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Constructing Mutants in Serotype 1 Streptococcus pneumoniae strain 519/43
Published on: September 11, 2020
Pneumococcal serotypes recovered from health children and their possible association with risk factor in istanbul,
Ferhat Cekmez1, Ferhan Karademir, I Asya Tanju
1Department of Pediatrics, GATA Medical Faculty, Istanbul, Turkey;
Insights
Streptococcus pneumoniae colonization in children is 5%, with higher rates in older children and those with specific risk factors. No penicillin resistance was found, indicating vaccine benefits.
Area of Science:
- Microbiology
- Pediatrics
- Epidemiology
Background:
- * *Streptococcus pneumoniae* is a significant global health concern.
- * Nasopharyngeal colonization is a key factor in pneumococcal disease development.
- * Understanding colonization dynamics in children is crucial for public health strategies.
Purpose of the Study:
- * To determine the nasopharyngeal colonization rate of *S. pneumoniae* in healthy children.
- * To identify risk factors associated with pneumococcal carriage.
- * To analyze serogroup distribution and penicillin susceptibility of isolated strains.
Main Methods:
- * A cross-sectional study involving 500 healthy children.
- * Nasopharyngeal swabs were collected for bacterial culture.
- * Statistical analysis was performed to identify risk factors and assess significance.
Main Results:
- * A 5% carriage rate of *S. pneumoniae* was observed.
- * Higher colonization rates were found in children aged 7-9 years.
- * Risk factors included recent upper respiratory tract infection, day-care attendance, and household crowding.
- * Prevalent serogroups (9, 19, 23, 6, 10, 18) align with those targeted by PCV7.
- * No penicillin-resistant *S. pneumoniae* strains were detected.
Conclusions:
- * The study highlights key risk factors for *S. pneumoniae* colonization in children.
- * The absence of penicillin resistance suggests potential benefits from conjugated vaccines.
- * Findings support the continued importance of vaccination programs in reducing pneumococcal burden.
Unlabelled:
Streptococcus pneumonia is an increasing problem worldwide and nasopharyngeal colonization plays an important role in pneumococcal infections. The aims of this study were to assess the nasopharyngeal colonization rate, investigate the risk factors for nasopharyngeal colonization with S. pneumonia, serogroup and penicillin susceptibility patterns of Streptococcus pneumoniae strains isolated from healthy children. A single swab was obtained over the nasopharyngeal walls of the 500 healthy children, of which 25 (5%) were found to be carriers. The carrier rate was significantly higher in the seven-nine years-old age group. Upper respiratory tract infection within the last month (OR=1.1, p>0.001), day-care attendance (OR=3.1, p: 0.02), and the presence of more than five people living in the house of the child (OR=0.2, p: 0.003) have been determined to be risk factors for S. pneumoniae carriage. The most prevalent serogroups in descending order were 9, 19, 23, 6, 10 and 18 and these are in accordance with conjugated pneumococcal vaccine (PCV7). No penicillin-resistant S. pneumoniae were obtained.
Conclusion:
after conjugated vaccine we have seen benefits of vaccine in especially colonization rate and penicillin-resistance.
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