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Updated: May 25, 2026

Experimental Human Pneumococcal Carriage
Published on: February 15, 2013
Carriage of encapsulated bacteria in Gabonese children with sickle cell anaemia
F Schaumburg1, B Biallas, E Ngoune Feugap
1Institute of Medical Microbiology, University Hospital Münster, Münster, Germany. frieder.schaumburg@ukmuenster.de
Insights
Children with sickle cell anaemia (SCA) show similar rates of bacterial carriage and antibiotic resistance compared to healthy children in Gabon. This finding supports current antibiotic prophylaxis and vaccination strategies for SCA patients.
Area of Science:
- Microbiology
- Hematology
- Infectious Diseases
Background:
- Sickle cell anaemia (SCA) increases susceptibility to encapsulated bacterial infections in children.
- Understanding bacterial carriage and resistance patterns is crucial for guiding prophylaxis and vaccination in SCA patients.
- Gabon lacks specific data on common bacterial pathogens in children with SCA.
Purpose of the Study:
- To characterize Streptococcus pneumoniae, Staphylococcus aureus, and Haemophilus influenzae isolates from children with and without SCA in Gabon.
- To compare carriage rates, antibiotic resistance patterns, and capsular types between SCA and non-SCA children.
- To inform antibiotic prophylaxis and vaccination strategies for children with SCA in Gabon.
Main Methods:
- Cross-sectional study comparing nasal and pharyngeal isolates from SCA children (n=73) and matched controls (n=143).
- Identification of S. pneumoniae, Staph. aureus, and H. influenzae.
- Analysis of resistance patterns and capsular types; comparison of antibiotic treatment history.
Main Results:
- Overall carriage rates for the studied bacteria did not differ significantly between SCA and control groups.
- Children with SCA had a significantly higher number of days on antibiotic treatment in the past year.
- Antibiotic susceptibility and capsular type distribution were similar between SCA and control groups, with specific non-susceptibility rates noted for penicillin, oxacillin, and ampicillin.
Conclusions:
- Carriage and antibiotic resistance rates of S. pneumoniae, Staph. aureus, and H. influenzae are comparable in children with and without SCA in Gabon.
- The findings support current empiric therapy guidelines for invasive bacterial diseases in Gabonese children.
- Further research may refine targeted prophylaxis and vaccination based on local epidemiology.
Abstract:
Sickle cell anaemia (SCA) is a haemoglobin disorder that alters the deformability of erythrocytes through abnormal polymerization of haemoglobin. Children with SCA have an increased risk of infections with encapsulated bacteria. To guide the antibiotic prophylaxis and vaccinations in children with SCA in Gabon, we characterized Streptococcus pneumoniae, Staphylococcus aureus and Haemophilus influenzae from children with and without SCA. We performed a cross-sectional study and compared nasal and pharyngeal S. pneumoniae, Staph. aureus and H. influenzae isolates from SCA children (n = 73) with comparators matched for age, residence and sex (n = 143) in a matched-comparison analysis. The resistance pattern and capsular type were identified for each isolate. The total carriage rate for S. pneumoniae, Staph. aureus and H. influenzae was 13.8%, 46.7% and 12.5%, respectively, and did not differ between groups (p >0.05). The mean number of days under antibiotic treatment in the past year was higher in children with SCA than in controls (penicillin: 70.1 vs 0.1 days, p 0.00002). The total non-susceptibility rate was 30% for oral and parenteral (meningitis) penicillin in S. pneumoniae, resistance rates were 1.6% for oxacillin in Staph. aureus and 14.8% for ampicillin in H. influenzae. Susceptibility to antibiotic agents and distribution of capsular types did not differ significantly between both groups. In conclusion, carriage and resistance rates are similar in children with and without SCA. Our data provide the basis to guide empiric therapy of invasive diseases caused by S. pneumoniae, Staph. aureus and H. influenza in children in Gabon.
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