Molecular Epidemiology of Streptococcus pneumoniae Causing Invasive Disease in 5 Countries

A multicenter study was done during 1993–1995 to investigate prospectively the influence of several prognostic factors for predicting the risk of death among patients with pneumococcal bacteremia. Five centers located in Canada, the United Kingdom, Spain, Sweden, and the United States participated....

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Veröffentlicht in:The Journal of infectious diseases 2000-09, Vol.182 (3), p.833-839
Hauptverfasser: Henriques, Birgitta, Kalin, Mats, Örtqvist, Åke, Liljequist, Barbro Olsson, Almela, Manuel, Marrie, Tom J., Mufson, Maurice A., Torres, Antonio, Woodhead, Mark A., Svenson, Stefan B., Källenius, Gunilla
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container_issue 3
container_start_page 833
container_title The Journal of infectious diseases
container_volume 182
creator Henriques, Birgitta
Kalin, Mats
Örtqvist, Åke
Liljequist, Barbro Olsson
Almela, Manuel
Marrie, Tom J.
Mufson, Maurice A.
Torres, Antonio
Woodhead, Mark A.
Svenson, Stefan B.
Källenius, Gunilla
description A multicenter study was done during 1993–1995 to investigate prospectively the influence of several prognostic factors for predicting the risk of death among patients with pneumococcal bacteremia. Five centers located in Canada, the United Kingdom, Spain, Sweden, and the United States participated. Clinical parameters were correlated to antibiotic susceptibility and serotyping of the 354 invasive pneumococcal isolates collected and to molecular typing of 173 isolates belonging to the 5 most common serotypes (14, 9V, 23F, 3, and 7F). Serotype 14 was the most common among all isolates, but serotype 3 dominated in fatal cases and in isolates from Spain and the United States, the countries with the highest case-fatality rates. Fewer different patterns were found among the type 3 isolates, which suggests a closer clonal relationship than that among isolates belonging to other serotypes. Of type 3 isolates from fatal cases, 1 clone predominated. Other penicillin-susceptible invasive clones were also shown to spread in and between countries.
doi_str_mv 10.1086/315761
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source MEDLINE; Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current)
subjects Adult
Animals
Antibiotics
Bacteremia
Bacterial diseases
Bacteriology
Biological and medical sciences
Canada - epidemiology
Disease risk
Drug Resistance, Microbial
Epidemiology
Fundamental and applied biological sciences. Psychology
Humans
Major Articles
Mice
Microbiology
Mortality
Penicillin
Pneumococcal Infections - epidemiology
Pneumococcal meningitis
Pneumococcal pneumonia
Prognosis
Prospective Studies
Serotyping
Spain - epidemiology
Streptococcus pneumoniae
Streptococcus pneumoniae - classification
Sweden - epidemiology
United Kingdom - epidemiology
United States - epidemiology
title Molecular Epidemiology of Streptococcus pneumoniae Causing Invasive Disease in 5 Countries
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