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Journal of Clinical Microbiology, February 2001, p. 733-737, Vol. 39, No. 2
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.2.733-737.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Surveillance of Invasive Streptococcus pneumoniae Infection in the Province of Quebec, Canada, from 1996 to 1998: Serotype Distribution, Antimicrobial Susceptibility, and Clinical Characteristics

L. P. Jetté,1,* G. Delage,1 L. Ringuette,1 R. Allard,2 P. De Wals,3 F. Lamothe,4 V. Loo,5 and the Pneumococcus Study Groupdagger

Institut National de Santé Publique du Québec-Laboratoire de Santé Publique du Québec, Sainte-Anne-de-Bellevue, Quebec H9X 3R5,1 Unité de Maladies Infectieuses, Régie Régionale de la Santé et des Services Sociaux de Montréal-Centre, Montreal, Quebec H2L 1M3,2 Faculté de Médecine, Université de Sherbrooke, Sherbrooke, Quebec J1H 5N4,3 Centre Hospitalier Universitaire de Montréal, L'Hôpital Saint-Luc, Montreal, Quebec H2X 3J4,4 and McGill University Health Centre, Royal Victoria Hospital, Montreal, Quebec H3A 1A1,5 Canada

Received 21 July 2000/Returned for modification 28 September 2000/Accepted 5 November 2000

In the province of Quebec, Canada, from 1996 to 1998, 3,650 invasive Streptococcus pneumoniae infections were reported. A total of 1,354 isolates were serotyped and tested for antimicrobial susceptibility. The distribution of serotypes remained stable over the 3 years, with serotypes 14, 6B, 4, 9V, 23F, and 19F accounting for 61% of the isolates. Overall, 90% of isolates were included in the current 23-valent vaccine and 67% were included in the 7-valent conjugate vaccine. We were able to determine that resistance to penicillin and to other antibiotics is increasing.

* Corresponding author. Mailing address: INSPQ-Laboratoire de Santé Publique du Québec, 20 045 Chemin Sainte-Marie, Sainte-Anne-de-Bellevue, Quebec H9X 3R5, Canada. Phone: (514) 457-2070. Fax: (514) 457-6346. E-mail: ljette{at}lspq.org.

dagger Pneumococcus Study Group members are as follows: M. Audy, Centre de Santé Tulattavik de I'Ungava, Kuujjuaq, Quebec JOM 1CO, Canada; J. F. Boisvert, CHAUQ (Pavillon Saint-Sacrement), Quebec City, Quebec G1S 4L8, Canada; H. Brodeur, Carrefour Santé du Granit, Lac Mégantic, Quebec G6B 1A5, Canada; J. Caron, CLSC-Centre Hospitalier et d'Hébergement Memphrémagog, Magog, Quebec J1X 3X3, Canada; C. Chouinard, CHUM-Hôtel-Dieu, Montreal, Quebec H2W 1T8, Canada; J. P. Côté, Les CLSC., C.H. et C.H.L.S.D. de la MRC d'Asbestos, Asbestos, Quebec J1T 1X6, Canada; L. Côté, Centre Hospitalier Universitaire de Québec-Pavillon CHUL, Quebec City, Quebec G1V 4G2, Canada; M. Cousineau, Centre de Santé Inuulitsivik, Purvinituq, Quebec JOM 1PO, Canada; L. Dion, Centre Universitaire de Santé de I'Estrie (Site Bowen), Sherbrooke, Québec J1G 2E8, Canada; P. Flamand, CHUM-Hôpital Notre-Dame, Montreal, Quebec H2L 4M1, Canada; G. Gagnon, Centre Régional S.S.S. de la Baie-James, Radisson, Quebec JOY 2X0, Canada; C. Gaudreau and P. Turgeon, CHUM-Hôpital Saint-Luc, Montreal, Quebec H2X 3J4, Canada; S. Landry, Centre Régional S.S.S. de la Baie-James, Matagami, Quebec JOY 2AO, Canada; J. R. Lapointe, Hôpital Sainte-Justine, Montreal, Quebec H3T 1C5, Canada; M. Laverdière, Hôpital Maisonneuve-Rosemont, Montreal, Quebec H1T 2M4, Canada; J. McDonald, L'Hôpital de Montréal pour Enfants, Montreal, Quebec H3N 1P3, Canada; M. A. Miller, Hôpital Général Juif S.M.B.D., Montreal, Quebec H3T 1E2, Canada; F. Morin-Coutu, Centre Universitaire de Santé de I'Estrie (Site King), Sherbrooke, Quebec J1G 1B1, Canada; A. Paradis, CHAUQ (Pavillon Enfant-Jésus), Quebec City, Quebec G1J 1Z4, Canada; J. F. Paradis, Complexe Hospitalier de la Sagamie (Pavillon St-Vallier), Chicoutimi, Quebec G7H 5H6, Canada; S. Richard, Conseil Cri SSS de la Baie James, Chisasibi, Quebec JOM 1EO, Canada; H. G. Robson, Hôpital Royal Victoria, Montréal, Quebec H3A 1A1, Canada; C. Sinave, Centre Universitaire de Santé de I'Estrie (Site Fleurimont), Fleurimont, Quebec J1H 5N4, Canada; M. Soulard, Centre Régional S.S.S. de la Baie-James, Chibougamau, Quebec G8P 1N1, Canada; B. Thivierge, Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec H4J 1C5, Canada; F. Tourangeau, Centre Hospitalier de Rimouski, Rimouski, Quebec G5L 5T1, Canada; and M. Trousdell, Institut Universitaire de Gériatrie-Sherbrooke (Pavillon Argyll), Sherbrooke, Quebec J1J 3H5, Canada.

Journal of Clinical Microbiology, February 2001, p. 733-737, Vol. 39, No. 2
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.2.733-737.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.


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