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Updated: May 5, 2026

Experimental Human Pneumococcal Carriage
Published on: February 15, 2013
Streptococcus pneumoniae carriage and antibiotic use in children in southwestern Uganda
Birungi Mutahunga1, Nahabwe Haven2,3, Orikushaba I Magezi4
1Department of Health, Kanungu District Local Government, Kanungu, Uganda.
Insights
In Uganda, Streptococcus pneumoniae is common in young children, with high antibiotic use for respiratory infections. Further research is needed on carriage and resistance.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Acute respiratory infection (ARI) poses a significant threat to children under five in Uganda.
- Streptococcus pneumoniae is a common causative agent of ARI in this age group.
Purpose of the Study:
- To document caretaker behavior in seeking treatment for suspected ARI in children.
- To estimate the prevalence of Streptococcus pneumoniae in healthy and sick children in rural southwestern Uganda.
Main Methods:
- A cross-sectional study was conducted from January to August 2023.
- Caretaker interviews, nasopharyngeal swab collection, and microbiological culture for S. pneumoniae identification.
- Data analysis using SPSS and ArcPro GIS.
Main Results:
- Approximately 50% of surveyed families reported a child was ill, with most exhibiting ARI symptoms.
- 80% of caretakers sought treatment outside the home; antibiotics were administered in 56% of cases.
- Streptococcus pneumoniae prevalence was 34%, associated with household density, size, and number of children.
Conclusions:
- High carriage rates of Streptococcus pneumoniae were observed in the study region.
- A high incidence of antibiotic use for suspected ARI was documented.
- Evidence supports further assessment of S. pneumoniae carriage and antibiotic resistance potential.
Background:
Acute respiratory infection is a significant health threat in children under the age of 5 years in Uganda and can be caused by Streptococcus pneumoniae.
Aim:
This study documents caretaker behaviour in seeking treatment for suspected acute respiratory infection in children and estimates the prevalence of S. pneumoniae in healthy and sick children.
Setting:
The study was carried out in the catchment region of Bwindi Community Hospital, encompassing the sub-counties of Kanyantorogo, Kayonza and Mpungu in rural southwestern Uganda.
Methods:
This cross-sectional study was conducted from January 2023 to August 2023. Caretakers answered questions about the child's illness, symptoms, sources of treatment and medicines administered. Nasopharyngeal swabs were collected from children and cultured to identify S. pneumoniae using standard microbiological methods. Analyses were conducted using SPSS and ArcPro GIS.
Results:
Roughly half of the 422 families sampled reported that the child was ill within the past 2 weeks, the vast majority with symptoms consistent with a possible acute respiratory infection. Most (80%) sought treatment outside the home at a private or public health facility or drug shop. Regardless of treatment source, antibiotics (primarily amoxicillin) were administered 56% of the time. The prevalence of S. pneumoniae was 34% and positively associated with household density, household size and the number of children in the household.
Conclusion:
This study documents a high carriage rate of S. pneumoniae in the region and documents a high rate of antibiotic use in the region.
Contribution:
This study provides evidence to support a wider assessment of S. pneumoniae carriage and the potential for antibiotic resistance.
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