在国家免疫规划中引入七价结合疫苗之前,哥斯达黎加中耳炎儿童的肺炎链球菌上呼吸道传播

Catalina Ulloa, A. Pereira, Carolina Soley, N. Porat, A. Abdelnour, R. Dagan, A. Arguedas
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引用次数: 1

摘要

目的:分析哥斯达黎加中耳炎(OM)儿童在国家免疫规划(NIP)引入PCV-7之前的NP/OP肺炎链球菌血清型分布和潜在疫苗覆盖率。方法:2002年至2006年间,对641例6 ~ 79月龄儿童进行OM诊断时的NP和OP样本采集。进行肺炎链球菌血清分型及药敏试验。结果:共分离出386株肺炎链球菌。最常见的肺炎链球菌血清型(ST)为:ST 6B、ST 14、ST 19F。结论:肺炎链球菌在大多数(59%)研究的OM患儿中从NP和/或OP分离。在有统计学意义的水平上,只有血清3型在0 ~ 24月龄的儿童中更常见。儿童的抗生素不敏感性和耐多药发生率明显高于儿童
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Streptococcus pneumoniae Upper Respiratory Carriage in Costa Rican Children with Otitis Media before the Introduction of the Heptavalent Conjugated Vaccine in the National Immunization Program
Objective: The aim of this study was to analyze the NP/OP S. pneumoniae serotype distribution and potential vaccine coverage in Costa Rican children with Otitis Media (OM) before the introduction of PCV-7 in the National Immunization Program (NIP). Methods: Between 2002 and 2006, NP and OP samples were obtained from 641 children from 6 to 79 months of age, at the time of OM diagnosis. S. pneumoniae serotyping and antimicrobial susceptibility were performed. Results: 386 S. pneumoniae isolates were recovered. The most common S. pneumoniae serotypes (ST) were: ST 6B, ST 14, ST 19F. Penicillin non-susceptibility was observed among 57% of the isolates obtained from children Conclusions: S. pneumoniae was isolated from the NP and/or OP in the majority (59%) of studied children with OM. At a statistical significant level, only serotype 3 was more frequently isolated among children >24 months of age. Antibiotic non-susceptibility and MDR were significantly higher in children
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