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Table 1 Articles identified from review containing relevant pneumococcal serotype data in Malaysia

From: Serotype distribution of invasive, non-invasive and carried Streptococcus pneumoniae in Malaysia: a meta-analysis

No.

Article title (year)

Collection period

No. of isolates

IPD /

non-IPD / Carriage

Age range

Source

Serotyping method

Location

Serotypes identified

1

Antibiotic susceptibility and serotype distribution of Streptococcus pneumoniae in Malaysian children [21]

Sep 1984 -Aug 1985

92

Non-IPD

1 month - < 5 years

Nasopharyngeal aspirates

Quellung

Three unknown hospitals in Kuala

Lumpur, Ipoh and rural Kota Bahru

6A, 6B, 10A, 11A, 13, 14, 15B, 15C, 16, 18A, 18C, 19A, 19B, 19F, 20, 23A, 23F, 34, 39, ‘rough’

2

Genotypic characterisation of Malaysian human isolates of Streptococcus pneumoniae from carriage and clinical sources [22]

1989–2012

Carriage in 2010

107

Carriage and IPD

< 5 years - > 50 years

Anterior nares, blood, CSF, pleural fluid, sputum, ear, eye, pus, throat, nasopharyngeal fluid, others (unknown)

Multiplex PCR

Unknown hospital locations and communities

1, 4, 6A, 6B, 7A/F, 11A/D, 12F, 14, 15B/C, 17, 18A/B/C, 19A, 19F, 23A, 23F, NT

3

Epidemiology of Streptococcus pneumoniae infection in Malaysia [23]

Oct 1995 - Sep1996

201

IPD and non-IPD

< 5 years, > 5 years

Sputum, blood, CSF, body fluid, pus

Pneumotest

Hospital Pulau Pinang, Hospital Kuala Lumpur, Hospital Sultanah Aminah (Johor Bahru, Johor), Hospital Queen Elizabeth (Kota Kinabalu, Sabah), University of Malaya Medical Centre (Kuala Lumpur)

1, 2, 3, 4, 5, 6A, 6B, 6C, 7A, 7B, 7C, 7F, 8, 9A, 9 L, 9 N, 10A, 11A, 11C, 11F, 12A, 12F, 14, 15B, 17A, 18A, 18B, 18C, 18F, 19A, 19B, 19C, 19F, 20, 22A, 22F, 23, 23A, 23B, 23F, NA

4

Spread of drug-resistant Streptococcus pneumoniae in Asian countries: Asian Network for Surveillance of Resistant Pathogens (ANSORP) Study [24]

Sep 1996 - Jun 1997

2

IPD

Unknown

Blood, CSF, ascites, pleural fluid, synovial fluid, sinus aspirate

Quellung

Universiti Kebangsaan Malaysia, Bangi, Selangor

19, 23

5

Carriage of Antibiotic-Resistant Pneumococci among Asian Children: A Multinational Surveillance by the Asian Network for Surveillance of Resistant Pathogens (ANSORP) [25]

Jan 1998 -Mar 1999

58

Carriage

< 5 years

Asymptomatic carriage

Quellung

Universiti Kebangsaan Malaysia, Kuala Lumpur

1, 3, 4, 5, 6, 7, 9, 14, 15, 19, 23, Other (unknown)

6

Penicillin susceptibility and molecular characteristics of clinical isolates of Streptococcus pneumoniae at the University of Malaya Medical Center, Kuala Lumpur, Malaysia [26]

Mar1999 -Jul 2000

50

IPD and

non-IPD

< 13 years, > 13 years

Sputum, NPS, tracheal, throat, blood, CSF, pleural fluid, eye, ear, vagina.

Pneumotest

University of Malaya Medical Centre, Kuala Lumpur

1, 5, 6A, 7B/C, 14, 15A, 15C, 19F, 23A, 23B, 23F, 16/36/37, NT

7

Capsular Serotype and Antibiotic Resistance of Streptococcus pneumoniae Isolates in Malaysia [27]

Mar1999 -Feb 2007 (except 2001, 2004)

151

IPD and non-IPD

< 5 years, 5–59 years, > 60 years

Blood, CSF, nasopharyngeal secretion, tracheal secretion, sputum, bronchoalveolar lavage, others

Quellung

University of Malaya Medical Centre, Kuala Lumpur

1, 3, 6A/6B, 7C/7B/40, 7F/7A, 9 V/9A, 10A, 11A/11D, 12F/12A, 14, 15A, 15B/15C, 16F, 18C/18B/18A/18F, 19A, 19F, 23F, 35B, 35F/47F, 34

8

High prevalence of antimicrobial resistance among clinical Streptococcus pneumoniae isolates in Asia (an ANSORP Study) [28]

Jan 2000 -Jun 2001

41

IPD

< 5 years and adults

Blood, CSF, ascitic fluid, pleural fluid, synovial fluid, sinus aspirate, middle ear aspirate

Quellung

Universiti Putra Malaysia, Serdang, Selangor and Universiti Malaya, Kuala Lumpur

4, 6A, 6B, 14, 19A, 19F, 23A, 23F, Others (unknown)

9

Novel clones of Streptococcus pneumoniae causing invasive disease in Malaysia [29]

Feb 2000 – Jan 2007

30

IPD

< 15 years, > 15 years, unknown age

Blood, CSF, pleural fluid, pericardial fluid

Multiplex PCR

University of Malaya Medical Centre, Kuala Lumpur

3, 4, 6A, 6B, 9 N, 9 V, 11A, 14, 15A, 16F, 18C, 19A, 19F, 23F, 34

10

Current trend of pneumococcal serotypes distribution and antibiotic susceptibility pattern in Malaysian hospitals [30]

