Carriage of multiple Streptococcus pneumoniae capsular types is frequent among children with invasive pneumococcal disease
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Updated: Nov 10, 2025

Capsular Serotyping of Streptococcus pneumoniae by Latex Agglutination
Published on: September 25, 2014
Sofia Félix1, Desirée Henares2, Carmen Muñoz-Almagro2,3,4
1Laboratory of Molecular Microbiology of Human Pathogens, Instituto de Tecnologia Química e Biológica António Xavier/Universidade Nova de Lisboa (ITQB/NOVA), Oeiras, Portugal.
Insights
Children with invasive pneumococcal disease often carry multiple Streptococcus pneumoniae serotypes in their nasopharynx. This finding suggests that co-colonizing serotypes may play a role in disease development.
Area of Science:
- Microbiology
- Infectious Diseases
- Pediatrics
Background:
- Streptococcus pneumoniae (pneumococcus) is a common human pathogen.
- It colonizes the nasopharynx, acting as a reservoir for transmission.
- Invasive pneumococcal disease (IPD) remains a significant global health concern, particularly in children.
Purpose of the Study:
- To investigate the distribution of pneumococcal serotypes in paired nasopharyngeal and invasive samples from children with IPD.
- To determine the frequency of multiple serotype carriage in the nasopharynx of children experiencing invasive pneumococcal disease.
Main Methods:
- Collection of paired nasopharyngeal and invasive samples from 57 children diagnosed with IPD.
- Microbiological analysis to identify pneumococcal serotypes present in each sample.
- Comparison of serotypes found in nasopharyngeal carriage versus those causing invasive disease.
Main Results:
- Out of 39 nasopharyngeal samples positive for pneumococci, 46.2% harbored a serotype distinct from the one causing invasive disease.
- A high frequency of pneumococcal multiple serotype carriage was observed in children with IPD.
- This indicates that children with IPD frequently carry more than one pneumococcal serotype.
Conclusions:
- Multiple serotype carriage of Streptococcus pneumoniae is common in children with invasive pneumococcal disease.
- The role of these co-colonizing serotypes in the onset and progression of pneumococcal infections requires further research.
- Understanding multiple serotype carriage could inform future prevention and treatment strategies for IPD.
Abstract:
Streptococcus pneumoniae (pneumococcus) is a human pathogen that colonizes the nasopharynx. We investigated serotype distribution in paired invasive and nasopharyngeal samples obtained from 57 children during invasive pneumococcal disease. Of 39 nasopharyngeal samples positive for pneumococci, 46.2% contained a serotype different from the one causing disease. This study reports a high frequency of pneumococcal multiple serotype carriage in children with invasive pneumococcal disease. Whether multiple serotype carriage is important for the onset and progress to pneumococcal infection warrants further investigation.
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