Related Experiment Video
Updated: Aug 3, 2026

Experimental Human Pneumococcal Carriage
Published on: February 15, 2013
[The Pneumococcus Observatory of the Central Region, from June 1, 1997 to May 31, 1998]
B Cattier1, D Lecocq, R Levillain
1Laboratoire de Microbiologie, CHU Bretonneau, Tours, France.
Abstract:
714 pneumococcus were listed from 14 laboratories between the 1 June 1997 and the 31 May 1998. Data capture was done on Epi info software and concerned age, file number, consultation/hospitalization, sample type, susceptibility to oxacilline (5 micrograms), the results of the E-test for penicillin G, amoxicillin, cefotaxime and the results of the routine disk diffusion susceptibility method. Strains with reduced susceptibility to penicillin G (PRSP) were collected by the coordinating center to perform MICs by the reference method of agar dilution and serotyping. Over 714 strains, 45.7% of the samples originated from lungs, followed by 22% for blood samples, 14% for ear pus and 2.3% for CSF. 34% of the patients were female. 36.7% were children under 16 (57.8% PRSP) and 63.3% were adults (41% PRSP). 338 strains (47.3%) were determined as PRSP and 293 of them were studied by the coordinating center. 81 of the 293 PRSP (27.7%) were resistant et 212 (72.3%) were intermediate to penicillin G. 81% of the PRSP studied had a CMI value for penicillin G within +/- 1 log2 dilution. 20 strains of PRSP were resistant for amoxicillin (6.8% of the PRSP) and two (0.7% of the PRSP) for cefotaxime. 289 serotyping were done, most met serotypes were 23 (25%), 14 (23%). The least met was 15 (2.4%). These results let assess the epidemiology of pneumococcus in our region.
Insights
A study of 714 pneumococcus strains found 47.3% were penicillin-resistant (PRSP), with higher rates in children. Most PRSP strains showed intermediate resistance to penicillin G, with some resistance to amoxicillin and cefotaxime.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Epidemiology
Context:
- Surveillance of Streptococcus pneumoniae (pneumococcus) is crucial for public health.
- Antimicrobial resistance in pneumococcus poses a significant treatment challenge.
- Understanding regional resistance patterns informs clinical practice and public health strategies.
Purpose:
- To assess the prevalence of penicillin-resistant Streptococcus pneumoniae (PRSP) in a specific region.
- To characterize the antimicrobial susceptibility profiles of PRSP strains.
- To identify common pneumococcal serotypes associated with resistance.
Summary:
- A total of 714 pneumococcus strains were analyzed from June 1997 to May 1998.
- 47.3% of strains were identified as PRSP, with higher proportions in children (57.8%) compared to adults (41%).
- Of the PRSP strains studied, 27.7% were resistant and 72.3% intermediate to penicillin G; low-level resistance to amoxicillin and cefotaxime was also observed. Serotypes 23 and 14 were most common.
Impact:
- Provides essential epidemiological data on pneumococcal resistance in the region.
- Highlights the need for ongoing monitoring of antimicrobial susceptibility patterns.
- Informs treatment guidelines and potential vaccine strategies based on prevalent serotypes.
Related Concept Videos
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Pneumonia II: Pathophysiology
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Pneumothorax-II
Clinical Manifestations:
Principles of Disease Surveillance
Pneumonia I: Introduction

