Serotype distribution and antimicrobial resistance of streptococcus pneumoniae in children with acute bacterial meningitis in Mozambique: implications for a national immunization strategy

Bibliographic Details
Main Author: Nhantumbo, Aquino Albino
Publication Date: 2016
Other Authors: Gudo, Eduardo Samo, Caierão, Juliana, Munguambe, Alcides Moniz, Comé, Charlotte Elizabeth, Zimba, Tomás Francisco, Moraes, Milton Ozório, Dias, Cícero Armídio Gomes, Cantarelli, Vlademir Vicente
Format: Article
Language: eng
Source: Repositório Institucional da FIOCRUZ (ARCA)
DOI: 10.1186/s12866-016-0747-y
Download full: https://arca.fiocruz.br/handle/icict/18099
Summary: Produção científica do Laboratório de Hanseníase.
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spelling Nhantumbo, Aquino AlbinoGudo, Eduardo SamoCaierão, JulianaMunguambe, Alcides MonizComé, Charlotte ElizabethZimba, Tomás FranciscoMoraes, Milton OzórioDias, Cícero Armídio GomesCantarelli, Vlademir Vicente2017-03-21T14:47:09Z2017-03-21T14:47:09Z2016NHANTUMBO, Aquino Albino et al. Serotype distribution and antimicrobial resistance of streptococcus pneumoniae in children with acute bacterial meningitis in Mozambique: implications for a national immunization strategy. BMC Microbiology, v. 16, n. 134, p. 1-9, 29 June 2016.1471-2180https://arca.fiocruz.br/handle/icict/1809910.1186/s12866-016-0747-y1471-2180Produção científica do Laboratório de Hanseníase.Ministério da Saúde. Instituto Nacional de Saúde. Laboratório Nacional de Referência de Microbiologia. Maputo, Mozambique / Instituto Nacional de Saúde. Laboratório Nacional de Referência de Microbiologia. Maputo, Mozambique.Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.Universidade Federal de Ciências de Saúde de Porto Alegre. Porto Alegre, RS, Brasil.Ministério da Saúde. Instituto Nacional de Saúde. Laboratório Nacional de Referência de Microbiologia. Maputo, Mozambique.Ministério da Saúde. Instituto Nacional de Saúde. Laboratório Nacional de Referência de Microbiologia. Maputo, Mozambique.Hospital Central de Maputo. Departamento de Medicina. Maputo, Mozambique.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ, Brasil.Universidade Federal de Ciências de Saúde de Porto Alegre. Porto Alegre, RS, Brasil.Universidade Feevale. Novo Hamburgo, RS, Brasil / Universidade Federal de Ciências de Saúde de Porto Alegre. Porto Alegre, RS, Brasil.Background: S. pneumoniae is the leading cause of acute bacterial meningitis (ABM) in children. Vaccination using the 10-valent conjugate vaccine (PCV-10) was recently introduced into the National Immunization Program in Mozambique, but data on serotype coverage of this vaccine formulation are scarce. In this study, we investigated the serotype distribution and antimicrobial resistance of isolates of S. pneumoniae causing ABM in children < 5 years at the two largest hospitals in Mozambique. Methods: Between March 2013 and March 2014, a total of 352 cerebrospinal fluid (CSF) samples were collected from eligible children, of which 119 (33.8 %) were positive for S. pneumoniae. Of these, only 50 samples met the criteria for serotyping and were subsequently serotyped using sequential multiplex PCR (SM-PCR), but 15 samples were non-typable. Results: The most common serotypes of S. pneumoniae were 1 (18.2 %), 5 (15.2 %), 14 (12.1 %), 9 V (12.1 %), 23 F (9.1 %), 6A (9.1 %), 4 (9.1 %) and 6B (6.1 %). Serotypes 1, 5, 9 V, 6A and 12 were mostly prevalent in Northern Mozambique, while serotypes 23 F, 4, 6B, 3 and 15B were predominant in Southern. Serotype coverage of PCV-10 and PCV-13 vaccine formulations were 81.8 % and 93.9 %, respectively. Serotypes 1, 3, 4, 6B, 14, 23 F were resistant to penicillin and sensitive to ceftriaxone. Conclusions: Our findings shows that changing the current in use PCV-10 vaccine formulation to PCV-13 formulation might increase substantially the protection against invasive strains of S. pneumoniae as the PCV-10 vaccine formulation does not cover the serotypes 3 and 6A, which are prevalent in Mozambique.engBMCMeningite pneumocócicaMoçambiquePneumococcal meningitisMozambiqueSerotype distribution and antimicrobial resistance of streptococcus pneumoniae in children with acute bacterial meningitis in Mozambique: implications for a national immunization strategyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://arca.fiocruz.br/bitstreams/e131925c-ce49-4e8c-9d08-3d229c4b151b/download5a560609d32a3863062d77ff32785d58MD51falseAnonymousREADORIGINALmilton3_moraes_etal_IOC_2016.pdfmilton3_moraes_etal_IOC_2016.pdfapplication/pdf1069144https://arca.fiocruz.br/bitstreams/7a167f2f-cb98-4aba-ae12-27f474c00164/download22537df14f6280959ff82885d546f476MD52trueAnonymousREADTEXTmilton3_moraes_etal_IOC_2016.pdf.txtmilton3_moraes_etal_IOC_2016.pdf.txtExtracted