Dynamics of nasopharyngeal pneumococcal carriage during the course of viral bronchiolitis

Tina E Faber1, Theo A Schuurs2, Nic J G M Veeger3

  • 1Department of Pediatrics, Medical Center Leeuwarden, P.O. Box 888, 8901 BR, Leeuwarden, The Netherlands.

Pediatric Pulmonology
|February 10, 2016
PubMed

Insights

Viral respiratory infections negatively impact Streptococcus pneumoniae carriage in children. This study found that viral bronchiolitis reduced pneumococcal load in the upper airways over time.

Area of Science:

  • Pediatric Pulmonology
  • Infectious Diseases
  • Microbiology

Background:

  • The relationship between viral infections and nasopharyngeal carriage of Streptococcus pneumoniae in children remains unclear.
  • Understanding this interaction is crucial for managing pediatric respiratory illnesses and pneumococcal disease.

Purpose of the Study:

  • To investigate the impact of viral respiratory infections on the dynamics of Streptococcus pneumoniae colonization in children.
  • To quantify changes in pneumococcal load during the course of viral bronchiolitis.

Main Methods:

  • Quantitative PCR was employed to measure pneumococcal load in nasopharyngeal samples.
  • Study involved 100 children diagnosed with viral bronchiolitis.
  • Data collected at admission, discharge, and follow-up visits.

Main Results:

  • At admission, 47% of children with bronchiolitis carried Streptococcus pneumoniae.
  • In children not receiving antibiotics, pneumococcal load significantly decreased from admission to discharge (cycle threshold 23 vs. 25, P=0.0017).
  • Further reduction in pneumococcal load was observed from discharge to follow-up (cycle threshold 25 vs. 40, P=0.003).

Conclusions:

  • Viral respiratory infections are associated with a negative impact on pneumococcal colonization in the upper airways.
  • This suggests a potential protective effect of viral infections against pneumococcal carriage in children.
  • Further research may explore mechanisms underlying this inverse relationship.

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