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Published on: August 7, 2017
[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.
Objective:
To determine the prevalence of upper respiratory tract colonization by Moraxella catarrhalis in children under six years of age.
Material And Methods:
A survey was conducted between January and December 1998 in Mexico City, among children aged 2 months to 5 years, selected through cluster sampling. Pharyngeal samples were taken for M. catarrhalis identification. The minimal inhibitory concentration to different antibiotics was obtained and beta-lactamases were determined by the iodometric test. Statistical analysis consisted of frequency distributions, odds ratios, 95% confidence intervals, and Mantel-Haenszel chi 2. Statistical significance was set at p < 0.05.
Results:
After excluding 37 children, the study population was 604 children from Mexico City; M. catarrhalis was present in 130 pharyngeal specimens (22.9%). Most of the strains were positive for beta-lactamase production (75.4%). Eighty percent of the strains was resistant to penicillin and 70% to ampicillin and amoxicillin. None were resistant to cefotaxime, imipenem, meropenem and erythromycin.
Conclusions:
Prevalence of M. catarrhalis upper respiratory tract colonization is similar to that of other respiratory pathogens. These findings warrant future research on the role of M. catarrhalis as an etiologic agent in acute and chronic respiratory infections in Mexico.
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