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Updated: Jun 7, 2026

Capsular Serotyping of Streptococcus pneumoniae by Latex Agglutination
Published on: September 25, 2014
[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.
Objective:
To investigate the serotype distribution, antimicrobial resistance patterns and molecular epidemiology of Streptococcus pneumoniae (S. pneumoniae) isolated from invasive pneumococcal diseases in order to provide rationales for antibiotics application and immunity control of S. pneumoniae.
Methods:
A total of 148 isolates of invasive S. pneumoniae were collected from blood, cerebrospinal fluid and other sterile body fluids from 15 regions between January 2005 and August 2008 nationwide. Agar dilution method was used to determine the minimal inhibitory concentrations (MICs) of penicillin and other antibiotics against these isolates. Simplified chessboard system and capsule swelling reaction were used for serotyping of S. pneumoniae. Multilocus sequence typing (MLST) was used to determine the genetic relationship of 53 strains of serogroup-19.
Results:
Twenty serotypes/serogroups were identified in 148 strains. The prevalent serotypes (70.9%) were 19A, 19F, 3, 23F, 5, 6, 14 and 9 respectively. Serotypes 19A (22.3%, 33/148) and 19F (16.9%, 25/148) were the most frequent type observed. And serotypes 3 (7.4%, 11/148) and 23F (6.8%, 10/148) were less prevalent. Of all 36 strains isolated from infants under 2 years old, 33.3% (12/36) were covered by 7-valent pneumococcal conjugate vaccine (PCV7). The resistant rates to amoxicillin/clavulanic acid, erythromycin and other antibiotics in PCV7-related pneumococcal strains were significantly higher than those in PCV7-unrelated group (P < 0.05). Fifty-three strains of serogroup-19 were genotyped by MLST and 9 sequence types (STs) identified. ST320 (52.8%, 28/53) and ST271 (22.6%, 12/53) were the most frequent STs.
Conclusions:
The major serotypes of invasive S. pneumoniae are 19A, 19F, 3 and 23F. Antimicrobial-resistant S. pneumoniae has become a serious issue of public health.
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.
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