Title |
Invasive Serotype 35B Pneumococci Including an Expanding Serotype Switch Lineage, United States, 2015–2016 - Volume 23, Number 6—June 2017 - Emerging Infectious Diseases journal - CDC
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Published in |
Emerging Infectious Diseases, June 2017
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DOI | 10.3201/eid2306.170071 |
Pubmed ID | |
Authors |
Sopio Chochua, Benjamin J. Metcalf, Zhongya Li, Hollis Walker, Theresa Tran, Lesley McGee, Bernard Beall |
Abstract |
We used whole-genome sequencing to characterize 199 nonvaccine serotype 35B pneumococcal strains that caused invasive pneumococcal disease (IPD) in the United States during 2015-2016 and related these findings to previous serotype 35B IPD data obtained by Active Bacterial Core surveillance. Penicillin-nonsusceptible 35B IPD increased during post-pneumococcal 7-valent conjugate vaccine years (2001-2009) and increased further after implementation of pneumococcal 13-valent conjugate vaccine in 2010. This increase was caused primarily by the 35B/sequence type (ST) 558 lineage. 35B/ST558 and vaccine serotype 9V/ST156 lineages were implicated as cps35B donor and recipient, respectively, for a single capsular switch event that generated emergent 35B/ST156 progeny in 6 states during 2015-2016. Three additional capsular switch 35B variants were identified, 2 of which also involved 35B/ST558 as cps35B donor. Spread of 35B/ST156 is of concern in view of past global predominance of pathogenic ST156 vaccine serotype strains. Protection against serotype 35B should be considered in next-generation pneumococcal vaccines. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 3 | 50% |
Brazil | 1 | 17% |
Unknown | 2 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 5 | 83% |
Practitioners (doctors, other healthcare professionals) | 1 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 38 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 7 | 18% |
Researcher | 6 | 16% |
Professor > Associate Professor | 3 | 8% |
Student > Master | 3 | 8% |
Student > Doctoral Student | 2 | 5% |
Other | 4 | 11% |
Unknown | 13 | 34% |
Readers by discipline | Count | As % |
---|---|---|
Biochemistry, Genetics and Molecular Biology | 6 | 16% |
Immunology and Microbiology | 6 | 16% |
Medicine and Dentistry | 3 | 8% |
Agricultural and Biological Sciences | 2 | 5% |
Computer Science | 1 | 3% |
Other | 3 | 8% |
Unknown | 17 | 45% |