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In Iceland, since the detection for the very first macrolide-resistant isolate in 1998, three epidemic waves of macrolide-resistant gasoline attacks have actually occurred with peaks in 1999, 2004, and 2008. We carried out whole genome sequencing of all 1,575 offered gasoline macrolide-resistant clinical isolates of all of the illness kinds amassed at the nationwide guide laboratory in Reykjavik from 1998 to 2016. Among 1,515 erythromycin resistant isolates, 90.3% had been of only three emm types emm4 (
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