Current State of the Streptococcus pneumoniae Capsular Typing Problem

Y. Zakharova, V. Akimkin, E. V. Nikitina, I. A. Ivashchenko, E. Bolgarova, E. V. Aleksandrova, S. M. Skripkovskaya
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Abstract

Diseases caused by Streptococcus pneumoniae are a serious medical and social problem for healthcare systems of all leading countries around the globe. In this regard, the relevance of their laboratory diagnostics increases, as the effectiveness of therapeutic, preventive, and anti-epidemic measures depends on it. Currently, there is no universal method of intraspecific identification of S.pneumoniae, which simultaneously possess high specificity, sensitivity, and reproducibility. For this purpose, new alternative strategies aimed at improving the quality of research are being developed. The review presents data from domestic and foreign publications (electronic search databases eLibrary.Ru, ScienceDirect, Scopus, PubMed, Springerlink) on serotyping and genotyping of S.pneumoniae; the advantages and disadvantages of the methods are analyzed. Epidemiologically significant serotypes and widespread clonal complexes of S.pneumoniae circulating on the territory of the Russian Federation have been identified. The necessity of improving new methods of intraspecific typing of the pathogen is recognized.
肺炎链球菌荚膜分型问题的现状
肺炎链球菌引起的疾病是全球所有主要国家卫生保健系统面临的严重医疗和社会问题。在这方面,实验室诊断的相关性增加了,因为治疗、预防和反流行病措施的有效性取决于它。目前尚没有一种通用的肺炎链球菌种内鉴定方法,该方法同时具有较高的特异性、敏感性和可重复性。为此目的,正在制订旨在提高研究质量的新的备选战略。本文介绍了国内外文献资料(电子检索数据库)。Ru, ScienceDirect, Scopus, PubMed, Springerlink)对肺炎链球菌血清分型和基因分型的研究;分析了各种方法的优缺点。已确定在俄罗斯联邦境内流行的肺炎链球菌具有流行病学意义的血清型和广泛存在的克隆复合体。认识到改进病原体种内分型新方法的必要性。
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