CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Epidemiol. Mikrobiol. Imunol. 55, 2006, č. 4, s. 140–150 |
Molecular Epidemiology of Invasive
Meningococcal Disease in the Czech Republic Křížová P., Kalmusová J., Musílek M. Národní referenční laboratoř pro meningokokové nákazy, Státní zdravotní ústav, Praha |
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Summary: The study objective is to present results of clonal analysis of Neisseria meningitidis isolates from
invasive meningococcal disease in the Czech Republic in 1993–2005. The method of multilocus
sequence typing (MLST) revealed genetic heterogeneity of serogroup B isolates and homogeneity
of serogroup C isolates. Three clonal sequence type complexes (STC-18, STC-32 and STC-41/44)
prevailed among serogroup B isolates and almost a quarter of isolates have ST unclassifiable into
clonal complexes. STC-11showed clear predominance among serogroup C isolates. Hypervirulent
clonal complex STC-11 prevailed in 1993–2004 while another clonal complex, STC-41/44, became
more widespread for the first time in 2005. MLST analysis showed differences between the
meningococcal population in the Czech Republic and those in western European countries and
elsewhere. The results of clonal analysis of Neisseria meningitidis isolates from invasive
meningococcal disease provide background information for evaluation of the adequacy of
recommended measures in the focus of the disease and for updating the recommended
vaccination strategy in the Czech Republic.
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