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Updated: May 10, 2026

Constructing Mutants in Serotype 1 Streptococcus pneumoniae strain 519/43
Published on: September 11, 2020
Pneumococcal serotypes before and after introduction of conjugate vaccines, United States, 1999-2011(1.)
Sandra S Richter1, Kristopher P Heilmann, Cassie L Dohrn
1Cleveland Clinic, Cleveland, Ohio 44195, USA. richtes@ccf.org
Insights
The 7-valent pneumococcal conjugate vaccine significantly reduced disease-causing serotypes. The 13-valent pneumococcal vaccine (PCV13) introduction halted serotype 19A increases, offering broader protection against remaining pneumococcal disease serotypes.
Area of Science:
- Microbiology
- Immunology
- Public Health
Background:
- Pneumococcal conjugate vaccines (PCVs) have been instrumental in reducing invasive pneumococcal disease.
- Serotype replacement and the emergence of non-vaccine serotypes are ongoing concerns following vaccination campaigns.
Purpose of the Study:
- To analyze trends in pneumococcal serotypes causing invasive and noninvasive disease in the US.
- To evaluate the impact of the 7-valent PCV and the introduction of the 13-valent PCV (PCV13) on serotype prevalence.
Main Methods:
- Comparison of serotyping data from >43 US centers across multiple time periods: pre-PCV (1999-2000), post-PCV7 (2004-2005), and post-PCV13 (2008-2009, 2010-2011).
- Analysis of prevalence changes for vaccine-type and non-vaccine-type *Streptococcus pneumoniae* serotypes.
Main Results:
- Prevalence of 7-valent PCV serotypes drastically decreased from 64% (invasive) and 50% (noninvasive) in 1999-2000 to 3.8% and 4.2% in 2010-2011.
- Introduction of PCV13 in 2010 coincided with a halt in the increase of serotype 19A.
- Non-vaccine serotype 35B was the only major serotype to increase between 2008-2009 and 2010-2011.
Conclusions:
- The 7-valent PCV has been highly effective in reducing the prevalence of its targeted serotypes.
- PCV13 has demonstrated an impact by curbing the rise of serotype 19A and has the potential to cover a significant proportion (39%) of remaining disease-causing isolates.
Abstract:
Serotyping data for pneumococci causing invasive and noninvasive disease in 2008-2009 and 2010-2011 from >43 US centers were compared with data from preconjugate vaccine (1999-2000) and postconjugate vaccine (2004-2005) periods. Prevalence of 7-valent pneumococcal conjugate vaccine serotypes decreased from 64% of invasive and 50% of noninvasive isolates in 1999-2000 to 3.8% and 4.2%, respectively, in 2010-2011. Increases in serotype 19A stopped after introduction of 13-valent pneumococcal vaccine (PCV13) in 2010. Prevalences of other predominant serotypes included in or related to PCV13 (3, 6C, 7F) also remained similar for 2008-2009 and 2010-2011. The only major serotype that increased from 2008-2009 to 2010-2011 was nonvaccine serotype 35B. These data show that introduction of the 7-valent vaccine has dramatically decreased prevalence of its serotypes and that addition of serotypes in PCV13 could provide coverage of 39% of isolates that continue to cause disease.
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