Background: Bacteremia is an uncommon complication of group A streptococcal (GAS) infections. The data on GAS bacteremia is scarce from developing nations such as India.

Patients And Methods: We performed a retrospective analysis of patients diagnosed with GAS bacteremia in a tertiary care hospital in Kerala, India over a 10-year period (2012-2021) by review of the electronic medical records (EMRs).

Results: A total of 58 cases of GAS bacteremia were identified in the study period. Skin/soft tissue infection was the most common source of bacteremia. A total of 34.4% of the patients required ICU admission and the in-hospital mortality was 22.4%. All the GAS isolates were sensitive to penicillin, ampicillin, and ceftriaxone. Erythromycin and clindamycin resistance was seen in 39.7% and 24.1% isolates, respectively.

Conclusion: This study shows that despite advancement in medical sciences, GAS bacteremia remains as a disease with high morbidity and mortality. A higher rate of clindamycin resistance was observed compared to previous Indian studies.

How To Cite This Article: Jayakumar JS, Niyas VKM, Arjun R. Group A Streptococcal Bacteremia: Ten Years' Experience from a Tertiary Care Center in South India. Indian J Crit Care Med 2022;26(9):1019-1021.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9492746PMC
http://dx.doi.org/10.5005/jp-journals-10071-24306DOI Listing

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