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Published on: February 23, 2014
Moraxella-dominated pediatric nasopharyngeal microbiota associate with upper respiratory infection and sinusitis
Kathryn E McCauley1, Gregory DeMuri2, Kole Lynch1
1Division of Gastroenterology, Department of Medicine, University of California San Francisco, San Francisco, CA, United States of America.
Insights
Distinct upper airway bacteria in children influence respiratory health. A Moraxella-dominated nasopharyngeal microbiota increases the risk of upper respiratory infections (URI) and sinusitis in pediatric populations.
Area of Science:
- Microbiology
- Pediatric Health
- Environmental Health
Background:
- Pediatric upper airway microbiota structures are linked to respiratory viral infections and asthma.
- Nasopharyngeal (NP) microbiota may influence acute sinusitis and upper respiratory infection (URI) risk in children.
Purpose of the Study:
- To investigate distinct nasopharyngeal microbiota structures in children.
- To determine relationships between NP microbiota, environmental exposures, and risk of sinusitis or URI.
Main Methods:
- Analyzed bacterial 16S rRNA profiles from nasopharyngeal swabs of 58 children over one year.
- Correlated microbiota composition with environmental variables, URI, and sinusitis outcomes.
Main Results:
- Nasopharyngeal microbiota composition varied significantly with clinical outcomes and environmental factors.
- Four distinct microbiota structures were identified, differing in URI and sinusitis outcomes.
- A Moraxella-dominated microbiota (Cluster I) was associated with increased risk of URI and sinusitis.
Conclusions:
- Distinct nasopharyngeal microbiota structures are present in pediatric populations.
- Moraxella-dominated NP microbiota is associated with increased risk of URI and sinusitis in children.
Background:
Distinct bacterial upper airway microbiota structures have been described in pediatric populations, and relate to risk of respiratory viral infection and, exacerbations of asthma. We hypothesized that distinct nasopharyngeal (NP) microbiota structures exist in pediatric populations, relate to environmental exposures and modify risk of acute sinusitis or upper respiratory infection (URI) in children.
Methods:
Bacterial 16S rRNA profiles from nasopharyngeal swabs (n = 354) collected longitudinally over a one-year period from 58 children, aged four to seven years, were analyzed and correlated with environmental variables, URI, and sinusitis outcomes.
Results:
Variance in nasopharyngeal microbiota composition significantly related to clinical outcomes, participant characteristics and environmental exposures including dominant bacterial genus, season, daycare attendance and tobacco exposure. Four distinct nasopharyngeal microbiota structures (Cluster I-IV) were evident and differed with respect to URI and sinusitis outcomes. These clusters were characteristically either dominated by Moraxella with sparse underlying taxa (Cluster I), comprised of a non-dominated, diverse microbiota (Cluster II), dominated by Alloiococcus/Corynebacterium (Cluster III), or by Haemophilus (Cluster IV). Cluster I was associated with increased risk of URI and sinusitis (RR = 1.18, p = 0.046; RR = 1.25, p = 0.009, respectively) in the population studied.
Conclusion:
In a pediatric population, URI and sinusitis associate with the presence of Moraxella-dominated NP microbiota.
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