Skip to main content
Log in

Carriage of Streptococcus pneumoniae in healthy Norwegian children attending day-care centres

  • Concise Article
  • Published:
European Journal of Clinical Microbiology and Infectious Diseases Aims and scope Submit manuscript

Abstract

An observational study to examine Streptococcus pneumoniae carriage in Norwegian children was initiated after two cases of pneumococcal meningitis, caused by the England14-9 clone, occurred in one day-care centre in Oslo. All children recruited from the day-care centre where the cases occurred were vaccinated with a seven-valent pneumococcal conjugate vaccine; the other participants who attended three other day-care centres nearby were not. The children were followed for 9 months, and three samplings took place. At the first visit, 45.7% of the children were colonised by pneumococci in the nasopharynx. The children harboured a variety of serotypes, with serotypes 6A, 23F, 6B and 19F being the most frequent. The numbers of children carrying vaccine serotypes decreased in both the vaccinated and the non-vaccinated groups. Thus, no significant effect of vaccine on carriage was detected in this relatively small study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Gray BM, Converse GM III, Dillon HC Jr (1980) Epidemiologic studies of Streptococcus pneumoniae in infants: acquisition, carriage, and infection during the first 24 months of life. J Infect Dis 142:923–933

    PubMed  CAS  Google Scholar 

  2. Syrjanen RK, Kilpi TM, Kaijalainen TH, Herva EE, Takala AK (2001) Nasopharyngeal carriage of Streptococcus pneumoniae in Finnish children younger than 2 years old. J Infect Dis 184:451–459

    Article  PubMed  CAS  Google Scholar 

  3. Principi N, Marchisio P, Schito GC, Mannelli S (1999) Risk factors for carriage of respiratory pathogens in the nasopharynx of healthy children. Ascanius Project Collaborative Group. Pediatr Infect Dis J 18:517–523

    Article  PubMed  CAS  Google Scholar 

  4. Pedersen MK, Høiby EA, Frøholm LO, Hasseltvedt V, Lermark G, Caugant DA (2004) Systemic pneumococcal disease in Norway 1995–2001: capsular serotypes and antimicrobial resistance. Epidemiol Infect 132:167–175

    Article  PubMed  CAS  Google Scholar 

  5. Obaro SK, Adegbola RA, Banya WA, Greenwood BM (1996) Carriage of pneumococci after pneumococcal vaccination. Lancet 348:271–272

    Article  PubMed  CAS  Google Scholar 

  6. Dagan R, Givon-Lavi N, Zamir O, Fraser D (2003) Effect of a nonavalent conjugate vaccine on carriage of antibiotic-resistant Streptococcus pneumoniae in day-care centers. Pediatr Infect Dis J 22:532–540

    Article  PubMed  Google Scholar 

  7. Enright MC, Spratt BG (1998) A multilocus sequence typing scheme for Streptococcus pneumoniae: identification of clones associated with serious invasive disease. Microbiology 144:3049–3060

    Article  PubMed  CAS  Google Scholar 

  8. Borres MP, Alestig K, Krantz I, Larsson P, Norvenius G, Stenqvist K (2000) Carriage of penicillin-susceptible and non-susceptible pneumococci in healthy young children in Goteborg, Sweden. J Infect 40:141–144

    PubMed  CAS  Google Scholar 

  9. Sulikowska A, Grzesiowski P, Sadowy E, Fiett J, Hryniewicz W (2004) Characteristics of Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis isolated from the nasopharynges of asymptomatic children and molecular analysis of S. pneumoniae and H. influenzae strain replacement in the nasopharynx. J Clin Microbiol 42:3942–3949

    Article  PubMed  CAS  Google Scholar 

  10. Hussain M, Melegaro A, Pebody RG, George R, Edmunds WJ, Talukdar R, Martin SA, Efstratiou A, Miller E (2005) A longitudinal household study of Streptococcus pneumoniae nasopharyngeal carriage in a UK setting. Epidemiol Infect 133:891–898

    Article  PubMed  CAS  Google Scholar 

  11. Frazao N, Brito-Avo A, Simas C, Saldanha J, Mato R, Nunes S, Sousa NG, Carrico JA, Almeida JS, Santos-Sanches I, de Lencastre H (2005) Effect of the seven-valent conjugate pneumococcal vaccine on carriage and drug resistance of Streptococcus pneumoniae in healthy children attending day-care centers in Lisbon. Pediatr Infect Dis J 24:243–252

    Article  PubMed  Google Scholar 

  12. Gray BM, Turner ME, Dillon HC Jr (1982) Epidemiologic studies of Streptococcus pneumoniae in infants. The effects of season and age on pneumococcal acquisition and carriage in the first 24 months of life. Am J Epidemiol 116:692–703

    PubMed  CAS  Google Scholar 

  13. Obaro S, Adegbola R (2002) The pneumococcus: carriage, disease and conjugate vaccines. J Med Microbiol 51:98–104

    PubMed  Google Scholar 

  14. Whitney CG, Farley MM, Hadler J, Harrison LH, Bennett NM, Lynfield R, Reingold A, Cieslak PR, Pilishvili T, Jackson D, Facklam RR, Jorgensen JH, Schuchat A, Active Bacterial Core Surveillance of the Emerging Infections Program Network (2003) Decline in invasive pneumococcal disease after the introduction of protein–polysaccharide conjugate vaccine. N Engl J Med 348:1737–1746

    Article  PubMed  Google Scholar 

  15. Dagan R, Muallem M, Melamed R, Leroy O, Yagupsky P (1997) Reduction of pneumococcal nasopharyngeal carriage in early infancy after immunization with tetravalent pneumococcal vaccines conjugated to either tetanus toxoid or diphtheria toxoid. Pediatr Infect Dis J 16:1060–1064

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

We thank I.-L. Bergstrøm, G. Lermark, T. Alvestad and A. Klem for skilful technical assistance and E.-A.S. Andersen for monitoring the study. We also thank W. Lederle for providing vaccine for the study. Funding was provided by Norwegian Research Council grant 143253/310 to D.A.C. The experiments conducted comply with the current laws of Norway.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D. A. Caugant.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sogstad, M.K.R., Aaberge, I.S., Sørdal, J.O. et al. Carriage of Streptococcus pneumoniae in healthy Norwegian children attending day-care centres. Eur J Clin Microbiol Infect Dis 25, 510–514 (2006). https://doi.org/10.1007/s10096-006-0177-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10096-006-0177-0

Keywords

Navigation