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Updated: Jun 4, 2026

Experimental Human Pneumococcal Carriage
Published on: February 15, 2013
Epidemiology, surveillance, and population biology : carriage studies
1Public Health Laboratory, Gloucestershire Royal Hospital, UK.
Abstract:
Seven years after meningococci were first grown from patients with meningitis (1), Kiefer reported the isolation of the organisms from the nasopharynx of cases of meningococcal disease, and from their contacts (2). The importance of nasopharyngeal acquisition and carriage as a key step in the development of invasive meningococcal infection was rapidly appreciated, as was the far greater frequency of the carrier state when compared with the relatively small numbers of individuals developing invasive disease. Attempts to interpret the significance of variations in the bacteria themselves as a factor influencing the outcome of the interaction between humans and meningococcus had to await the development of the first typing systems based on serological reagents (3). It became clear rapidly that meningococcal strains isolated from the blood or cerebrospinal fluid (CSF) of patients with invasive disease were more likely to be typable than strains from the nasopharynx of individuals who were asymptomatic carriers.
Insights
Meningococcal strains from invasive disease cases were more often typable than those from asymptomatic carriers, highlighting bacterial variations in disease development. This research aids understanding of meningococcal disease transmission and host interaction.
Area of Science:
- Microbiology
- Epidemiology
- Immunology
Background:
- Neisseria meningitidis causes meningitis and invasive diseases.
- Nasopharyngeal carriage is a crucial step in meningococcal disease development.
- Carrier state is more frequent than invasive disease.
Purpose of the Study:
- To investigate the significance of bacterial variations in meningococcal disease.
- To understand the relationship between bacterial typing and disease outcome.
Main Methods:
- Isolation of Neisseria meningitidis from patients and contacts.
- Serological typing of meningococcal strains.
- Comparison of typability between strains from invasive disease and asymptomatic carriers.
Main Results:
- Strains from cerebrospinal fluid (CSF) or blood of invasive disease patients were more typable.
- Strains from nasopharyngeal carriers were less frequently typable.
- Typability correlated with the clinical outcome of meningococcal infection.
Conclusions:
- Bacterial characteristics, indicated by typability, play a role in meningococcal disease invasiveness.
- Typing systems are valuable for understanding meningococcal epidemiology.
- Further research into bacterial factors influencing disease is warranted.
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