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Non-invasive Pneumococcal pneumonia in Portugal : serotype distribution and antimicrobial resistance

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Resumo:There is limited information on the serotypes causing non-invasive pneumococcal pneumonia (NIPP). Our aim was to characterize pneumococci causing NIPP in adults to determine recent changes in serotype prevalence, the potential coverage of pneumococcal vaccines and changes in antimicrobial resistance. Serotypes and antimicrobial susceptibility profiles of a sample of 1300 isolates recovered from adult patients (≥18 yrs) between 1999 and 2011 (13 years) were determined. Serotype 3 was the most frequent cause of NIPP accounting for 18% of the isolates. The other most common serotypes were 11A (7%), 19F (7%), 19A (5%), 14 (4%), 22F (4%), 23F (4%) and 9N (4%). Between 1999 and 2011, there were significant changes in the proportion of isolates expressing vaccine serotypes, with a steady decline of the serotypes included in the 7-valent conjugate vaccine from 31% (1999-2003) to 11% (2011) (P<0.001). Taking together the most recent study years (2009-2011), the potential coverage of the 13-valent conjugate vaccine was 44% and of the 23-valent polysaccharide vaccine was 66%. While erythromycin resistance increased from 8% in 1999-2003 to 18% in 2011 (P<0.001), no significant trend was identified for penicillin non-susceptibility, which had an average value of 18.5%. The serotype distribution found in this study for NIPP was very different from the one previously described for IPD, with only two serotypes in common to the ones responsible for half of each presentation in 2009-2011 - serotypes 3 and 19A. In spite of these differences, the overall prevalence of resistant isolates was similar in NIPP and in IPD.
Autores principais:Horácio, Andreia
Outros Autores:Lopes, Joana P.; Ramirez, Mário; Melo Cristino, José
Ano:2014
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade de Lisboa
Idioma:inglês
Origem:Repositório da Universidade de Lisboa
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author Horácio, Andreia
author2 Lopes, Joana P.
Ramirez, Mário
Melo Cristino, José
author2_role author
author
author
author_facet Horácio, Andreia
Lopes, Joana P.
Ramirez, Mário
Melo Cristino, José
author_role author
contributor_name_str_mv Repositório Científico de Acesso Aberto da ULisboa
country_str PT
creators_json_txt [{\"Person.name\":\"Horácio, Andreia\"},{\"Person.name\":\"Lopes, Joana P.\"},{\"Person.name\":\"Ramirez, Mário\",\"Person.identifier.orcid\":\"0000-0002-4084-6233\"},{\"Person.name\":\"Melo Cristino, José\",\"Person.identifier.orcid\":\"0000-0001-8643-1722\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
datacite.creators.creator.creatorName.fl_str_mv Horácio, Andreia
Lopes, Joana P.
Ramirez, Mário
Melo Cristino, José
datacite.date.Accepted.fl_str_mv 2014-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2021-07-22T15:09:55Z
datacite.date.embargoed.fl_str_mv 2021-07-22T15:09:55Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.titles.title.fl_str_mv Non-invasive Pneumococcal pneumonia in Portugal : serotype distribution and antimicrobial resistance
dc.contributor.none.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
dc.creator.none.fl_str_mv Horácio, Andreia
Lopes, Joana P.
Ramirez, Mário
Melo Cristino, José
dc.date.Accepted.fl_str_mv 2014-01-01T00:00:00Z
dc.date.available.fl_str_mv 2021-07-22T15:09:55Z
dc.date.embargoed.fl_str_mv 2021-07-22T15:09:55Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10451/49060
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Frontiers
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.title.fl_str_mv Non-invasive Pneumococcal pneumonia in Portugal : serotype distribution and antimicrobial resistance
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description There is limited information on the serotypes causing non-invasive pneumococcal pneumonia (NIPP). Our aim was to characterize pneumococci causing NIPP in adults to determine recent changes in serotype prevalence, the potential coverage of pneumococcal vaccines and changes in antimicrobial resistance. Serotypes and antimicrobial susceptibility profiles of a sample of 1300 isolates recovered from adult patients (≥18 yrs) between 1999 and 2011 (13 years) were determined. Serotype 3 was the most frequent cause of NIPP accounting for 18% of the isolates. The other most common serotypes were 11A (7%), 19F (7%), 19A (5%), 14 (4%), 22F (4%), 23F (4%) and 9N (4%). Between 1999 and 2011, there were significant changes in the proportion of isolates expressing vaccine serotypes, with a steady decline of the serotypes included in the 7-valent conjugate vaccine from 31% (1999-2003) to 11% (2011) (P<0.001). Taking together the most recent study years (2009-2011), the potential coverage of the 13-valent conjugate vaccine was 44% and of the 23-valent polysaccharide vaccine was 66%. While erythromycin resistance increased from 8% in 1999-2003 to 18% in 2011 (P<0.001), no significant trend was identified for penicillin non-susceptibility, which had an average value of 18.5%. The serotype distribution found in this study for NIPP was very different from the one previously described for IPD, with only two serotypes in common to the ones responsible for half of each presentation in 2009-2011 - serotypes 3 and 19A. In spite of these differences, the overall prevalence of resistant isolates was similar in NIPP and in IPD.
