Surveillance of Invasive Streptococcus pneumoniae Infection in the Province of Quebec, Canada, from 1996 to 1998: Serotype Distribution, Antimicrobial Susceptibility, and Clinical Characteristics

Author:

Jetté L. P.1,Delage G.1,Ringuette L.1,Allard R.2,De Wals P.3,Lamothe F.4,Loo V.5,

Affiliation:

1. Institut National de Santé Publique du Québec-Laboratoire de Santé Publique du Québec, Sainte-Anne-de-Bellevue, Quebec H9X 3R5,1

2. Unité de Maladies Infectieuses, Régie Régionale de la Santé et des Services Sociaux de Montréal-Centre, Montreal, Quebec H2L 1M3,2

3. Faculté de Médecine, Université de Sherbrooke, Sherbrooke, Quebec J1H 5N4,3

4. Centre Hospitalier Universitaire de Montréal, L'Hôpital Saint-Luc, Montreal, Quebec H2X 3J4,4 and

5. McGill University Health Centre, Royal Victoria Hospital, Montreal, Quebec H3A 1A1,5 Canada

Abstract

ABSTRACT In the province of Quebec, Canada, from 1996 to 1998, 3,650 invasive Streptococcus pneumoniae infections were reported. A total of 1,354 isolates were serotyped and tested for antimicrobial susceptibility. The distribution of serotypes remained stable over the 3 years, with serotypes 14, 6B, 4, 9V, 23F, and 19F accounting for 61% of the isolates. Overall, 90% of isolates were included in the current 23-valent vaccine and 67% were included in the 7-valent conjugate vaccine. We were able to determine that resistance to penicillin and to other antibiotics is increasing.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

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