Document Detail


Increased penicillin nonsusceptibility of nonvaccine-serotype invasive pneumococci other than serotypes 19A and 6A in post-7-valent conjugate vaccine era.
MedLine Citation:
PMID:  20178139     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
According to population-based invasive pneumococcal surveillance in the United States during 2007, 898 (26%) of 3,511 isolates were penicillin nonsusceptible. Non-7-valent pneumococcal conjugate vaccine (PCV7) serotypes other than 19A accounted for 40% of these penicillin-nonsusceptible isolates; of these, serotypes 15A (11%), 23A (8%), 35B (8%), and 6C (5%) were most common (cumulatively 32% of penicillin-nonsusceptible isolates). Each except 6C represented a single serotype and clonal complex combination that predated the introduction of PCV7. We evaluated the genetic characteristics and nonsusceptibility to penicillin of non- PCV7 serotypes, and we found increased proportions of specific penicillin-nonsusceptible clones in serotypes 15A, 23A, 35B, and 6C, which potentially indicates a basic change of population structure within these individual serotypes.
Authors:
Robert E Gertz; Zhongya Li; Fabiana C Pimenta; Delois Jackson; Billie A Juni; Ruth Lynfield; James H Jorgensen; Maria da Gloria Carvalho; Bernard W Beall;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of infectious diseases     Volume:  201     ISSN:  1537-6613     ISO Abbreviation:  J. Infect. Dis.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-22     Completed Date:  2010-03-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0413675     Medline TA:  J Infect Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  770-5     Citation Subset:  AIM; IM    
Affiliation:
Respiratory Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / pharmacology*
Bacterial Typing Techniques
Child
Child, Preschool
Cluster Analysis
DNA Fingerprinting
Female
Genotype
Humans
Infant
Infant, Newborn
Male
Penicillin Resistance*
Penicillins / pharmacology*
Pneumococcal Infections / microbiology*
Pneumococcal Vaccines / immunology*
Prevalence
Sequence Analysis, DNA
Serotyping
Streptococcus pneumoniae / classification*,  drug effects*,  isolation & purification
United States / epidemiology
Grant Support
ID/Acronym/Agency:
//Wellcome Trust
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Penicillins; 0/Pneumococcal Vaccines; 0/heptavalent pneumococcal conjugate vaccine
Investigator
Investigator/Affiliation:
Gretchen Rothrock / ; Pam Daily / ; Susan Brooks / ; Joelle Nadle / ; Mirasol Apostol / ; Susan Petit / ; M Zachariah Fraser / ; Nancy Barrett / ; Paul Malpiedi / ; Wendy Baughman / ; Kathryn E Arnold / ; Kim D Holmes / ; Elisabeth A Vaeth / ; Catherine Lexau / ; Lindsey Lesher / ; Lori Triden / ; Bridget Anderson / ; Shelley Zansky / ; Glenda Smith / ; Christine Long / ; Mark Schmidt / ; Karen Stefonek / ; Brenda Barnes / ; Terry McMinn / ; Chris Van Beneden / ; Tami H Skoff / ; Carolyn Wright /

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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