Community acquired pneumonia in Malaysia: is Streptococcus pneumoniae an important pathogen?

Previous data on etiological agents isolated from adult patients with community acquired pneumonia (CAP) in Malaysia has showed very low percentage of Streptococcus pneumoniae. Thus, we used immunochromatography test (ICT) and real-time polymerase chain reaction (PCR) in addition to conventional cul...

Full description

Bibliographic Details
Main Authors: Mohd Taib, Niazlin, Ban, Andrea Yu-Lin, Abd. Manap, Roslina, Jamal, Farida Fatema @ Farida, Che Isahak, Che Ilina
Format: Article
Language:English
Published: Academic Journals 2012
Online Access:http://psasir.upm.edu.my/id/eprint/24734/
http://psasir.upm.edu.my/id/eprint/24734/1/24734.pdf
_version_ 1848845117497016320
author Mohd Taib, Niazlin
Ban, Andrea Yu-Lin
Abd. Manap, Roslina
Jamal, Farida Fatema @ Farida
Che Isahak, Che Ilina
author_facet Mohd Taib, Niazlin
Ban, Andrea Yu-Lin
Abd. Manap, Roslina
Jamal, Farida Fatema @ Farida
Che Isahak, Che Ilina
author_sort Mohd Taib, Niazlin
building UPM Institutional Repository
collection Online Access
description Previous data on etiological agents isolated from adult patients with community acquired pneumonia (CAP) in Malaysia has showed very low percentage of Streptococcus pneumoniae. Thus, we used immunochromatography test (ICT) and real-time polymerase chain reaction (PCR) in addition to conventional culture methods for S. pneumoniae detection. We found that the detection rate was highest by real time PCR reaction (50%) in contrast to 10% by ICT, 2% from blood and 0% from sputum cultures. This molecular method had contributed to a rise in percentage of S. pneumoniae detection accounting for 51.1% of all etiological cases in CAP and the second commonest organism after Chlamydophila pneumoniae (63.8%), followed by M. pneumoniae (27.7%) and L. pneumophila (17%). We have also found that 10.6% of the etiological agents of CAP were not known indicating that other specific organisms including viruses have not been identified. Both ICT and PCR demonstrated sensitivities of 100%, with specificities of 91.3 and 55.6%, respectively, using culture techniques as the “gold standard”. Thus from this finding, they will become potential tools in the future for the diagnosis of S. pneumoniae in CAP, for the epidemiological importance and prevention as well as for early antibiotic management.
first_indexed 2025-11-15T08:41:43Z
format Article
id upm-24734
institution Universiti Putra Malaysia
institution_category Local University
language English
last_indexed 2025-11-15T08:41:43Z
publishDate 2012
publisher Academic Journals
recordtype eprints
repository_type Digital Repository
spelling upm-247342017-11-17T04:51:00Z http://psasir.upm.edu.my/id/eprint/24734/ Community acquired pneumonia in Malaysia: is Streptococcus pneumoniae an important pathogen? Mohd Taib, Niazlin Ban, Andrea Yu-Lin Abd. Manap, Roslina Jamal, Farida Fatema @ Farida Che Isahak, Che Ilina Previous data on etiological agents isolated from adult patients with community acquired pneumonia (CAP) in Malaysia has showed very low percentage of Streptococcus pneumoniae. Thus, we used immunochromatography test (ICT) and real-time polymerase chain reaction (PCR) in addition to conventional culture methods for S. pneumoniae detection. We found that the detection rate was highest by real time PCR reaction (50%) in contrast to 10% by ICT, 2% from blood and 0% from sputum cultures. This molecular method had contributed to a rise in percentage of S. pneumoniae detection accounting for 51.1% of all etiological cases in CAP and the second commonest organism after Chlamydophila pneumoniae (63.8%), followed by M. pneumoniae (27.7%) and L. pneumophila (17%). We have also found that 10.6% of the etiological agents of CAP were not known indicating that other specific organisms including viruses have not been identified. Both ICT and PCR demonstrated sensitivities of 100%, with specificities of 91.3 and 55.6%, respectively, using culture techniques as the “gold standard”. Thus from this finding, they will become potential tools in the future for the diagnosis of S. pneumoniae in CAP, for the epidemiological importance and prevention as well as for early antibiotic management. Academic Journals 2012-01 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/24734/1/24734.pdf Mohd Taib, Niazlin and Ban, Andrea Yu-Lin and Abd. Manap, Roslina and Jamal, Farida Fatema @ Farida and Che Isahak, Che Ilina (2012) Community acquired pneumonia in Malaysia: is Streptococcus pneumoniae an important pathogen? African Journal of Microbiology Research, 6 (3). art. no. 79B475920668. pp. 512-519. ISSN 1996-0808 http://www.academicjournals.org/journal/AJMR/article-abstract/79B475920668 10.5897/AJMR11.804
spellingShingle Mohd Taib, Niazlin
Ban, Andrea Yu-Lin
Abd. Manap, Roslina
Jamal, Farida Fatema @ Farida
Che Isahak, Che Ilina
Community acquired pneumonia in Malaysia: is Streptococcus pneumoniae an important pathogen?
title Community acquired pneumonia in Malaysia: is Streptococcus pneumoniae an important pathogen?
title_full Community acquired pneumonia in Malaysia: is Streptococcus pneumoniae an important pathogen?
title_fullStr Community acquired pneumonia in Malaysia: is Streptococcus pneumoniae an important pathogen?
title_full_unstemmed Community acquired pneumonia in Malaysia: is Streptococcus pneumoniae an important pathogen?
title_short Community acquired pneumonia in Malaysia: is Streptococcus pneumoniae an important pathogen?
title_sort community acquired pneumonia in malaysia: is streptococcus pneumoniae an important pathogen?
url http://psasir.upm.edu.my/id/eprint/24734/
http://psasir.upm.edu.my/id/eprint/24734/
http://psasir.upm.edu.my/id/eprint/24734/
http://psasir.upm.edu.my/id/eprint/24734/1/24734.pdf