabel Tomás, Maria João Read, Maria Antónia Alves, Valquíria Monteiro, Margarida Rodrigues, Margarida Freitas, José Mota Vieira, Sandra Calado, Elsa Pinto, Paula Custódio, Ana Menezes, Maria Favila Germano de Sousa, José Bettencourt Viana, Mariana Oliveira, Marvin Terra, Isaura Rodrigues, Vitória Marques, Sofia Selada, Joana Pereira, Patrícia Duarte, Jesuína Pinto, Paula Moreira, Ezequiel Vicente, Adília Vale, Fátima Ramos, Joana Gralha, Rita Correia, Ana Helena Gama, Paula Silva-Costa, Catarina Gomes-Silva, Joana Pinho, Marcos Rodrigues Bettencourt, Célia Pinto, Miguel Aires, Sónia Gaspar, Eurico Ferreira, Manuela Pereira, Fernanda Pombo, Graça Dinis, Maria José Teixeira, Paulo Amorim, José Monteiro, Cláudia Moreira, Diana Arosa, Sofia Marques, Laura Tavares, Margarida Zarcos, Maria Manuel Almeida, Sílvia Rodrigues, Fernanda Rodrigues, Jorge Carvalho, Pedro Gouveia, Catarina Carvalho, Ana Isabel Costa, Alexandra Gonçalves, Elsa Prata, Filipa Calado Nunes, João Morais, Julieta Cunha, Florbela Correia, Paula Chaves, Ana Margarida Lima, Sofia Neves, João Bivar, João Flores, Pedro Fraga, Sofia Brito, Isabel Didelet, Cristina Veiga, Estela Cruz, Carla Seves, Graça Novais, Céu Virtuoso, Maria João Guerreiro, Nancy Gomes, Francisco Gomes, Dora Gonçalves, Carolina Canhoto, Nuno Sustained increase of paediatric invasive Streptococcus pyogenes infections dominated by M1(UK) and diverse emm12 isolates, Portugal, September 2022 to May 2023 |
| title | Sustained increase of paediatric invasive Streptococcus pyogenes infections dominated by M1(UK) and diverse emm12 isolates, Portugal, September 2022 to May 2023 |
| title_full | Sustained increase of paediatric invasive Streptococcus pyogenes infections dominated by M1(UK) and diverse emm12 isolates, Portugal, September 2022 to May 2023 |
| title_fullStr | Sustained increase of paediatric invasive Streptococcus pyogenes infections dominated by M1(UK) and diverse emm12 isolates, Portugal, September 2022 to May 2023 |
| title_full_unstemmed | Sustained increase of paediatric invasive Streptococcus pyogenes infections dominated by M1(UK) and diverse emm12 isolates, Portugal, September 2022 to May 2023 |
| title_short | Sustained increase of paediatric invasive Streptococcus pyogenes infections dominated by M1(UK) and diverse emm12 isolates, Portugal, September 2022 to May 2023 |
| title_sort | sustained increase of paediatric invasive streptococcus pyogenes infections dominated by m1(uk) and diverse emm12 isolates, portugal, september 2022 to may 2023 |
| topic | Rapid Communication |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10486195/ https://www.ncbi.nlm.nih.gov/pubmed/37676143 http://dx.doi.org/10.2807/1560-7917.ES.2023.28.36.2300427 |
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sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT canhotonuno sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT afonsoteresa sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT fontesilse sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT martinhopaulo sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT marraogina sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT domingosana sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT grossinhojose sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT ribeiromanuela sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT goncalveshelena sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT faustinoalberta sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT iglesiasmariacarmen sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT pinheiromariapaula sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT semedorui sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT coutinhoadriana sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT goncalvesluisa sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT netoolga sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT sancholuisa sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT diogojose sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT fortunatofilipa sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT nascimentoisabel sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT kruptsalanadiya sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT fidalgoclaudia sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT ramalheiraelmano sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT diazraquel sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT ferreiasonia sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT cravoroxoines sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT valeisabel sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT tomasmariajoao sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT readmariaantonia sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT alvesvalquiria sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT monteiromargarida sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT rodriguesmargarida sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT freitasjosemota sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT vieirasandra sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT caladoelsa sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT pintopaula sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT custodioana sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT menezesmariafavila sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT germanodesousajose sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT bettencourtvianamariana sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT oliveiramarvin sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT terraisaura sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT rodriguesvitoria sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT marquessofia sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT seladajoana sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT pereirapatricia sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT duartejesuina sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT pintopaula sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT moreiraezequiel sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT vicenteadilia sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT valefatima sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT ramosjoana sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT gralharita sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT correiaanahelena sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT gamapaula sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT silvacostacatarina sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT gomessilvajoana sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT pinhomarcos sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT rodriguesbettencourtcelia sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT pintomiguel sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT airessonia sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT gaspareurico sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT ferreiramanuela sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT pereirafernanda sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT pombograca sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT dinismariajose sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT teixeirapaulo sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT amorimjose sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT monteiroclaudia sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT moreiradiana sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT arosasofia sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT marqueslaura sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT tavaresmargarida sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT zarcosmariamanuel sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT almeidasilvia sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT rodriguesfernanda sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT rodriguesjorge sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT carvalhopedro sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT gouveiacatarina sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT carvalhoanaisabel sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT costaalexandra sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT goncalveselsa sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT pratafilipa sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT caladonunesjoao sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT moraisjulieta sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT cunhaflorbela sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT correiapaula sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT chavesanamargarida sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT limasofia sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT nevesjoao sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT bivarjoao sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT florespedro sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT fragasofia sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT britoisabel sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT dideletcristina sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT veigaestela sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT cruzcarla sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT sevesgraca sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT novaisceu sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT virtuosomariajoao sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT guerreironancy sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT gomesfrancisco sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT gomesdora sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT goncalvescarolina sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 AT canhotonuno sustainedincreaseofpaediatricinvasivestreptococcuspyogenesinfectionsdominatedbym1ukanddiverseemm12isolatesportugalseptember2022tomay2023 |