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. 2023 Nov 27;43(2):233–241. doi: 10.1007/s10096-023-04714-6

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© The Author(s) 2023

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 4 — A Distribution of emm types among GAS pharyngitis isolates collected in Hospital District (HD) 1 (n = 904) and HD2 (n = 416) by year. The annual number of isolates is shown under each column. B Distribution of emm types of invasive GAS isolates reported from HD1 (n = 64) and HD2 (n = 93) during 2018–2020. The total number of isolates is shown under the column. In group “others” in iGAS isolates, the proportion of emm77 isolates was high in HD2 (13% of the isolates) and emm84 in HD1 (7.8%). Seven most common emm types (emm1, emm1.25, emm4, emm12, emm28, emm75 and emm89) were studied individually and the rest jointly under the group “others”