Increase in Pilus Islet 2–encoded Pili among Streptococcus pneumoniae Isolates, Atlanta, Georgia, USA
2010

Increase in PI-2 Pili in Streptococcus pneumoniae Isolates

Sample size: 590 publication 10 minutes Evidence: moderate

Author Information

Author(s): Zähner Dorothea, Gudlavalleti Aditya, Stephens David S.

Primary Institution: Emory University School of Medicine, Atlanta, Georgia, USA

Hypothesis

To define the prevalence of pilus islet 2 (PI-2)–encoded pili in Streptococcus pneumoniae in a geographically defined area.

Conclusion

The prevalence of PI-2 increased from approximately 3.6% in 1999 to 21% in 2006 among invasive pneumococcal isolates in Atlanta, particularly in emerging serotypes 7F and 19A.

Supporting Evidence

  • In 2006, PI-2 was present in 21% of all invasive isolates.
  • Only serotype 19F is included in the 7-valent pneumococcal conjugate vaccine currently in use.
  • The increase in PI-2 was predominantly due to the emergence of serotype 19A isolates.

Takeaway

Scientists studied bacteria that cause pneumonia and found that a specific part of the bacteria, called PI-2, became much more common over time, especially in certain types of these bacteria.

Methodology

The study involved examining 590 S. pneumoniae isolates from population-based surveillance of invasive pneumococcal disease collected between 1994 and 2006.

Limitations

The study is limited to a specific geographic area and may not represent global trends.

Participant Demographics

Isolates were collected from the metropolitan area of Atlanta, Georgia, USA.

Statistical Information

P-Value

p<0.005

Statistical Significance

p<0.005

Digital Object Identifier (DOI)

10.3201/eid1606.091820

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