Serotype distribution and antimicrobial resistance of invasive Streptococcus pneumoniae isolates among Croatian adults during a fifteenyear period (2005-2019)

Autor: Iva Butić, Marija Gužvinec, Marko Jelić, Irena Groš, Sandra Lucić, Mile Bošnjak, Arjana Tambić Andrašević
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Croatian Medical Journal
Volume 63
Issue 2
ISSN: 1332-8166
0353-9504
Popis: Aim To assess serotype distribution, antibiotic resistance, and vaccine coverage against Streptococcus pneumoniae causing invasive infections in Croatian adults from 2005 to 2019. Methods In this retrospective study, invasive pneumococ - cal strains were collected through a microbiological lab - oratory network with country coverage >95%. Capsular typing was performed with the Quellung reaction. In vitro susceptibility testing was carried out according to the Eu - ropean Committee on Antimicrobial Susceptibility Twating guidelines. In macrolide-resistant isolates, the presence of ermB and mefA genes was evaluated. Results During the fifteen-year study period, 1123 inva - sive pneumococcal isolates were obtained. The most prev - alent serotypes were 3, 14, 19A, 9V, 7F, and 23F, comprising 60% of all invasive pneumococcal isolates. Serotype 3 was the dominant serotype, with the highest prevalence in pa - tients ≥65 years of age. Penicillin susceptibility, increased exposure was 18.6%, mostly associated with serotypes 14 and 19A. Resistance to penicillin was low (
Databáze: OpenAIRE