Evidence map›Paper›PMID 38010594›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2024

Epidemiology and emm types among group A streptococcal pharyngitis in Finland: a prospective laboratory-based study.

Mirva Virolainen, Kirsi Gröndahl-Yli-Hannuksela, Kaisu Rantakokko-Jalava, Tapio Seiskari, Emilia Lönnqvist, Terhi Kolari, Tiia Rissanen, Hanne-Leena Hyyryläinen, DICAR study group, Jaana Vuopio

Open access · hybridAbstract read
In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Detection of asymptomatic group AMicrobiology spectrum · 2026
    Observational
  2. Article
  3. Group A Streptococcus vulvovaginitis in Spain, 2011-2023: antibiotic resistance and emm-type distribution.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Mirva VirolainenInstitute of Biomedicine, University of Turku, Kiinamyllynkatu 10, 20520, Turku, Finland.
Kirsi Gröndahl-Yli-HannukselaInstitute of Biomedicine, University of Turku, Kiinamyllynkatu 10, 20520, Turku, Finland. kagron@utu.fi.ORCID http://orcid.org/0000-0003-1479-8925
Kaisu Rantakokko-JalavaTurku University Hospital, Clinical Microbiology, Turku, Finland.
Tapio SeiskariFimlab laboratories, Tampere, Finland.
Emilia LönnqvistInstitute of Biomedicine, University of Turku, Kiinamyllynkatu 10, 20520, Turku, Finland.
Terhi KolariDepartment of Biostatistics, University of Turku and Turku University Hospital, Turku, Finland.
Tiia RissanenDepartment of Biostatistics, University of Turku and Turku University Hospital, Turku, Finland.
Hanne-Leena HyyryläinenFinnish Institute for Health and Welfare, Helsinki, Finland.
DICAR study group
Jaana VuopioInstitute of Biomedicine, University of Turku, Kiinamyllynkatu 10, 20520, Turku, Finland.
University of Turku · FIFinnish Institute for Health and Welfare · FIFimlab (Finland) · FITurku University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStreptococcus pyogenes (mostly termed group A Streptococcus - GAS) is the most important bacterial causative of pharyngitis. However, epidemiology of GAS pharyngitis is not widely established. This study describes GAS pharyngitis cases and emm-type distribution in a prospective study covering over 2 years in two Hospital Districts in Finland.

methodsA prospective, systematic collection of GAS pharyngitis isolates was conducted between March 2018 and December 2020 in two large Hospital Districts in Finland. Patient characteristics (age, gender) were included if available. All GAS isolates collected were emm typed.

resultsAltogether 1320 GAS pharyngitis strains were collected, 904 in the Hospital District 1 (HD1) and 416 in Hospital District 2 (HD2). In HD1, age and gender data were available. Females were overrepresented (58% of all cases). In addition, the age and gender distributions were noted to be significantly different (p < 0.0001) with females having a more uniform distribution until age of 40. emm28 was common among the age group of 20-29-year-olds and emm89 in children under 10 years of age, respectively. In HD1, most of the isolates were collected during winter and autumn months. Significant differences by season in the frequency of emm12, emm89, emm75 and group of "others" were observed.

conclusionAge distribution among GAS pharyngitis cases was significantly different between genders (p < 0.0001). In addition, age group specific and seasonal variations in emm GAS types causing the disease were observed. These findings warrant further investigation, especially for understanding population-based spread of GAS even in more detail.

Indexed as

PharyngitisStreptococcal InfectionsAdultAntigens, BacterialBacterial Outer Membrane ProteinsCarrier ProteinsChildFemaleFinlandGenotypeHumansMaleProspective StudiesStreptococcus pyogenesYoung AdultAntigens, BacterialBacterial Outer Membrane ProteinsCarrier Proteinsemm typeEpidemiologyGASGroup A streptococcusPharyngitisSeasonalityS. pyogenes

Identifiers

PMID38010594
PMCPMC10821968
OpenAlexW4389054469

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.