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Serotype Distribution and Antimicrobial Resistance of Invasive and Noninvasive Streptococcus pneumoniae Isolates in Korea between 2014 and 2016
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Type
Academic journal
Author
Journal
대한진단검사의학회 Annals of Laboratory Medicine Annals of Laboratory Medicine 제39권 제6호 KCI Accredited Journals
Published
2019.1
Pages
537 - 544 (8page)

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Serotype Distribution and Antimicrobial Resistance of Invasive and Noninvasive Streptococcus pneumoniae Isolates in Korea between 2014 and 2016
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Background: Several factors contribute to differences in Streptococcus pneumoniae serotype distribution. We investigated the serotype distribution and antimicrobial resistance of S. pneumoniae isolated between 2014 and 2016 in Korea. Methods: We collected a total of 1,855 S. pneumoniae isolates from 44 hospitals between May 2014 and May 2016, and analyzed the serotypes by sequential multiplex PCR. We investigated the distribution of each serotype by patient age, source of the clinical specimen, and antimicrobial resistance pattern. Results: The most common serotypes were 11A (10.1%), followed by 19A (8.8%), 3 (8.5%), 34 (8.1%), 23A (7.3%), and 35B (6.2%). The major invasive serotypes were 3 (12.6%), 19A (7.8%), 34 (7.8%), 10A (6.8%), and 11A (6.8%). Serotypes 10A, 15B, 19A, and 12F were more common in patients ≤5 years old, while serotype 3 was more seccommon in patients ≥65 years old compared with the other age groups. The coverage rates of pneumococcal conjugate vaccine (PCV)7, PCV10, PCV13, and pneumococcal polysaccharide vaccine 23 were 11.8%, 12.12%, 33.3%, and 53.6%, respectively. Of the 1,855 isolates, 857 (46.2%) were multi-drug resistant (MDR), with serotypes 11A and 19A predominant among the MDR strains. The resistance rates against penicillin, cefotaxime, and levofloxacin were 22.8%, 12.5%, and 9.4%, respectively. Conclusions: There were significant changes in the major S. pneumoniae serotypes in the community. Non-PCV13 serotypes increased in patients ≤5 years old following the introduction of national immunization programs with the 10- and 13-polyvalent vaccines.

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Kalin M / 2000 / Prospective study of prognostic factors in community-acquired bacteremic pneumococcal disease in 5 countries / J Infect Dis 182:840~847 google schola O’Brien KL / 2009 / Burden of disease caused by Streptococcus pneumoniae in children younger than 5 years : global estimates / Lancet 374:893~902 google schola Walker CLF / 2013 / Global burden of childhood pneumonia and diarrhoea / Lancet 381:1405~1416 google schola Kim SH / 2012 / Changing trends in antimicrobial resistance and serotypes of Streptococcus pneumoniae isolates in Asian countries : an Asian Network for Surveillance of Resistant Pathogens(ANSORP)study / Antimicrob Agents Chemother 56:1418~1426 google schola Konradsen HB / 2002 / Invasive pneumococcal infections in Denmark from 1995 to 1999 : epidemiology, serotypes, and resistance / Clin Diagn Lab Immunol 9:358~365 google schola

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