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Updated: Aug 16, 2026

Capsular Serotyping of Streptococcus pneumoniae Using the Quellung Reaction
Published on: February 24, 2014
[Antibiotic Resistance and Serotype Pattern of Streptococcus pneumoniae Isolated from Children in St. Petersburg in
Abstract:
The surveillance of the serotype pattern and antibiotic resistance of S. pneumoniae in various geographical regions is required for the validity of rational etiotrophic therapy of pneumococcal infections and the choice of the optimal vaccines for their prophylaxis. 250 S. pneumoniae isolates from children with acute otitis or pneumonia and healthy carriers in St. Petersburg in 2010-2013 were investigated. The analysis of the serotype pattern of the pneumococci showed that 13-valent conjugate vaccine was the most active (86.1% of pneumococci causing pneumonia and 86.4% of pneumococci causing acute otitis). The isolates were higly resistant to beta-lactams and macrolides. By the EUCAST criteria, the decrease in the susceptibility to penicillin, cefotaxime, erythromycin and ceftarolin was observed in 32.4%, 14%, 33.2 and 6% of the isolates respectively. 22.4% of the isolates showed associate resistance to penicillin and erythromycin.. No resistance to moxifloxacin was detected. The frequency of resistance to tetracycline, co-trimoxasole and chloramphenicol in various patients ranged within 30-50%. The prevalence of the antibiotic resistance was mainly characteristic of the isolates serotypes 19A, 19F, 14 and serogroup 6.
Insights
The 13-valent conjugate vaccine is effective against most Streptococcus pneumoniae strains causing pneumonia and otitis in St. Petersburg. However, high resistance to beta-lactams and macrolides necessitates ongoing surveillance for effective treatment.
Area of Science:
- Microbiology
- Epidemiology
- Vaccinology
Context:
- Streptococcus pneumoniae (pneumococcus) surveillance is crucial for guiding antibiotic therapy and vaccine selection for pneumococcal infections.
- Pneumococcal infections, including acute otitis media and pneumonia, pose significant public health challenges, particularly in pediatric populations.
Purpose:
- To investigate the serotype distribution and antibiotic resistance patterns of Streptococcus pneumoniae isolates in St. Petersburg, Russia.
- To evaluate the potential effectiveness of the 13-valent pneumococcal conjugate vaccine (PCV13) based on circulating serotypes.
- To assess the prevalence of resistance to key antibiotic classes among pneumococcal isolates.
Summary:
- A study of 250 S. pneumoniae isolates from children in St. Petersburg (2010-2013) revealed that PCV13 covers 86.1% of pneumonia and 86.4% of acute otitis media isolates.
- High resistance rates were observed for beta-lactams (penicillin, cefotaxime, ceftaroline) and macrolides (erythromycin), with 32.4% and 33.2% of isolates resistant, respectively.
- No resistance to moxifloxacin was detected, while resistance to tetracycline, co-trimoxazole, and chloramphenicol ranged from 30-50%. Serotypes 19A, 19F, 14, and 6 were frequently associated with antibiotic resistance.
Impact:
- The findings support the use of PCV13 for pneumococcal prophylaxis in the studied region due to its broad serotype coverage.
- The high prevalence of antibiotic resistance highlights the need for careful antibiotic selection in treating pneumococcal infections and underscores the importance of antimicrobial stewardship.
- Continued surveillance of pneumococcal serotypes and resistance patterns is essential for adapting treatment guidelines and vaccine strategies to combat evolving public health threats.
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