Jan 2008 - Dec 2009

443

IPD and non-IPD

< 1 year - > 60 years

Blood, CSF, other sterile sites, sputum, eyes, ear, vagina, wounds

Pneumotest

Hospital Ampang, Ampang Jaya, Selangor

Hospital Selayang, Batu Caves, Selangor

Hospital Sungai Buloh, Sungai Buloh, Selangor

Hospital Tengku Ampuan Rahimah, Klang, Selangor

Hospital Pulau Pinang

Hospital Sultanah Bahiyah, Alor Setar, Kedah

Hospital Raja Permaisuri Bainun, Ipoh, Perak

Hospital Sultanah Aminah, Johor Bahru, Johor

Hospital Tuanku Ja’afar, Seremban, Negeri Sembilan

Hospital Tengku Ampuan Afzan, Kuantan, Pahang

Hospital Sultanah Nur Zahira, Kuala Terengganu, Terengganu

Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan

Hospital Umum Sarawak, Kuching, Sarawak

Hospital Queen Elizabeth, Kota Kinabalu, Sabah

Hospital Kuala Lumpur

University of Malaya Medical Centre, Kuala Lumpur

Institute for Medical Research, Kuala Lumpur

1, 3, 4, 5, 6A, 6B, 7F, 14, 18C, 19A, 19F and 23F

11

Changing trends in antimicrobial resistance and serotypes of Streptococcus pneumoniae isolates in Asian countries: an Asian Network for Surveillance of Resistant Pathogens (ANSORP) Study [31]

Mar 2008 - Dec 2009

165

IPD

Unknown

Throat swab, nasal swab, nasopharyngeal aspirate

Quellung

Hospital Selayang, Batu Caves, Selangor

Hospital Sungai Buloh, Sungai Buloh, Selangor

Hospital Pulau Pinang

Hospital Sultanah Aminah, Johor Bahru, Johor

Hospital Tuanku Ja’afar, Seremban, Negeri Sembilan

Hospital Sultanah Nur Zahira, Kuala Terengganu, Terengganu

Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan

Hospital Queen Elizabeth, Kota Kinabalu, Sabah

Hospital Kuala Lumpur

University of Malaya Medical Centre, Kuala Lumpur

Institute for Medical Research, Kuala Lumpur

1, 3, 5, 6A, 6B, 6C, 7C, 9 V, 10, 11, 14, 15, 17, 18C, 19A, 19F, 23F, 23A, 20, 35, 13/28, 16/36/37, Other (unknown), NT

12

Determination of phenotypes and pneumococcal surface protein A family types of Streptococcus pneumoniae from Malaysian healthy children [32]

Jun

2010 -

Dec

2010

69

Carriage

≤5 years

Asymptomatic carriage

Pneumotest

Three unknown day care centres, Kuala Lumpur

6A, 6B, 11A, 15C, 18C, 19A, 19F, 20, 23A, 23B, 23F, NT

13

Changes in serotype distribution and antimicrobial resistance of Streptococcus pneumoniae isolates from adult patients in Asia: Emergence of drug-resistant non-vaccine serotypes [33]

Dec 2012 - Jul 2017

123

IPD

> 50 years

Blood, CSF, pleural fluid

Quellung

39 hospitals in 16 unknown cities

4, 6, 6A, 6B, 6C, 9 V, 10, 11A, 12, 14, 15, 15A, 18C, 19A, 19F, 20, 22F, 23A, 23F, 35B, Others (incl. 6D, 7B, 7C, 11C, 11D, 13/28, 15C, 16/36/37, 18A, 18B, 18F, 19B, 19C, 21, 22A, 23B, 24/31/40, 27/32/41, 38, and 39), NT

14

Serotypes & penicillin susceptibility of Streptococcus pneumoniae isolated from children admitted to a tertiary teaching hospital in Malaysia [34]

Jan 2013 - May 2015

125

Carriage

1 month –

12 years

Nasopharyngeal specimens, sputum and bronchoalveolar lavage

Multiplex PCR

University of Malaya Medical Centre, Kuala Lumpur

3, 6A/B, 6C, 11/A/D/F, 15A/F, 19A, 19F, 23A, 23F, 34

15

Molecular detection and genotypic characterisation of Streptococcus pneumoniae isolated from children in Malaysia [35]

2013–2015

95

Non-IPD

< 12 years

Nasopharyngeal swab and secretions

Multiplex PCR

University of Malaya Medical Centre, Kuala Lumpur

3, 6A/B, 6C, 9 N/9 L, 11A/D/F, 15A/F, 17A, 19A, 19F, 23A, 23F, 23B, 34, NT

16

Pneumococcal serotype distribution and antibiotic susceptibility in Malaysia: A four-year study (2014–2017) on invasive paediatric isolates [19]

May 2014 - Dec 2017

245

IPD

13 days – 4 years, 364 days

Blood and CSF

Quellung

Multiple hospital locations around Malaysia

1, 3, 4, 6A, 6B, 6C, 8, 11A, 11C, 14, 15A, 15B, 15C, 18C, 19B, 19F, 23A, 23F, NT

17

A study of the prevalence of Streptococcus pneumoniae serotypes in patients hospitalised for community-acquired pneumonia [36]

Dec 2014 - Aug 2015

9

Non-IPD

59–76 years

Sputum cultures

PCR

Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur

8F, 33F

18

The upper respiratory tract microbiome of indigenous Orang Asli in north-eastern Peninsular Malaysia [37]

August 2017

34

Carriage

< 5 years, 5–17 years, 18–65 years

Asymptomatic carriage

Slide agglutination

Kampung Sungai Pergam and Kampung Berua, north-eastern Terengganu

3, 4, 6A, 6B, 6C, 11A, 14, 15B, 18A, 19F, 23A, 23F, 34, 35F, NT