1921
Volume 85, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

Data relating to acute post-streptococcal glomerulonephritis (APSGN) from the notifiable diseases surveillance system in the Northern Territory of Australia was extracted and analyzed. Isolates of from confirmed cases were sequence typed. From 1991 to July 2008, there were 415 confirmed cases and 23 probable cases of APSGN notified. Four hundred fifteen (94.7%) of these were Indigenous Australians and 428 (97.7%) were people living in remote or very remote locations. The median age of cases was 7 years (range 0–54). The incidence of confirmed cases was 12.5/100,000 person-years, with an incidence in Indigenous Australian children younger than 15 years of age of 94.3 cases/100,000 person-years. The overall rate ratio of confirmed cases in Indigenous Australians to non-Indigenous Australians was 53.6 (95% confidence interval 32.6–94.8). Outbreaks of disease across multiple communities occurred in 1995 ( = 68), 2000 ( = 55), and 2005 ( = 87 [confirmed cases]). Various types of were isolated from cases of APSGN including some types not previously recognized to be nephritogenic. The widespread outbreak in 2005 was caused by 55.0 . Acute post-streptococcal glomerulonephritis continues to occur in remote Indigenous communities in Australia at rates comparable to or higher than those estimated in developing countries. Improvements in preventative and outbreak control strategies are needed.

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References

  1. Rodriguez-Iturbe B, Musser JM, , 2008. The current state of poststreptococcal glomerulonephritis. J Am Soc Nephrol 19: 18551864.[Crossref] [Google Scholar]
  2. Svartman M, Finklea JF, Earle DP, Potter EV, Poon-King T, , 1972. Epidemic scabies and acute glomerulonephritis in Trinidad. Lancet 1: 249251.[Crossref] [Google Scholar]
  3. Berrios X, Lagomarsino E, Solar E, Sandoval G, Guzman B, Riedel I, , 2004. Post-streptococcal acute glomerulonephritis in Chile–20 years of experience. Pediatr Nephrol 19: 306312.[Crossref] [Google Scholar]
  4. Yap HK, Chia KS, Murugasu B, Saw AH, Tay JS, Ikshuvanam M, Tan KW, Cheng HK, Tan CL, Lim CH, , 1990. Acute glomerulonephritis–changing patterns in Singapore children. Pediatr Nephrol 4: 482484.[Crossref] [Google Scholar]
  5. Zhang Y, Shen Y, Feld LG, Stapleton FB, , 1994. Changing pattern of glomerular disease at Beijing Children's Hospital. Clin Pediatr (Phila) 33: 542547.[Crossref] [Google Scholar]
  6. Coppo R, Gianoglio B, Porcellini MG, Maringhini S, , 1998. Frequency of renal diseases and clinical indications for renal biopsy in children (report of the Italian National Registry of Renal Biopsies in Children). Group of Renal Immunopathology of the Italian Society of Pediatric Nephrology and Group of Renal Immunopathology of the Italian Society of Nephrology. Nephrol Dial Transplant 13: 293297.[Crossref] [Google Scholar]
  7. Carapetis JR, Steer AC, Mulholland EK, Weber M, , 2005. The global burden of group A streptococcal diseases. Lancet Infect Dis 5: 685694.[Crossref] [Google Scholar]
  8. Blyth CC, Robertson PW, Rosenberg AR, , 2007. Post-streptococcal glomerulonephritis in Sydney: a 16-year retrospective review. J Paediatr Child Health 43: 446450.[Crossref] [Google Scholar]
  9. Streeton CL, Hanna JN, Messer RD, Merianos A, , 1995. An epidemic of acute post-streptococcal glomerulonephritis among aboriginal children. J Paediatr Child Health 31: 245248.[Crossref] [Google Scholar]
  10. Gogna NK, Nossar V, Walker AC, , 1983. Epidemic of acute poststreptococcal glomerulonephritis in aboriginal communities. Med J Aust 1: 6466. [Google Scholar]
  11. Evans C, , 2001. Acute post sreptococcal glomerulonephritis in the Northern Territory 1980–2000. NT Dis Control Bull 8: 140. [Google Scholar]
