[Prevalence of Moraxella catarrhalis colonization in asymptomatic carriers under 6 years of age]

B Leaños-Miranda1, M G Miranda-Novales, F Solórzano-Santos

  • 1Unidad de Investigación en Epidemiología Hospitalaria, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social (CMN Siglo XXI, IMSS), México.

Insights

Moraxella catarrhalis upper respiratory tract colonization was found in 22.9% of children under six in Mexico City. Most strains produced beta-lactamase and were resistant to penicillin and ampicillin.

Area of Science:

  • Pediatrics
  • Microbiology
  • Infectious Diseases

Background:

  • Moraxella catarrhalis is a common respiratory pathogen.
  • Understanding its colonization prevalence is crucial for pediatric respiratory health.

Purpose of the Study:

  • To determine the prevalence of Moraxella catarrhalis colonization in young children.
  • To assess antibiotic resistance patterns of M. catarrhalis in this population.

Main Methods:

  • Cluster sampling of 604 children aged 2 months to 5 years in Mexico City.
  • Pharyngeal sample collection for M. catarrhalis identification.
  • Antibiotic susceptibility testing and beta-lactamase determination.

Main Results:

  • Prevalence of M. catarrhalis colonization was 22.9% (130/604 children).
  • 75.4% of isolates produced beta-lactamase.
  • High resistance rates observed for penicillin (80%), ampicillin, and amoxicillin (70%).
  • No resistance detected against cefotaxime, imipenem, meropenem, and erythromycin.

Conclusions:

  • M. catarrhalis colonization prevalence is comparable to other respiratory pathogens.
  • Findings suggest a significant role for M. catarrhalis in pediatric respiratory infections in Mexico.
  • Further research is recommended to elucidate its etiological role.
Abstract

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