texttext/plain39103https://arca.fiocruz.br/bitstreams/81c9aae7-93da-4973-98a9-5d26aa2a97a9/downloadcf3488e1e3c9360ddad306b1846e35daMD56falseAnonymousREADTHUMBNAILcapa_Milton_Moraes_etal_IOC_2016.jpgcapa_Milton_Moraes_etal_IOC_2016.jpgCapaimage/jpeg2044494https://arca.fiocruz.br/bitstreams/1f0b66d8-3395-4ee7-8788-4138c23b73ab/downloadfcbec14e73edb72048d4f7cb047db5c6MD54falseAnonymousREADmilton3_moraes_etal_IOC_2016.pdf.jpgmilton3_moraes_etal_IOC_2016.pdf.jpgGenerated Thumbnailimage/jpeg5074https://arca.fiocruz.br/bitstreams/1d279e4a-d571-47a2-99be-2f6c42c4df55/download7c87c76a39d9f5155b8814433094724fMD57falseAnonymousREADicict/180992025-07-29 22:22:50.68open.accessoai:arca.fiocruz.br:icict/18099https://arca.fiocruz.brRepositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352025-07-30T01:22:50Repositório Institucional da FIOCRUZ (ARCA) - 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dc.title.none.fl_str_mv Serotype distribution and antimicrobial resistance of streptococcus pneumoniae in children with acute bacterial meningitis in Mozambique: implications for a national immunization strategy
title Serotype distribution and antimicrobial resistance of streptococcus pneumoniae in children with acute bacterial meningitis in Mozambique: implications for a national immunization strategy
spellingShingle Serotype distribution and antimicrobial resistance of streptococcus pneumoniae in children with acute bacterial meningitis in Mozambique: implications for a national immunization strategy
Nhantumbo, Aquino Albino
Meningite pneumocócica
Moçambique
Pneumococcal meningitis
Mozambique
title_short Serotype distribution and antimicrobial resistance of streptococcus pneumoniae in children with acute bacterial meningitis in Mozambique: implications for a national immunization strategy
title_full Serotype distribution and antimicrobial resistance of streptococcus pneumoniae in children with acute bacterial meningitis in Mozambique: implications for a national immunization strategy
title_fullStr Serotype distribution and antimicrobial resistance of streptococcus pneumoniae in children with acute bacterial meningitis in Mozambique: implications for a national immunization strategy
title_full_unstemmed Serotype distribution and antimicrobial resistance of streptococcus pneumoniae in children with acute bacterial meningitis in Mozambique: implications for a national immunization strategy
title_sort Serotype distribution and antimicrobial resistance of streptococcus pneumoniae in children with acute bacterial meningitis in Mozambique: implications for a national immunization strategy
author Nhantumbo, Aquino Albino
author_facet Nhantumbo, Aquino Albino
Gudo, Eduardo Samo
Caierão, Juliana
Munguambe, Alcides Moniz
Comé, Charlotte Elizabeth
Zimba, Tomás Francisco
Moraes, Milton Ozório
Dias, Cícero Armídio Gomes
Cantarelli, Vlademir Vicente
author_role author
author2 Gudo, Eduardo Samo
Caierão, Juliana
Munguambe, Alcides Moniz
Comé, Charlotte Elizabeth
Zimba, Tomás Francisco
Moraes, Milton Ozório
Dias, Cícero Armídio Gomes
Cantarelli, Vlademir Vicente
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Nhantumbo, Aquino Albino
Gudo, Eduardo Samo
Caierão, Juliana
Munguambe, Alcides Moniz
Comé, Charlotte Elizabeth
Zimba, Tomás Francisco
Moraes, Milton Ozório
Dias, Cícero Armídio Gomes
Cantarelli, Vlademir Vicente
dc.subject.other.none.fl_str_mv Meningite pneumocócica
Moçambique
topic Meningite pneumocócica
Moçambique
Pneumococcal meningitis
Mozambique
dc.subject.en.none.fl_str_mv Pneumococcal meningitis
Mozambique
description Produção científica do Laboratório de Hanseníase.
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2017-03-21T14:47:09Z
dc.date.available.fl_str_mv 2017-03-21T14:47:09Z
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dc.identifier.citation.fl_str_mv NHANTUMBO, Aquino Albino et al. Serotype distribution and antimicrobial resistance of streptococcus pneumoniae in children with acute bacterial meningitis in Mozambique: implications for a national immunization strategy. BMC Microbiology, v. 16, n. 134, p. 1-9, 29 June 2016.
dc.identifier.uri.fl_str_mv https://arca.fiocruz.br/handle/icict/18099
dc.identifier.issn.none.fl_str_mv 1471-2180
dc.identifier.doi.none.fl_str_mv 10.1186/s12866-016-0747-y
dc.identifier.eissn.none.fl_str_mv 1471-2180
identifier_str_mv NHANTUMBO, Aquino Albino et al. Serotype distribution and antimicrobial resistance of streptococcus pneumoniae in children with acute bacterial meningitis in Mozambique: implications for a national immunization strategy. BMC Microbiology, v. 16, n. 134, p. 1-9, 29 June 2016.
1471-2180
10.1186/s12866-016-0747-y
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