Abstract

Since its discovery in 1891, the pneumococcus has been one of the most extensively studied microbes, and was involved in several historical findings such as the discovery of genetic material that was later shown to be DNA. The pneumococcus is part of the normal bacterial flora of the nasopharynx, but can on occasions progress to sterile sites of the body and cause invasive diseases. There are about one million new invasive pneumococcal infections every year, majority of which occur in the developing world where children

Highlights

  • The pneumococcus is part of the bacterial flora of the upper respiratory tract, and is associated with several invasive diseases including meningitis, pneumonia and septicaemia

  • The annual incidence of invasive pneumococcal disease is about one million [1] [2], and the public health burden related to Streptococcus pneumoniae is heightened by the increasing resistance of the organism to essential antimicrobial drugs, penicillin, cephalosporins and macrolides

  • The findings of this study show that recombination is a major factor driving pneumococcal antibiotic resistance which is not surprising as pneumococcal evolution is dominated by recombination

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Summary

Introduction

The pneumococcus is part of the bacterial flora of the upper respiratory tract, and is associated with several invasive diseases including meningitis, pneumonia and septicaemia. The annual incidence of invasive pneumococcal disease is about one million [1] [2], and the public health burden related to Streptococcus pneumoniae is heightened by the increasing resistance of the organism to essential antimicrobial drugs, penicillin, cephalosporins and macrolides (http://spneumoniae.mlst.net/). This review paper aims to provide insights into pneumococcal pathogenesis and antibiotic resistance. The two strains have similar genome sizes, gene populations and GC contents Both genomes display a high density of repeat elements including insertion, BOX, and RUPS that contribute to genomic plasticity [19] [21]. Both TIGR4 and R6 strains display several types of surface proteins and signal peptides appear to be the most abundant. This explains why TIGR4 is encapsulated while R6 is unencapsulated and is avirulent

Identification of Pneumococcus Virulence Determinants
Virulence Determinants of the Pneumococcus
Host-Pathogen Interaction in Invasive Pneumococcal Disease
Epidemiology and Mechanisms of Pneumococcal Antibiotic Resistance
Evolution of Pneumococcal Antibiotic Resistance
Pneumococcal Antibiotic Resistance and the Implications for Clinical Practice
Findings
Conclusion
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