  12. Kearns T, Evans C, Krause V, , 2001. Outbreak of acute post streptococcal glomerulonephritis in the Northern Territory—2000. NT Dis Control Bulletin 8: 614. [Google Scholar]
  13. Rammelkamp CH, Jr Weaver RS, , 1953. Acute glomerulonephritis, the significance of the variations in the incidence of the disease. J Clin Invest 32: 345358.[Crossref] [Google Scholar]
  14. McDonald MI, Towers RJ, Andrews R, Benger N, Fagan P, Currie BJ, Carapetis JR, , 2007. The dynamic nature of group A streptococcal epidemiology in tropical communities with high rates of rheumatic heart disease. Epidemiol Infect 136: 529539. [Google Scholar]
  15. McDonald MI, Towers RJ, Fagan P, Carapetis JR, Currie BJ, , 2007. Molecular typing of Streptococcus pyogenes from remote Aboriginal communities where rheumatic fever is common and pyoderma is the predominant streptococcal infection. Epidemiol Infect 135: 13981405.[Crossref] [Google Scholar]
  16. Australian Institute of Health and Welfare, 2006. Australia's Health 2006. AIHW, ed. cat. no. AUS 73: AIHW. Available at: http://www.aihw.gov.au/publications/index.cfm/title/10321. Accessed December 8, 2008. [Google Scholar]
  17. GISCA, 2008. About ARIA+ (Accessibility/Remoteness Index of Australia). Available at: http://www.gisca.adelaide.edu.au/products_services/ariav2_about.html. Accessed October 20, 2008. [Google Scholar]
  18. Centers for Disease Control and Prevention, 2011. Streptococcus pyogenes emm sequence database. Atlanta, GA. Available at: http://www.cdc.gov/ncidod/biotech/strep/strepblast.htm. Accessed June 13, 2011. [Google Scholar]
  19. Australian Bureau of Statistics, 2009. Australia's Population: Australian Bureau of Statistics. Available at: http://www.abs.gov.au/websitedbs/D3310114.nsf/home/Home. Accessed August 30, 2009. [Google Scholar]
  20. Lennon D, Martin D, Wong E, Taylor LR, , 1988. Longitudinal study of poststreptococcal disease in Auckland; rheumatic fever, glomerulonephritis, epidemiology and M typing 1981–86. N Z Med J 101: 396398. [Google Scholar]
  21. Carapetis JR, Wolff DR, Currie BJ, , 1996. Acute rheumatic fever and rheumatic heart disease in the top end of Australia's Northern Territory. Med J Aust 164: 146149. [Google Scholar]
  22. Holm SE, Nordstrand A, Stevens DL, Norgren M, Stevens DL, Kaplan EL, , 2000. Acute postreptococcal glomerulonephritis. , eds. Streptococcal Infections: Clinical Aspects, Microbiology and Molecular Patheogenesis. New York: Oxford University Press, 152162. [Google Scholar]
  23. Eison TM, Ault BH, Jones DP, Chesney RW, Wyatt RJ, , 2011. Post-streptococcal acute glomerulonephritis in children: clinical features and pathogenesis. Pediatr Nephrol 26: 165180.[Crossref] [Google Scholar]
  24. White AV, Hoy WE, McCred DA, , 2001. Childhood post-streptococcal glomerulonephritis as a risk factor for chronic renal disease in later life. MJA 174: 492496. [Google Scholar]
  25. Hoy WE, Mathews JD, McCredie DA, Pugsley DJ, Hayhurst BG, Rees M, Kile E, Walker KA, Wang Z, , 1998. The multidimensional nature of renal disease: rates and associations of albuminuria in an Australian Aboriginal community. Kidney Int 54: 12961304.[Crossref] [Google Scholar]
  26. Carapetis JR, Connors C, Yarmirr D, Krause V, Currie BJ, , 1997. Success of a scabies control program in an Australian aboriginal community. Pediatr Infect Dis J 16: 494499.[Crossref] [Google Scholar]
  27. McDonald MI, Towers RJ, Andrews RM, Benger N, Currie BJ, Carapetis JR, , 2006. Low rates of streptococcal pharyngitis and high rates of pyoderma in Australian aboriginal communities where acute rheumatic fever is hyperendemic. Clin Infect Dis 43: 683689.[Crossref] [Google Scholar]
