[Streptococcus pneumoniae: antibiotic resistance and serotypes in a two-year period]

F Franco-Alvarez de Luna1, M Causse del Río, A Ibarra González

  • 1Servicio de Microbiología, Hospital Universitario Reina Sofía, Córdoba, España.

Insights

Streptococcus pneumoniae causes serious infections. This study found high resistance to common antibiotics, particularly penicillin, with specific serotypes like 19 showing the most resistance.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Context:

  • Streptococcus pneumoniae is a leading cause of bacterial pneumonia, meningitis, and otitis media.
  • Understanding antimicrobial susceptibility and serotypes is crucial for effective treatment and prevention strategies.

Purpose:

  • To investigate the antimicrobial susceptibility patterns of Streptococcus pneumoniae strains.
  • To identify the prevalent serotypes of Streptococcus pneumoniae in the region.
  • To correlate specific serotypes with antibiotic resistance.

Summary:

  • Eighty-three Streptococcus pneumoniae strains were analyzed over two years.
  • High rates of resistance were observed: 47% to penicillin, 42.1% to erythromycin, 16.8% to cefotaxime, and 34.9% to tetracycline.
  • All strains were susceptible to vancomycin. Twenty-eight serotypes were identified, with serotypes 19, 6, 9, 23, 3, 15, and NT being most common. Penicillin resistance and multidrug resistance were notably associated with serotypes 19, 6, 23, and NT.

Impact:

  • Findings highlight the urgent need for updated treatment guidelines due to widespread antibiotic resistance.
  • Identification of key serotypes associated with resistance can inform vaccine development and public health interventions.
  • This data is vital for local and global efforts to combat invasive pneumococcal disease.

Related Concept Videos

Mechanism of Antibiotic Resistance in MRSA01:25

Mechanism of Antibiotic Resistance in MRSA

Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...
Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Atypical Pneumonia01:14

Atypical Pneumonia

Atypical pneumonia, often caused by Mycoplasma pneumoniae, is a form of pulmonary infection that differs from the classical presentation of bacterial pneumonia in both its cause and clinical symptoms. Mycoplasma pneumoniae is a pleomorphic bacterium notable for its lack of a rigid cell wall. This structural characteristic imparts resistance to beta-lactam antibiotics and significantly influences the bacterium’s behavior within the human host.Other pathogens responsible for the disease include...
Development of Antibiotic Resistance01:30

Development of Antibiotic Resistance

Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
Pneumonia I: Introduction01:29

Pneumonia I: Introduction

Pneumonia is an infection of the lower respiratory tract that leads to inflammation of the lung parenchyma, often resulting in the accumulation of inflammatory exudate in the alveoli and airways. Unlike the watery, low-protein fluid exudate in pulmonary edema, the exudate in this case is a thick fluid rich in immune cells, proteins, and debris produced during infection and inflammation.This impairs gas exchange and can lead to consolidation of lung tissue. The infection may be caused by a...
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
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...