Streptococcus pneumoniae Serotypes Associated with Death, South Africa, 2012–2018

Autor: Annelies Müller, Jackie Kleynhans, Linda de Gouveia, Susan Meiring, Cheryl Cohen, Lucy Jane Hathaway, Anne von Gottberg
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Emerging Infectious Diseases, Vol 28, Iss 1, Pp 166-179 (2022)
Druh dokumentu: article
ISSN: 1080-6040
1080-6059
DOI: 10.3201/eid2801.210956
Popis: The Streptococcus pneumoniae polysaccharide capsule plays a role in disease severity. We assessed the association of serotype with case-fatality ratio (CFR) in invasive pneumococcal disease (IPD) and meningitis in South Africa, 2012–2018 (vaccine era), using multivariable logistic regression by manual backward elimination. The most common serotypes causing IPD were 8 and 19A. In patients 15 years of age, serotype 15B/C was associated with increased CFR. Among meningitis patients of all ages, serotype 1 was associated with increased CFR. PCV13 serotypes 1, 3, 6A, 19A, and 19F should be monitored, and serotypes 8, 12F, 15A, and 15B/C should be considered for inclusion in vaccines to reduce deaths caused by S. pneumoniae.
Databáze: Directory of Open Access Journals