  28. Andrews R, Kearns T, Connors C, Parker C, Carville K, Currie B, Carapetis J, , 2009. A regional initiative to reduce skin infections among aboriginal children living in remote communities of the Northern Territory, Australia. PLoS Negl Trop Dis 3: e554.[Crossref] [Google Scholar]
  29. Reid HF, Bassett DC, Gaworzewska E, Colman G, Poon-King T, , 1990. Streptococcal serotypes newly associated with epidemic post-streptococcal acute glomerulonephritis. J Med Microbiol 32: 111114.[Crossref] [Google Scholar]
  30. Tewodros W, Kronvall G, , 2005. M protein gene (emm Type) analysis of group A beta-hemolytic streptococci from Ethiopia reveals unique patterns. J Clin Microbiol 43: 43694376.[Crossref] [Google Scholar]
  31. Wannamaker LW, , 1970. Differences between streptococcal infections of the throat and of the skin (second of two parts). N Engl J Med 282: 2331.[Crossref] [Google Scholar]
  32. Martin DR, Meekin GE, Finch LA, , 1983. Streptococci–are they different in New Zealand? N Z Med J 96: 298301. [Google Scholar]
  33. Anthony B, Kaplan E, Chapman S, Quie P, Wannamaker L, , 1967. Epidemic acute nephritis with reappearance of type 49 Streptococcus . Lancet 2: 787790.[Crossref] [Google Scholar]
  34. Majeed HA, Yousof AM, Rotta J, Havlickpva H, Bahar G, Bahbahani K, , 1992. Group A streptococcal strains in Kuwait: a nine-year prospective study of prevalence and associations. Pediatr Infect Dis J 11: 295300.[Crossref] [Google Scholar]
  35. Potter EV, Ortiz JS, Sharrett AR, Burt EG, Bray JP, Finklea JF, Poon-King T, Earle DP, , 1971. Changing types of nephritogenic streptococci in Trinidad. J Clin Invest 50: 11971205.[Crossref] [Google Scholar]
  36. McNeil SA, Halperin SA, Langley JM, Smith B, Warren A, Sharratt GP, Baxendale DM, Reddish MA, Hu MC, Stroop SD, Linden J, Fries LF, Vink PE, Dale JB, , 2005. Safety and immunogenicity of 26-valent group a Streptococcus vaccine in healthy adult volunteers. Clin Infect Dis 41: 11141122.[Crossref] [Google Scholar]
  37. Steer AC, Law I, Matatolu L, Beall BW, Carapetis JR, , 2009. Global emm type distribution of group A streptococci: systematic review and implications for vaccine development. Lancet Infect Dis 9: 611616.[Crossref] [Google Scholar]
  38. Balter S, Benin A, Pinto SW, Teixeira LM, Alvim GG, Luna E, Jackson D, LaClaire L, Elliott J, Facklam R, Schuchat A, , 2000. Epidemic nephritis in Nova Serrana, Brazil. Lancet 355: 17761780.[Crossref] [Google Scholar]
  39. Barnham M, Thornton TJ, Lange K, , 1983. Nephritis caused by Streptococcus zooepidemicus (Lancefield group C). Lancet 1: 945948.[Crossref] [Google Scholar]
  40. McDonald M, Towers RJ, Andrews RM, Carapetis JR, Currie BJ, , 2007. Epidemiology of Streptococcus dysgalactiae subsp. tropical communities, Northern Australia. Emerg Infect Dis 13: 16941700.[Crossref] [Google Scholar]
  41. Williams GS, , 2003. Group C and G streptococci infections: emerging challenges. Clin Lab Sci 16: 209213. [Google Scholar]
  42. Bailie RS, Stevens M, McDonald E, Halpin S, Brewster D, Robinison G, Guthridge S, , 2005. Skin infection, housing and social circumstances in children living in remote Indigenous communities: testing and methodological approaches. BMC Public Health 5: 128.[Crossref] [Google Scholar]
  43. Gracey M, Williams P, Houston S, , 1997. Environmental health conditions in remote and rural aboriginal communities in western Australia. Aust N Z J Public Health 21: 511518.[Crossref] [Google Scholar]
  44. Currie BJ, Carapetis JR, , 2000. Skin infections and infestations in Aboriginal communities in northern Australia. Australas J Dermatol 41: 139143.[Crossref] [Google Scholar]
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  • Received : 29 Mar 2011
  • Accepted : 14 Jul 2011
  • Published online : 01 Oct 2011

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