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Updated: Aug 6, 2026

Experimental Human Pneumococcal Carriage
Published on: February 15, 2013
Carriage of Streptococcus pneumoniae in healthy Norwegian children attending day-care centres
M K R Sogstad1, I S Aaberge, J O Sørdal
1Division of Infectious Disease Control, Norwegian Institute of Public Health, P.O. Box 4404, Nydalen, 0403 Oslo, Norway.
Insights
A study on Streptococcus pneumoniae carriage in Norwegian children found no significant effect of the seven-valent pneumococcal conjugate vaccine on nasopharyngeal colonization in a small observational study.
Area of Science:
- Pediatrics
- Infectious Diseases
- Vaccinology
Background:
- Two cases of pneumococcal meningitis caused by the England(14)-9 clone prompted an investigation into Streptococcus pneumoniae carriage.
- Streptococcus pneumoniae is a leading cause of bacterial meningitis in children.
Purpose of the Study:
- To examine the impact of a seven-valent pneumococcal conjugate vaccine (PCV7) on Streptococcus pneumoniae carriage in Norwegian children.
- To identify prevalent pneumococcal serotypes in young children attending day-care centers.
Main Methods:
- An observational study involving children from four day-care centers in Oslo.
- One group of children was vaccinated with PCV7, while a control group was not.
- Nasopharyngeal swabs were collected from participants over a 9-month period with three sampling points.
Main Results:
- At the initial visit, 45.7% of children carried pneumococci in their nasopharynx.
- Commonly detected serotypes included 6A, 23F, 6B, and 19F.
- A decrease in vaccine-type serotype carriage was observed in both vaccinated and unvaccinated groups, with no statistically significant vaccine effect.
Conclusions:
- The seven-valent pneumococcal conjugate vaccine did not demonstrate a significant impact on Streptococcus pneumoniae carriage in this study.
- Further research with larger sample sizes may be needed to confirm these findings.
Abstract:
An observational study to examine Streptococcus pneumoniae carriage in Norwegian children was initiated after two cases of pneumococcal meningitis, caused by the England(14)-9 clone, occurred in one day-care centre in Oslo. All children recruited from the day-care centre where the cases occurred were vaccinated with a seven-valent pneumococcal conjugate vaccine; the other participants who attended three other day-care centres nearby were not. The children were followed for 9 months, and three samplings took place. At the first visit, 45.7% of the children were colonised by pneumococci in the nasopharynx. The children harboured a variety of serotypes, with serotypes 6A, 23F, 6B and 19F being the most frequent. The numbers of children carrying vaccine serotypes decreased in both the vaccinated and the non-vaccinated groups. Thus, no significant effect of vaccine on carriage was detected in this relatively small study.
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