Presenter of 1 Presentation
O019 - CARRIAGE DYNAMICS OF PNEUMOCOCCAL SEROTYPES AMONG PATIENTS WITH SARS-COV-2: A RETROSPECTIVE CROSS-SECTIONAL STUDY AMONG INDIAN POPULATION (ID 540)
Abstract
Background
The COVID-19 epidemic has been a great challenge to the health system. S. pneumoniae coinfection with SARS-CoV-2 can result in synergistic lethality resulting in greater mortality and morbidity. In the study, we have analyzed SARS-CoV-2 impact on pneumococcal carriage in Indian population
Methods
lytA PCR was performed on 1501 COVID19 positive samples, collected between April–May, 2021 at CRL,KIMS. LytA positive samples were subjected to Real-time Multiplex PCR for detection of pneumococcal serotypes
Results
Of 1501 samples,12.5%(n=188) were positive for S.pneumoniae. Ct value representing viral load in these S.pneumoniae positive samples ranged from 11.5-34.5 for orf1ab and 12.2–34.5 for N-gene. Age group of the LytA positive samples ranged from 3-84 yrs. Around 42.5% of LytA positive samples were from 25-44yrs age group (80/188).
Among 188Spn positive samples, 66 samples had one serotype, 59–two serotypes, 22-three serotypes, 12-four serotypes, 3-five serotypes and 26-non-typable. Predominant serotypes in total population were 4,24F,11BC,9LN and 9VA. Among 3-5 yrs children, serotype 1,4 and 11BC were predominant. Serotypes 4,9VA,24F,9LN,19F,23A and 2 were predominant among patients with >65yrs of age. Prevailing serotypes among median age group population (25-44yrs) were 11BC, 24F and 4.
Among the 162 typable samples, vaccine coverage with PCV10, PCV13 and PPV23 was 34.1%, 36.8% and 57.1%; 65.9%, 63.2% and 42.9% were non-vaccine serotypes respectively
Conclusions
No significant differences in pneumococcal-colonization and serotype-distribution found in terms of age, gender and COVID19 viral load. Interestingly,NVTs were higher in comparison to carriage in general population. Awareness on the possible SARS-CoV-2-pneumococcus association is necessary to avoid misdiagnosis and delayed antibiotic therapy.