The new technologies of molecular epidemiology used with classis techn
ologies of serotyping and antibiotyping can explain the spread of peni
cillin resistant pneumococcal strains. Analysis of published data demo
nstrates that horizontal transfer of penicilline resistance genes by t
ransformation which is responsive of pneumococcal resistance is a poss
ible way but clonal spreading is more frequent. Both mecanisms can pla
y a role together, but il is difficult to elucidate the respective res
ponsiveness of each other.