Pneumococcal carriage in children with COVID-19

Kubra Aykac1, Yasemin Ozsurekci2, Burcu Ceylan Cura Yayla1

  • 1Department of Pediatric Infectious Diseases, University of Health Science Ankara Training and Research Hospital, Ankara, Turkey.

Insights

Children with COVID-19 had a higher rate of Streptococcus pneumoniae carriage. However, this pneumococcal carriage did not impact the severity or course of COVID-19 disease in pediatric patients.

Area of Science:

  • Pediatric Infectious Diseases
  • Microbiology
  • Virology

Background:

  • Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) is a novel virus causing the COVID-19 pandemic.
  • Streptococcus pneumoniae is a significant human pathogen, but its interaction with SARS-CoV-2 remains unclear.
  • Understanding coinfections is crucial for managing pediatric respiratory illnesses.

Purpose of the Study:

  • To investigate the relationship between SARS-CoV-2 infection and Streptococcus pneumoniae carriage in pediatric patients.
  • To determine if S. pneumoniae coinfection influences the clinical presentation or severity of COVID-19 in children.

Main Methods:

  • Retrospective analysis of medical records from pediatric patients tested for SARS-CoV-2.
  • Nasopharyngeal specimens were analyzed for both SARS-CoV-2 and S. pneumoniae.
  • Data from 829 pediatric patients were evaluated.

Main Results:

  • A higher nasopharyngeal carriage rate of S. pneumoniae was observed in SARS-CoV-2 positive children (32.2%) compared to SARS-CoV-2 negative children (14.1%).
  • No statistically significant differences were found in clinical characteristics, laboratory findings, or disease severity between patients with and without S. pneumoniae positivity, regardless of SARS-CoV-2 status.
  • Pneumococcal carriage did not appear to affect the course of COVID-19 disease.

Conclusions:

  • Pediatric patients with COVID-19 exhibit an increased rate of nasopharyngeal Streptococcus pneumoniae carriage.
  • Streptococcus pneumoniae carriage does not seem to alter the clinical course or severity of COVID-19 in children.
  • The implications of increased pneumococcal carriage during the pandemic warrant further investigation, highlighting the importance of pneumococcal vaccination.

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