1. Some pneumococcal serotypes are more frequently associated with relapses of acute exacerbations in COPD patients
- Author
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Domenech, Arnau, Ardanuy, Carmen, Pallarés, Román, Grau, Immaculada, Santos, Salud, de la Campa, Adela G, Liñares, Josefina, Fondo de Investigaciones Sanitarias, Ministerio de Ciencia e Innovación (España), Instituto de Salud Carlos III, and Ministerio de Educación (España)
- Subjects
Bacterial Diseases ,Male ,Pulmonology ,Chronic Obstructive Pulmonary Diseases ,lcsh:Medicine ,Pathogenesis ,Microbial Sensitivity Tests ,Microbiology ,Infeccions per pneumococs ,Pneumococcal Infections ,Pulmonary Disease, Chronic Obstructive ,Diagnostic Medicine ,Recurrence ,Virology ,Streptococcal Infections ,Humans ,Serotyping ,Chronic obstructive pulmonary diseases ,lcsh:Science ,Biology ,Microbial Pathogens ,Malalties pulmonars obstructives cròniques ,Aged ,lcsh:R ,Middle Aged ,Bacterial Pathogens ,Host-Pathogen Interaction ,Infectious Diseases ,Streptococcus pneumoniae ,Virulence Factors and Mechanisms ,Medicine ,lcsh:Q ,Female ,Research Article ,Multilocus Sequence Typing - Abstract
To analyze the role of the capsular type in pneumococci causing relapse and reinfection episodes of acute exacerbation in COPD patients. A total of 79 patients with 116 recurrent episodes of acute exacerbations caused by S. pneumoniae were included into this study (1995-2010). A relapse episode was considered when two consecutive episodes were caused by the same strain (identical serotype and genotype); otherwise it was considered reinfection. Antimicrobial susceptibility testing (microdilution), serotyping (PCR, Quellung) and molecular typing (PFGE/MLST) were performed. Among 116 recurrent episodes, 81 (69.8%) were reinfections, caused by the acquisition of a new pneumococcus, and 35 (30.2%) were relapses, caused by a pre-existing strain. Four serotypes (9V, 19F, 15A and 11A) caused the majority (60.0%) of relapses. When serotypes causing relapses and reinfection were compared, only two serotypes were associated with relapses: 9V (OR 8.0; 95% CI, 1.34-85.59) and 19F (OR 16.1; 95% CI, 1.84-767.20). Pneumococci isolated from relapses were more resistant to antimicrobials than those isolated from the reinfection episodes: penicillin (74.3% vs. 34.6%, p
- Published
- 2014