Emergence of further serotypes of multiple drug-resistant Streptococcus pneumoniae in Queensland

M Gratten1, G Nimmo, J Carlisle

  • 1Acute Respiratory Infections Research and Reference Unit, Centre for Public Health Sciences, Queensland Health.

Insights

Multiple drug-resistant *Streptococcus pneumoniae* infections were identified in Queensland children and adults. High resistance rates to common antibiotics like erythromycin and tetracycline were observed, with established clones of types 19F and 14.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Public Health

Background:

  • *Streptococcus pneumoniae* is a leading cause of bacterial infections globally.
  • Antimicrobial resistance in pneumococci poses a significant public health threat.
  • Understanding resistance patterns is crucial for effective treatment and prevention strategies.

Purpose of the Study:

  • To document cases of multiple drug-resistant pneumococcal infections in Queensland.
  • To identify the serotypes and antimicrobial resistance profiles of these strains.
  • To investigate the presence of established resistant pneumococcal clones.

Main Methods:

  • Retrospective case series analysis of 27 patients with pneumococcal infections.
  • Antimicrobial susceptibility testing including resistance to cotrimoxazole, erythromycin, tetracycline, penicillin, chloramphenicol, and ceftriaxone.
  • Serotyping of *Streptococcus pneumoniae* isolates.
  • Analysis of resistance patterns to identify potential clonal spread.

Main Results:

  • 27 cases of multiple drug-resistant pneumococcal infections were identified between February 1995 and October 1996.
  • High rates of resistance observed: 93% resistant to cotrimoxazole, erythromycin, and tetracycline; 59% to penicillin; 70% to chloramphenicol.
  • Common serotypes included 19F (15 strains) and 14 (6 strains).
  • Resistance to ceftriaxone was noted in 12/16 penicillin-resistant isolates.
  • Established clones of types 19F and 14 pneumococci with distinct resistance patterns were identified in South-East Queensland.

Conclusions:

  • Multiple drug-resistant pneumococcal infections, particularly with serotypes 19F and 14, were prevalent in Queensland during the study period.
  • The emergence of strains resistant to multiple antibiotics, including penicillin and ceftriaxone, highlights the need for ongoing surveillance.
  • Established clones suggest potential for wider dissemination of resistant pneumococci.

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