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Serotypes 1, 7F and 19A became the leading causes of pediatric invasive pneumococcal infections in Portugal after 7 years of heptavalent conjugate vaccine use

dc.contributor.authorAguiara, Sandra I.
dc.contributor.authorBrito, Maria J.
dc.contributor.authorGonçalo-Marques, José
dc.contributor.authorCristino, José Melo
dc.contributor.authorRamirez, Mário
dc.date.accessioned2012-02-22T12:30:59Z
dc.date.available2012-02-22T12:30:59Z
dc.date.issued2010-07-19
dc.description© 2010 Elsevier Ltd. All rights reserved.por
dc.description.abstractWe characterized 353 isolates responsible for pediatric invasive pneumococcal infections (IPD) in Portugal between 2006 and 2008. Serotypes included in the seven-valent conjugate vaccine (PCV7) accounted for 17% of IPD. Serotypes 1, 7F and 19A were the most frequent causes of IPD and the later consolidated as the most frequent serotype among erythromycin and penicillin non-susceptible isolates. Serotype 1 was associated with older children and empyemas, while serotype 19A was associated with IPD in younger (<2 years) children. The higher valency vaccines PCV10 and PCV13 have a potentially superior coverage, 55% and 83% respectively, but non-vaccine serotypes are emerging as important causes of IPD. A decline of resistance with patient age was noted. Comparing with previous data from Portugal, this study showed a continued decline of PCV7 serotypes and that overall resistance has stabilized following the initial decline of the first post-PCV7 years.eng
dc.description.sponsorshipS.I. Aguiar was supported by grant SFRH/BD/27518/2006 from Fundac¸ ão para a Ciência e Tecnologia, Portugal. This work was partially supported by Fundac¸ ão para a Ciência e Tecnologia, Portugal (PTDC/SAU-ESA/64888/2006 and PIC/IC/83065/2007), Fundac¸ ão Calouste Gulbenkian and the European Union (CAREPNEUMO – Combating antibiotic resistance pneumococci by novel strategies based on in vivo and in vitro host–pathogen interactions, FP7-HEALTH-2007-223111) and unrestricted research grants from Pfizer and Glaxo SmithKline.por
dc.identifier.citationVaccine 28 (2010) 5167–5173por
dc.identifier.issn0264-410X
dc.identifier.urihttp://hdl.handle.net/10451/5360
dc.identifier.urihttp://dx.doi.org/10.1016/j.vaccine.2010.06.008
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherElsevierpor
dc.subjectStreptococcus pneumoniaepor
dc.subjectConjugate vaccinespor
dc.subjectAntimicrobial resistancepor
dc.subjectPediatricspor
dc.titleSerotypes 1, 7F and 19A became the leading causes of pediatric invasive pneumococcal infections in Portugal after 7 years of heptavalent conjugate vaccine usepor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage5173por
oaire.citation.issueVolume 28, Issue 32por
oaire.citation.startPage5167por
oaire.citation.titleVaccinepor
person.familyNameMelo Cristino
person.givenNameJosé
person.identifier.ciencia-id871E-6AD6-F37C
person.identifier.orcid0000-0001-8643-1722
person.identifier.ridH-3726-2013
person.identifier.scopus-author-id7004053640
rcaap.rightsrestrictedAccesspor
rcaap.typearticlepor
relation.isAuthorOfPublicationacefbfd7-46d0-4429-80b1-ad159fe4ca95
relation.isAuthorOfPublication.latestForDiscoveryacefbfd7-46d0-4429-80b1-ad159fe4ca95

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