Streptococcus pneumoniae diseases in Chinese children: past, present and future
1Beijing Children's Hospital Affiliated to Capital University of Medical Sciences, No. 56 Nan Lishi Road, Beijing 100045, PR China.
Insights
Pneumococcal diseases are a significant threat to children in China, caused by Streptococcus pneumoniae. Antimicrobial resistance is rising, necessitating further research for effective vaccine and antibiotic strategies.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Streptococcus pneumoniae (S. pneumoniae) is a major cause of pediatric infectious diseases, including meningitis and pneumonia, particularly in China.
- Understanding the epidemiology of S. pneumoniae is crucial for public health interventions.
Observation:
- Serotype distribution of S. pneumoniae exhibits significant diversity across different regions and time periods in China.
- Penicillin non-susceptibility rates for S. pneumoniae have shown a concerning increase over time.
- High prevalence rates (over 80%) of resistance to erythromycin, trimethoprim-sulfamethoxazole, and tetracycline were reported, exceeding those in developed nations.
Findings:
- S. pneumoniae remains a critical pathogen in pediatric infections within China.
- There is a notable trend of increasing antimicrobial resistance, particularly to penicillin, erythromycin, trimethoprim-sulfamethoxazole, and tetracycline.
Implications:
- Future national surveys are essential to track serotype prevalence, antimicrobial resistance, and molecular epidemiology of S. pneumoniae.
- Data on pneumococcal disease burden are needed to inform evidence-based guidelines for vaccine use and antibiotic treatment.
- Addressing rising antimicrobial resistance is critical for managing pneumococcal infections in Chinese children.
Abstract:
This review describes major contributions to our understanding of pneumococcal diseases among children in hinterland of China. The data demonstrated that Streptococcus pneumoniae (S. pneumoniae) is an important pathogen of pyogenic meningitis, pneumonia, and other infectious diseases in children. The distribution of serotypes of S. pneumoniae showed great diversity in several studies in various cities during different years. The penicillin nonsusceptibility rates, although variable, demonstrated an increase over time in China. The prevalence of resistance to erythromycin, trimethoprim-sulfamethoxazole or tetracycline was reported to be over 80% and exceeded those reported from other developed countries. A national survey on serotype prevalence, antimicrobial resistance and molecular epidemiology of S. pneumoniae, especially in invasive pneumococcal diseases, and studies to determine pneumococcal disease burden should be undertaken in the future to provide evidence and guidance to the use of vaccine and antibiotics in S. pmeumoniae infections.
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