학술논문
Serotype distribution of Streptococcus pneumoniae and pneumococcal vaccine coverage in adults in Turkey between 2015 and 2018
Document Type
article
Author
Gulsen Hascelik; Guner Soyletir; Zeynep Gulay; Banu Sancak; Akgun Yaman; Nezahat Gurler; Sabire Sohret Aydemir; Gulcin Bayramoglu; Faruk Aydin; Yesim Cekin; Asuman Birinci; Cuneyt Ozakin; Nezahat Akpolat; Betil Ozhak Baysan; Meral Gultekin; Yasemin Zer; Laser Sanal; Cigdem Arabaci; Yasemin Ay Altintop; Candan Ozturk; Mehmet Ceyhan
Source
Annals of Medicine, Vol 55, Iss 1, Pp 266-275 (2023)
Subject
Language
English
ISSN
07853890
1365-2060
0785-3890
1365-2060
0785-3890
Abstract
AbstractObjective To evaluate the serotype distribution and antibiotic resistance in pneumococcal infections in adults and to provide a perspective regarding serotype coverage of both current and future pneumococcal vaccines.Patients and methods This passive surveillance study was conducted with the Streptococcus pneumoniae strains isolated from the specimens of patients with pneumonia (materials isolated from bronchoalveolar lavage), bacteraemia, meningitis, pleuritis and peritonitis between 2015 and 2018. Serogrouping and serotyping were performed by latex particle agglutination and by conventional Quellung reaction using commercial type-specific antisera, respectively. The strains were analysed for penicillin, cefotaxime, erythromycin and moxifloxacin susceptibilities by E-test.Results In the whole study group (410 samples from adults aged ≥18 years), the most frequent serotypes were 3 (14.1%), 19 F (12%) and 1 (9.3%). The vaccine coverage for PCV13, PCV15, PCV20 and PPV23 was 63.9%, 66.6%, 74.1% and 75.9%, respectively, in all isolates. Penicillin non-susceptibility in invasive pneumococcal disease (IPD) was 70.8% and 57.1% in the patients aged