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10.1556/030.66.2019.039

http://scihub22266oqcxt.onion/10.1556/030.66.2019.039
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31813257!ä!31813257

suck abstract from ncbi


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pmid31813257      Acta+Microbiol+Immunol+Hung 2020 ; 67 (2): 91-99
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  • Phenotypic and genotypic characterization of serogroup 6 Streptococcus pneumoniae isolates collected during 10-valent pneumococcal conjugate vaccine era in Bulgaria #MMPMID31813257
  • Alexandrova AS; Setchanova LP; Pencheva DR; Mitov IG
  • Acta Microbiol Immunol Hung 2020[Jun]; 67 (2): 91-99 PMID31813257show ga
  • Serogroup 6 remains common in the pneumococcal-conjugated vaccine era in Bulgaria; therefore, we investigated its clonal and serotype dynamics. The antibiotic susceptibilities were assessed by broth microdilution. Strains identified as serogroup 6 with latex agglutination method were subjected to serotype-specific PCRs. Erythromycin-resistant strains were analyzed by PCR for presence of ermB and mefE genes. MLST was performed to define clonal composition of the sequence types (STs). Serogroup 6 was represented by 40 (13.3%) from 301 invasive and non-invasive Streptococcus pneumoniae isolates. Molecular serotyping revealed new emerging serotype 6C (6.6%), not detected in pre-vaccine era. Among unvaccinated patients, mostly we observed serotypes 6capital A, Cyrillic (57.1%) and 6capital VE, Cyrillic (28.6%). Serotype 6C was distinctive for vaccinated children (64%), followed by 6A (24%). Penicillin and ceftriaxone non-susceptible serogroup 6 strains were 65% and 5%, respectively; erythromycin- and clindamycin-resistant were 70.0% and 52.5%, respectively. Multidrug-resistant strains were 57.5%. Prevalent genetic determinant for macrolide resistance was ermB gene (75%). MLST revealed 17 STs into 5 clonal complexes and 7 singletons. Predominant genetic lineage was CC386, represented by MDR-6C non-invasive strains. Serotype 6B, principally responsible for invasive diseases in the pre-vaccine era, retreated this position to serotype 6A.
  • |*Streptococcus pneumoniae/drug effects/genetics/isolation & purification[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Anti-Bacterial Agents/therapeutic use[MESH]
  • |Bulgaria[MESH]
  • |Ceftriaxone/therapeutic use[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Clindamycin/therapeutic use[MESH]
  • |Drug Resistance, Multiple, Bacterial/genetics[MESH]
  • |Erythromycin/therapeutic use[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Infant, Newborn[MESH]
  • |Methyltransferases/genetics[MESH]
  • |Microbial Sensitivity Tests[MESH]
  • |Middle Aged[MESH]
  • |Multilocus Sequence Typing[MESH]
  • |Penicillins/therapeutic use[MESH]
  • |Pneumococcal Vaccines/*therapeutic use[MESH]
  • |Pneumonia, Pneumococcal/*drug therapy/*prevention & control[MESH]
  • |Serotyping[MESH]


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