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Serotype Distribution and Antimicrobial Resistance of Streptococcus pneumoniae Isolates Causing Systematic Infections in Spain, 1979-1989
Abstract
Serotypes and antibiotic susceptibilities were determined for 2,197 Streptococcus pneumoniae strains isolated from patients with systemic infections over an 11-year period. The predominant serogroups and serotypes, in order of decreasing frequency, were 3, 6, 23, 19, 9, 1, 5, 8, 7, 14, 4, and 15; these types accounted for more than 75% of the strains studied. Altogether, 93% of the pneumococci belonged to groups or types included in the 23-valent pneumococcal vaccine. Overall, 65.5% of pneumococci were resistant to one or more drugs. The incidence of penicillin-resistant pneumococci rose from 6% in 1979 to 44% in 1989, and the degree of penicillin resistance also increased throughout the study. Overall, the resistance rates were 28% for penicillin, 56% for tetracycline, 43% for chloramphenicol, and 5% for erythromycin. Seventy-one pneumococcal isolates resistant to all four antibiotics tested were found. The prevalence of pneumococcal resistance in Spain is, as far as we know, among the highest published to date.
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Cited by
The crisis in antibiotic resistance
Neu, H. C. (1992) · Science · doi:10.1126/science.257.5073.1064 · Cited by 2,834
Pallares, R., Liñares, J., Vadillo, M., Cabellos, C., Manresa, F., Viladrich, P. F., Martin, R., & Gudiol, F. (1995) · New England Journal of Medicine · doi:10.1056/nejm199508243330802 · Cited by 773
Feikin, D. R., Kagucia, E. W., Loo, J. D., Link-Gelles, R., Puhan, M. A., Cherian, T., Levine, O. S., Whitney, C. G., O’Brien, K. L., Moore, M. R., et al. (2013) · PLoS Medicine · doi:10.1371/journal.pmed.1001517 · Cited by 470
Martínez, E., Miró, J. M., Almirante, B., Aguado, J. M., Fernandez‐Viladrich, P., Fernandez‐Guerrero, M. L., Villanueva, J. L., Dronda, F., Moreno‐Torrico, A., Montejo, M., et al. (2002) · Clinical Infectious Diseases · doi:10.1086/341024 · Cited by 79
Metadata
- Authors
- Fenoll, A., Bourgon, C. M., Munoz, R., Vicioso, D., & Casal, J.
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1990-01
- Volume
- 13
- Issue
- 1
- Pages
- 56-60
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W2331730273
- Cited by
- 284
- References
- 0
- FWCI
- 11.54
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Serotype Distribution and Antimicrobial Resistance of Streptococcus pneumoniae Isolates Causing Systematic Infections in Spain, 1979-1989. https://app.cochat.ai/papers/10.1093/clinids/13.1.56
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- Fenoll, A., Bourgon, C. M., Munoz, R., Vicioso, D., & Casal, J. (1991). Serotype Distribution and Antimicrobial Resistance of Streptococcus pneumoniae Isolates Causing Systematic Infections in Spain, 1979-1989. Clinical Infectious Diseases. https://doi.org/10.1093/clinids/13.1.56
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