Evidence map›Paper›PMID 42295645›Full record

ArticleInfection2026

Clinical characteristics, antimicrobial susceptibility, and predictors of mortality in Streptococcus suis infection: a retrospective cohort study.

Natchaya Pewton, Kunakorn Assawawilaswong, Phusanisa Wasinwasurat, Apisorn Keawruang, Wichai Santimaleeworagun, Patcharapa Boonmee, Puncharat Wongut-Sa, Jatapat Hemapanpairoa

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Article in Infection, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Natchaya PewtonFaculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand.
Kunakorn AssawawilaswongFaculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand.
Phusanisa WasinwasuratFaculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand.
Apisorn KeawruangFaculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand.
Wichai SantimaleeworagunDivision of Pharmaceutical Care, Faculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand.ORCID http://orcid.org/0000-0001-9974-957X
Patcharapa BoonmeeDepartment of Pharmacy, Ratchaburi Hospital, Ratchaburi, Thailand.ORCID http://orcid.org/0009-0001-4618-5384
Puncharat Wongut-SaDepartment of Medical Technology and Clinical Pathology, Ratchaburi Hospital, Ratchaburi, Thailand.
Jatapat HemapanpairoaDivision of Pharmaceutical Care, Faculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand. Hemapanpairoa_j@su.ac.th.ORCID http://orcid.org/0000-0001-5265-5808

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStreptococcus suis is an important zoonotic pathogen associated with severe disease and mortality. Reduced antimicrobial susceptibility has been increasingly reported. This study aimed to investigate the clinical characteristics, factors associated with mortality, and antimicrobial susceptibility of S. suis infections at a tertiary care hospital in Thailand.

methodsA retrospective cohort study was conducted among patients with S. suis infection between 2021 and 2025. Clinical characteristics, treatment outcomes, and antimicrobial susceptibility were collected. Multivariate logistic regression was used to identify factors associated with mortality.

resultsA total of 87 patients (90 infection episodes) were included. Meningitis (37.8%) and endocarditis (26.7%) were the most common presentations. The in-hospital mortality rate was 11.1%, similar to the 14-day mortality rate (10.0%). Susceptibility testing showed that 34.48% of isolates were susceptible to penicillin, 82.35% to ceftriaxone, and 100% to vancomycin. Septic shock was independently associated with increased mortality (aOR 14.93; 95% CI 1.32-168.26; p = 0.029). Third-generation cephalosporin-based definitive regimens were associated with reduced mortality (aOR 0.10; 95% CI 0.01-0.81; p = 0.032).

conclusionMost deaths occurred early and were associated with disease severity. Reduced susceptibility to penicillin and ceftriaxone was observed. Septic shock predicted mortality, whereas third-generation cephalosporin-based definitive therapy was associated with improved survival. Early recognition and appropriate antimicrobial therapy remain essential.

Indexed as

Antimicrobial susceptibilityMortalitySeptic shockStreptococcus suisThird-generation cephalosporins

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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.