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funding.funder.identifier_str_mv http://doi.org/10.13039/501100001871
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funding.funder.name_str_mv Fundação para a Ciência e a Tecnologia
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person_str_mv Horácio, Andreia
Lopes, Joana P.
Ramirez, Mário
Ramirez, Mário
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Melo Cristino, José
Melo Cristino, José
https://www.ciencia-id.pt/871E-6AD6-F37C
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publishDate 2014
publisher.none.fl_str_mv Frontiers
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spelling engFrontierspt_PTThere is limited information on the serotypes causing non-invasive pneumococcal pneumonia (NIPP). Our aim was to characterize pneumococci causing NIPP in adults to determine recent changes in serotype prevalence, the potential coverage of pneumococcal vaccines and changes in antimicrobial resistance. Serotypes and antimicrobial susceptibility profiles of a sample of 1300 isolates recovered from adult patients (≥18 yrs) between 1999 and 2011 (13 years) were determined. Serotype 3 was the most frequent cause of NIPP accounting for 18% of the isolates. The other most common serotypes were 11A (7%), 19F (7%), 19A (5%), 14 (4%), 22F (4%), 23F (4%) and 9N (4%). Between 1999 and 2011, there were significant changes in the proportion of isolates expressing vaccine serotypes, with a steady decline of the serotypes included in the 7-valent conjugate vaccine from 31% (1999-2003) to 11% (2011) (P<0.001). Taking together the most recent study years (2009-2011), the potential coverage of the 13-valent conjugate vaccine was 44% and of the 23-valent polysaccharide vaccine was 66%. While erythromycin resistance increased from 8% in 1999-2003 to 18% in 2011 (P<0.001), no significant trend was identified for penicillin non-susceptibility, which had an average value of 18.5%. The serotype distribution found in this study for NIPP was very different from the one previously described for IPD, with only two serotypes in common to the ones responsible for half of each presentation in 2009-2011 - serotypes 3 and 19A. In spite of these differences, the overall prevalence of resistant isolates was similar in NIPP and in IPD.application/pdfpt_PTNon-invasive Pneumococcal pneumonia in Portugal : serotype distribution and antimicrobial resistanceHorácio, AndreiaLopes, Joana P.PersonalRamirez, MárioDSpacehttp://dspace.org/items/4fd54543-2f86-41cd-aafa-bc6e6501471dDSpacehttp://dspace.org/items/4fd54543-2f86-41cd-aafa-bc6e6501471dRamos de Almeida RamirezMário NunoCiência IDhttps://www.ciencia-id.pt9C1C-F2A2-4226ORCIDhttp://orcid.org0000-0002-4084-6233Scopus Author IDhttps://www.scopus.com7201568476PersonalMelo Cristino, JoséDSpacehttp://dspace.org/items/acefbfd7-46d0-4429-80b1-ad159fe4ca95DSpacehttp://dspace.org/items/acefbfd7-46d0-4429-80b1-ad159fe4ca95Melo CristinoJoséCiência IDhttps://www.ciencia-id.pt871E-6AD6-F37CORCIDhttp://orcid.org0000-0001-8643-1722Researcher IDhttps://www.researcherid.comH-3726-2013Scopus Author IDhttps://www.scopus.com7004053640HostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptISSNIsPartOf1932-6203DOIIsPartOf10.1371/journal.pone.01030922021-07-22T15:09:55Z20142014-01-01T00:00:00ZHandlehttp://hdl.handle.net/10451/49060http://purl.org/coar/access_right/c_abf2open access762232 bytesFundação para a Ciência e a TecnologiaCHANGING PNEUMOCOCCAL POPULATION IN ADULTS AS A CONSEQUENCE OF DIFFERENT VACCINATION STRATEGIESOECrossref Funder IDhttp://doi.org/10.13039/501100001871Fundação para a Ciência e a TecnologiaBesieged by conjugate vaccination: changes in the pneumococcal population and their genomic consequences3599-PPCDTCrossref Funder IDhttp://doi.org/10.13039/501100001871literaturehttp://purl.org/coar/resource_type/c_6501journal article2014http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/460eb204-7402-4aaf-bc8d-447adee675a2/downloadPLoS ONE97
spellingShingle Non-invasive Pneumococcal pneumonia in Portugal : serotype distribution and antimicrobial resistance
Horácio, Andreia
status SINGLETON
title Non-invasive Pneumococcal pneumonia in Portugal : serotype distribution and antimicrobial resistance
title_full Non-invasive Pneumococcal pneumonia in Portugal : serotype distribution and antimicrobial resistance
title_fullStr Non-invasive Pneumococcal pneumonia in Portugal : serotype distribution and antimicrobial resistance
title_full_unstemmed Non-invasive Pneumococcal pneumonia in Portugal : serotype distribution and antimicrobial resistance
title_short Non-invasive Pneumococcal pneumonia in Portugal : serotype distribution and antimicrobial resistance
title_sort Non-invasive Pneumococcal pneumonia in Portugal : serotype distribution and antimicrobial resistance
url http://hdl.handle.net/10451/49060
visible 1