Acta Microbiologica et Immunologica Hungarica
Volume/Issue:
Volume 58: Issue 3
A marked shift in the serotypes of pneumococci isolated from healthy children in Szeged, Hungary, over a 6-year period
Authors: Adrienn Tóthpál 1 , Anita Ordas 2 , Edit Hajdú, Szilvia Kardos 1 , Erzsébet Nagy 2 , K. Nagy 1 , and Orsolya Dobay 1
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  • 1 Semmelweis University Institute of Medical Microbiology Nagyvárad tér 4 H-1089 Budapest Hungary
  • 2 University of Szeged Department of Clinical Microbiology, Faculty of Medicine Semmelweis u. 6 H-6725 Szeged Hungary
  • 3 University of Szeged Infectious Disease Ward, Department of 1st Internal Medicine Kálvária sugárút 57 H-6725 Szeged Hungary
DOI:
https://doi.org/10.1556/amicr.58.2011.3.8
Page Count:
239–246
Publication Date:
01 Sep 2011
Online Publication Date:
08 Oct 2011
Article Category:
Research Article
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Streptococcus pneumoniae is an important pathogen with significant morbidity and mortality rates worldwide, especially among children <5 years. Healthy carriers are the most important sources of pneumococcal infections, and the nasopharyngeal colonisation is the most prevalent among children attending communities such as day-care centres (DCCs). The conjugate pneumococcal vaccines (PCVs) were shown to have an impact on the colonisation, and so play an important role in inhibiting infections. In this study we compared the nasal carriage of healthy children attending DCCs in Szeged, Hungary in 2003/2004, when nobody was vaccinated, and in 2010, when already 1/5 of the children received PCV-7. Significant differences were observed in the serotype distribution, representing a marked shift from the previously widespread vaccine-types (mostly 6A or 14) to others (11A and 23F). The new serotypes showed higher antibiotic susceptibility. The bacterium exchange between children was clear from the pulsed-field gel electrophoresis (PFGE) patterns, and the circulation of certain international clones plays also a role in these dynamic changes.

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Cover Acta Microbiologica et Immunologica Hungarica
Acta Microbiologica et Immunologica Hungarica A Quarterly of the Hungarian Academy of Sciences
Print ISSN:
1217-8950
Online ISSN:
1588-2640
Keywords:
pneumococcus; carriage; serotypes; vaccines

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