2020
DOI: 10.3389/fmicb.2020.00309
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Clinical Relevance and Molecular Pathogenesis of the Emerging Serotypes 22F and 33F of Streptococcus pneumoniae in Spain

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Cited by 31 publications
(25 citation statements)
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“…The polysaccharide capsule is the main virulence factor in IPD, providing protection the bacterium from the host's immune system. To date 99 capsular types have been identified based on the antigenic capsular polysaccharide [3]. The introduction of pneumococcal conjugate vaccines (PCV7/10/13) has reduced the incidence of IPD.…”
Section: Introductionmentioning
confidence: 99%
“…The polysaccharide capsule is the main virulence factor in IPD, providing protection the bacterium from the host's immune system. To date 99 capsular types have been identified based on the antigenic capsular polysaccharide [3]. The introduction of pneumococcal conjugate vaccines (PCV7/10/13) has reduced the incidence of IPD.…”
Section: Introductionmentioning
confidence: 99%
“…A study conducted from 2006 to 2016 showed increased resistance to penicillin, amoxicillin, ceftriaxone, and meropenem. Implementation of the PCV13 vaccine in 2010 ( 6 ) resulted in increased incidence of nonvaccine Spn serotypes ( 7 ). Thus, despite major advances in public health, pneumococcal infections continue to be a significant cause of morbidity and mortality, and further investigations are warranted.…”
mentioning
confidence: 99%
“…Recent studies have demonstrated that PCV13 is effective not only against IPD but also against pneumonia and has effect on nasopharyngeal carriage providing herd immunity to the elderly population [ 49 , 50 ]. Reduction in the carrier state caused by serotypes included in PCVs has induced the phenomenon of herd protection which is a great achievement of these vaccines but also has contributed to serotype replacement; the main limitation of these sort of vaccines based on CPS [ 51 , 52 , 53 ].…”
Section: Current Commercialized Vaccines For Streptococcmentioning
confidence: 99%
“…As previously mentioned, the main disadvantage of these vaccines is that they do not prevent disease caused by serotypes that are not included in current formulations or those caused by non-capsulated strains. Serotype replacement can become a serious problem for the control of the disease [ 15 , 53 , 57 , 58 ]. To solve these problems by current vaccines based in CPS as the target antigen, it is necessary to develop new vaccines that can provide immunological protection regardless of the serotype and provide universal protection against pneumococcus [ 59 , 60 ].…”
Section: Current Commercialized Vaccines For Streptococcmentioning
confidence: 99%