Novel clones of Streptococcus pneumoniae causing invasive disease in Malaysia

Johanna M Jefferies1, Mohd Yasim Mohd Yusof2, Shamala Devi Sekaran2

  • 1Faculty of Medicine and Institute of Life Sciences, University of Southampton, Southampton, United Kingdom; NIHR Southampton Respiratory Biomedical Research Unit, Southampton, United Kingdom; Department of Medical Microbiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Plos One
|June 19, 2014
PubMed

Insights

This study identified significant diversity in Streptococcus pneumoniae strains causing invasive disease in Malaysia, with many novel types and 33% penicillin non-susceptibility. Further surveillance is crucial for effective pneumococcal vaccine policy.

Area of Science:

  • Microbiology
  • Epidemiology
  • Public Health

Background:

  • Streptococcus pneumoniae is a major cause of childhood illness in Southeast Asia.
  • Limited data exists on invasive pneumococcal disease (IPD) epidemiology in Malaysia.
  • Multilocus sequence typing (MLST) is underutilized for pneumococcal studies in the region.

Purpose of the Study:

  • To characterize serotype, MLST, and penicillin susceptibility of IPD isolates in Malaysia.
  • To assess the relevance of findings to current pneumococcal conjugate vaccines.
  • To highlight the need for expanded epidemiological surveillance.

Main Methods:

  • Analysis of 30 invasive pneumococcal disease isolates from University of Malaya Medical Centre (2000-2007).
  • Serotyping and multilocus sequence typing (MLST) were performed.
  • Penicillin susceptibility testing was conducted.

Main Results:

  • High diversity observed: 14 serotypes and 26 sequence types (STs) identified.
  • 11 of the 26 STs were previously undescribed.
  • 33% of isolates exhibited penicillin non-susceptibility.

Conclusions:

  • Malaysian pneumococcal isolates display considerable molecular heterogeneity.
  • Current pneumococcal conjugate vaccine serotypes may not cover the observed diversity.
  • Larger epidemiological studies are essential for informed vaccine policy in Malaysia and Southeast Asia.

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