Genetic diversity of Streptococcus pneumoniae causing meningitis and sepsis in Singapore during the first year of PCV7 implementation
Author(s)
Jauneikaite, Elita
Jefferies, Johanna Mary Carnon
Churton, Nicholas William Vere
Lin, Raymond Tzer Pin
Hibberd, Martin Lloyd
Type
Journal Article
Abstract
Streptococcus pneumoniae is a major cause of sepsis, meningitis and respiratory disease worldwide. Pneumococcal conjugate vaccines (PCVs) have now been implemented in many countries worldwide, including Singapore. To evaluate the effectiveness of these vaccines, pneumococcal surveillance studies are required. Detailed and unified pneumococcal epidemiology data are currently scarce in South East Asia. Thus, we present data on invasive pneumococcal (IPD) isolates from Singapore that could assist in evaluating the effectiveness of pneumococcal vaccine in Singapore. One hundred and fifty-nine invasive pneumococcal disease isolates were received by the National Public Health Laboratory in Singapore between June 2009 and August 2010. Isolates were characterized using serotyping and multilocus sequence typing. Twenty-four different serotypes were found, the most common of which were 19A, 3, 7F, 23F, 6B, 14, 8 and 19F (in rank order). One hundred and two sequence types were observed, of which 38 were novel due to new alleles or new combinations of already existing alleles. Based on the Simpson’s Index of Diversity, serotypes 3, 6B and 19A were the most genetically diverse. Novel sequence types were more prevalent among conjugate vaccine serotypes 3, 19F and 23F and non-conjugate vaccine serotype 8, serogroup 15 and in non-typable isolates. We have demonstrated considerable genetic diversity among invasive pneumococci before and during the widespread use of conjugate vaccines in Singapore. Approximately half of all novel IPD clones identified in this study were non-conjugate vaccine serotypes. Although PCVs would target the most common serotypes, the high genetic diversity in non-vaccine serotypes would require further surveillance studies.
Date Issued
2019-01-25
Date Acceptance
2015-11-02
Citation
Emerging Microbes and Infections, 2019, 3 (1), pp.1-7
ISSN
2222-1751
Publisher
Nature Publishing Group
Start Page
1
End Page
7
Journal / Book Title
Emerging Microbes and Infections
Volume
3
Issue
1
Copyright Statement
© 2014 The Author(s)
This work is licensed under the Creative Commons Attribution-NonCommercial-No Derivative Works 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/3.0/
This work is licensed under the Creative Commons Attribution-NonCommercial-No Derivative Works 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/3.0/
License URL
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000339238300001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Immunology
Microbiology
capsular type
invasive pneumococcal disease
multilocus sequence typing
Singapore
Streptococcus pneumoniae
vaccine
INVASIVE PNEUMOCOCCAL DISEASE
SEROTYPE 19A
CONJUGATE VACCINE
EPIDEMIOLOGY
PREVALENCE
CHILDREN
CLONES
ERA
Publication Status
Published
Article Number
ARTN e39
Date Publish Online
2019-01-25