[Study of serotype distribution, antimicrobial resistance patterns and molecular epidemiology in 148 isolates of

Chun-Lin Liu1, Chun-Jiang Zhao, Yu-Dong Liu

  • 1Department of Clinical Laboratory, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.

Zhonghua Yi Xue Za Zhi
|October 27, 2010
PubMed
Abstract

Insights

Antimicrobial-resistant Streptococcus pneumoniae strains, particularly serotypes 19A and 19F, pose a significant public health threat. Understanding serotype distribution and resistance is crucial for effective antibiotic use and vaccination strategies.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Epidemiology

Context:

  • Invasive pneumococcal diseases (IPDs) caused by Streptococcus pneumoniae (S. pneumoniae) remain a global health concern.
  • Understanding serotype distribution and antimicrobial resistance is crucial for effective disease control and treatment.

Purpose:

  • To investigate the serotype distribution, antimicrobial resistance, and molecular epidemiology of S. pneumoniae causing IPDs.
  • To inform antibiotic application and immunity control strategies for S. pneumoniae.

Summary:

  • A total of 148 S. pneumoniae isolates from invasive infections across 15 regions in China (2005-2008) were analyzed.
  • Serotypes 19A and 19F were the most prevalent, accounting for 22.3% and 16.9% of isolates, respectively. Multilocus sequence typing (MLST) identified ST320 and ST271 as dominant sequence types within serogroup 19.
  • Antimicrobial resistance rates were significantly higher in strains covered by the 7-valent pneumococcal conjugate vaccine (PCV7), indicating emerging resistance challenges.

Impact:

  • The findings underscore the growing public health issue of antimicrobial-resistant S. pneumoniae.
  • This data is essential for guiding the development of next-generation pneumococcal vaccines and optimizing antibiotic treatment protocols.

Related Concept Videos

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...
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...
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...
Bacterial Meningitis II: Pathophysiology01:26

Bacterial Meningitis II: Pathophysiology

Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
Special Staining Techniques01:13

Special Staining Techniques

Specialized staining techniques play a vital role in microbiology by enabling the visualization of specific bacterial structures that remain undetectable with standard microscopy methods. These techniques not only enhance the structural visualization of bacterial cells but also provide critical insights into their pathogenicity and classification. Additionally, they support diagnostic and research endeavors in microbiology by identifying key bacterial features.Capsule Staining for Virulence...