Seasonal variation in penicillin susceptibility and invasive pneumococcal disease

Pui-Ying Iroh Tam1, Lawrence C Madoff, Michael O'Connell

  • 1From the *University of Minnesota Masonic Children's Hospital, Minneapolis, MN; †Massachusetts Department of Public Health, Jamaica Plain, MA; ‡University of Minnesota, Minneapolis, MN; and §Boston University Medical Center, Boston, MA.

Insights

Seasonal variation impacts invasive pneumococcal disease. Penicillin-susceptible isolates were most common in winter, while disease rates peaked in autumn and winter, highlighting seasonal trends in pneumococcal infections.

Area of Science:

  • Microbiology
  • Epidemiology
  • Public Health

Background:

  • Invasive pneumococcal disease (IPD) presents a significant public health challenge.
  • Understanding seasonal patterns of IPD is crucial for effective disease control.
  • The role of antimicrobial susceptibility in seasonal IPD trends requires further investigation.

Purpose of the Study:

  • To examine the relationship between seasonal variation and the proportion of penicillin-susceptible isolates in invasive pneumococcal disease.
  • To analyze seasonal trends in IPD incidence and their correlation with antimicrobial resistance patterns.

Main Methods:

  • Prospective evaluation of laboratory surveillance data from Massachusetts.
  • Analysis of seasonal variations in the proportion of penicillin-susceptible Streptococcus pneumoniae isolates.
  • Correlation of seasonal disease rates with antimicrobial susceptibility data.

Main Results:

  • The proportion of penicillin-susceptible isolates demonstrated significant seasonal variation.
  • Highest proportions of susceptible isolates were observed during winter months.
  • Invasive pneumococcal disease rates peaked in autumn and winter, with the lowest rates in summer.

Conclusions:

  • Seasonal variations influence the proportion of penicillin-susceptible isolates in invasive pneumococcal disease.
  • Autumn and winter seasons are associated with the highest rates of IPD.
  • These findings have implications for the timing of public health interventions and antimicrobial stewardship efforts.

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