Sechenov Moscow Medical Academy, Russia
State-of-the-art views on concept and main routes of epidemiologic surveillance for group A streptococcal infection. Thorough characteristics of surveillance subsystems: information-analytic, diagnostic and managerial. Importance of microbiological monitoring, which includes determination of species composition of group A streptococci as well as study of their biological and genetic characteristics, susceptibility to antibiotics and disinfectants, is underlined. Appropriateness of using pulse-electrophoresis, sequencing of erythrogenic toxins’ genes and emm-typing of the pathogen was substantiated. This allows to identify identical (epidemic) as well as related and non-related clusters of studied cultures and widens the capabilities to study features of development of infection’s epidemic process. Management decisions implemented through the system of preventive and antiepidemic measures, which are regulated by sanitary rules and methodic guidelines.
Zh. Mikrobiol. (Moscow), 2009, No. 2, P. 103—107