Volume 24, Number 11—November 2018
Research
Effects of Pneumococcal Conjugate Vaccine on Genotypic Penicillin Resistance and Serotype Changes, Japan, 2010–2017
Figure 2

Figure 2. Yearly changes in genotypic penicillin resistance in isolates from A) 1,006 children and B) 1,850 adults with invasive pneumococcal disease in Japan, April 2010–March 2017. Fiscal years extend from April 1 through March 31 of the following year. Genotypes based on abnormal pbp1a, pbp2x, and pbp2b genes were identified by real-time PCR and are represented as gPRSP (1a+2x+2b), gPISP (1a+2x), gPISP (1a+2b), gPISP (2x+2b), gPISP (2x), gPISP (2b), and gPSSP. g, genotype; PCV7, 7-valent pneumococcal conjugate vaccine; PCV13, 13-valent pneumococcal conjugate vaccine; PISP, penicillin-intermediate Streptococcus pneumoniae; PRSP, penicillin-resistant S. pneumoniae; PSSP, penicillin-susceptible S. pneumoniae.
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