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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Pulmonary Medicine 1/2015

Prevalence and impact of Streptococcus pneumoniae in adult cystic fibrosis patients: a retrospective chart review and capsular serotyping study

Zeitschrift:
BMC Pulmonary Medicine > Ausgabe 1/2015
Autoren:
Christina S Thornton, Erin L Brown, Joenel Alcantara, Harvey R Rabin, Michael D Parkins
Wichtige Hinweise

Competing interests

CST, ELB and JA have no conflicts to report. HRR and MDP have served in the past five years on advisory boards for Novartis and Gilead, and have received research support from Gilead Sciences.

Authors’ contributions

CST was responsible for collection and analysis of all patient related data, assisted ELB in capsular serotyping and developed the manuscript. JA, HRR and MDP were responsible for the conception of the project, supervision of the collection and analysis of patient and microbiologic data, and assisted with writing and revising the manuscript. All authors read and approved the final manuscript.

Abstract

Background

Cystic fibrosis (CF) is a genetic disease characterized by complex polymicrobial communities within the lower respiratory tract. S. pneumoniae, while a well-defined pathogen in the general population, has rarely been identified in CF. Furthermore, prevalence studies on Pneumococcus in CF have predominantly focused on the infant and pediatric populations, and outcome data is lacking.

Methods

Through a review of our comprehensive clinical and microbiologic database from a single adult CF center in Canada from 1978–2013 we sought to determine the incidence, prevalence, serotype and clinical impact of Pneumococcus in adults with CF.

Results

Only fifteen of 318 adult CF patients (5%) were ever found to have transient Pneumococcus colonization, and none developed persistent infection although length of carriage varied. As all isolates were stored, capsular serotyping could be performed using a multiplex PCR panel. Capsular serotyping revealed a varied distribution of several serotypes within these isolates. Lung function testing at time of incident Pneumococcus isolation was compared with values before and after isolation and showed no significant reduction in spirometry values, nor was there an increased need for rescue antibacterial therapy.

Conclusion

Within our center, incident Pneumococcus infection is neither common, associated with a disproportionate clinical deterioration nor results in chronic infection.
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