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A Population-Based Assessment of the Impact of 7- and 13-Valent Pneumococcal Conjugate Vaccines on Macrolide-Resistant Invasive Pneumococcal Disease: Emergence and Decline of Streptococcus pneumoniae Serotype 19A (CC320) With Dual Macrolide Resistance Mechanisms
Author(s) -
Max R. Schroeder,
Scott Chancey,
Stephanie Thomas,
Wan-Hsuan Kuo,
Sarah W. Satola,
Monica M. Farley,
David S. Stephens
Publication year - 2017
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cix446
Subject(s) - medicine , streptococcus pneumoniae , pneumococcal conjugate vaccine , pneumococcal disease , serotype , population , pneumococcal infections , disease , virology , microbiology and biotechnology , antibiotics , environmental health , biology
Macrolide efflux encoded by mef(E)/mel and ribosomal methylation encoded by erm(B) confer most macrolide resistance in Streptococcus pneumoniae. Introduction of the heptavalent pneumococcal conjugate vaccine (PCV7) in 2000 reduced macrolide-resistant invasive pneumococcal disease (MR-IPD) due to PCV7 serotypes (6B, 9V, 14, 19F, and 23F).

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