Genetic structures of invasive Streptococcus pneumoniae isolates from Korean children obtained between 1995 and 2013

Autor: Yun Kyung Kim, Kyung Hyo Kim, Ki Wook Yun, Hye Kyung Cho, Eun Young Cho, Chun Soo Kim, Taekjin Lee, Hwang Min Kim, Chi Eun Oh, Su Eun Park, Yae Jean Kim, Eun Hwa Choi, Jina Lee, Young Jin Hong, Sung Hee Oh, Jin Han Kang, Hyunju Lee, Dong Soo Kim, Young Youn Choi, Byung Wook Eun, Dae Sun Jo, Nam Hee Kim, Hoan Jong Lee, Kwang Nam Kim
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: BMC Infectious Diseases, Vol 18, Iss 1, Pp 1-11 (2018)
ISSN: 1471-2334
DOI: 10.1186/s12879-018-3177-7
Popis: Background Understanding the population genetics of pneumococci will allow detection of changes in the prevalence of circulating genotypes and evidence for capsular switching. We aimed to analyze the genetic structure of invasive pneumococcal isolates obtained from children before and after the use of pneumococcal conjugate vaccines (PCVs) in Korea. Methods A total of 285 invasive pneumococcal isolates were analyzed using serotyping, multilocus sequence typing, and antimicrobial susceptibility testing. We classified the isolation year to pre-PCV7 (1995–2003; n = 70), post-PCV7 (2004–2010; n = 142), and post-PCV13 (2011–2013; n = 73) periods. Results Of the 10 clonal complexes (CCs), antibiotic-resistant international clones, CC320 (31.6%), CC81 (14.7%), and CC166 (6.7%) were the main complexes. Serotype 19A was the main serotype of CC320 throughout the periods. Serotypes of CC81 mainly comprised of 23F (53.3%) in pre-PCV7 period and replaced by non-vaccine types (NVTs; 6C [10%], 13 [30%], 15A [40%], and 15B/C [20%]) in post-PCV13 period. The main serotype responsible for CC166 also changed from 9 V (80%) in pre-PCV7 to NVT 11A (50%) in post-PCV13 periods. Non-susceptibility to penicillin (42.3%) was the highest in CC320, increasing from 0 to 76%. Conclusion The genetic structures of invasive pneumococcal isolates in Korean children have changed concomitantly with serotype after the implementation of PCVs.
Databáze: OpenAIRE