TY - JOUR AU - González-Díaz, Aida AU - Machado, Miguel P AU - Càmara, Jordi AU - Yuste, Jose Enrique AU - Varon, Emmanuelle AU - Domenech Lucas, Mirian AU - Del Grosso, María AU - Marimón, José María AU - Cercenado, Emilia AU - Larrosa, Nieves AU - Quesada, María Dolores AU - Fontanals, Dionisia AU - El-Mniai, Assiya AU - Cubero, Meritxell AU - Carriço, João A AU - Martí, Sara AU - Ramirez, Mario AU - Ardanuy, Carmen PY - 2020 DO - 10.2807/1560-7917.ES.2020.25.16.1900457 SN - 1560-7917 UR - http://hdl.handle.net/20.500.12105/9916 AB - BackgroundThe successful pneumococcal clone Spain9V-ST156 (PMEN3) is usually associated with vaccine serotypes 9V and 14.AimOur objective was to analyse the increase of a serotype 11A variant of PMEN3 as cause of invasive pneumococcal disease (IPD) in... LA - eng PB - European Centre for Disease Prevention and Control (ECDC) KW - CC156 KW - Multi-fragment recombination KW - Streptococcus pneumoniae KW - Vaccine escape TI - Two multi-fragment recombination events resulted in the β-lactam-resistant serotype 11A-ST6521 related to Spain9V-ST156 pneumococcal clone spreading in south-western Europe, 2008 to 2016 TY - journal article ER -