Nasopharyngeal carriage of penicillin-resistant Streptococcus pneumoniae in healthy children

Streptococcus pneumoniae carriage is a risk factor for the development of respiratory system infections and the spread of penicillin-resistant strains. The aim of this study was to investigate nasopharyngeal carriage of S. pneumoniae in healthy children and resistance to penicillin and other...

Full description

Saved in:
Bibliographic Details
Main Authors: Arzu Uzuner, Arzu Ilki, Mehmet Akman, Ercan Gündoğdu, Riza Erbölükbaş, Omer Kokaçya, Türkan Mengüç, Sibel Kalaça, Güner Söyletir
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2007-10-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2569
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850024076805931008
author Arzu Uzuner
Arzu Ilki
Mehmet Akman
Ercan Gündoğdu
Riza Erbölükbaş
Omer Kokaçya
Türkan Mengüç
Sibel Kalaça
Güner Söyletir
author_facet Arzu Uzuner
Arzu Ilki
Mehmet Akman
Ercan Gündoğdu
Riza Erbölükbaş
Omer Kokaçya
Türkan Mengüç
Sibel Kalaça
Güner Söyletir
author_sort Arzu Uzuner
collection DOAJ
description Streptococcus pneumoniae carriage is a risk factor for the development of respiratory system infections and the spread of penicillin-resistant strains. The aim of this study was to investigate nasopharyngeal carriage of S. pneumoniae in healthy children and resistance to penicillin and other antimicrobials and to assess related risk factors. Nasopharyngeal specimens collected from healthy children less than six years of age, visiting a Mother and Child Health Center for health control, were investigated microbiologically between February-March 2004. Carriage rate was 37.2% (n=112/301); 33.9% intermediate and 5.4% high penicillin resistance were detected. According to multivariate analysis, carriage rate was inversely related to number of rooms (OR:0.574) and child age (OR:0.978), while penicillin resistance was correlated well with antibiotic use in the last two months (OR:2.193). Decreased sensitivity plus resistance to other antimicrobials were: trimethoprim-sulfamethoxazole (TMP-SMX) 45.6%; erythromycin 16.1%, tetracycline 16.1%; clindamycin 9.8%, and ofloxacin 3.6% in pneumococcal isolates, which increased significantly (p
format Article
id doaj-art-bb0bce07d86148c19879e42564688d03
institution DOAJ
issn 0041-4301
2791-6421
language English
publishDate 2007-10-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-bb0bce07d86148c19879e42564688d032025-08-20T03:01:12ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212007-10-01494Nasopharyngeal carriage of penicillin-resistant Streptococcus pneumoniae in healthy childrenArzu Uzuner0Arzu IlkiMehmet AkmanErcan GündoğduRiza ErbölükbaşOmer KokaçyaTürkan MengüçSibel KalaçaGüner SöyletirDepartment of Family Medicine, Marmara University, Istanbul, Turkey. Streptococcus pneumoniae carriage is a risk factor for the development of respiratory system infections and the spread of penicillin-resistant strains. The aim of this study was to investigate nasopharyngeal carriage of S. pneumoniae in healthy children and resistance to penicillin and other antimicrobials and to assess related risk factors. Nasopharyngeal specimens collected from healthy children less than six years of age, visiting a Mother and Child Health Center for health control, were investigated microbiologically between February-March 2004. Carriage rate was 37.2% (n=112/301); 33.9% intermediate and 5.4% high penicillin resistance were detected. According to multivariate analysis, carriage rate was inversely related to number of rooms (OR:0.574) and child age (OR:0.978), while penicillin resistance was correlated well with antibiotic use in the last two months (OR:2.193). Decreased sensitivity plus resistance to other antimicrobials were: trimethoprim-sulfamethoxazole (TMP-SMX) 45.6%; erythromycin 16.1%, tetracycline 16.1%; clindamycin 9.8%, and ofloxacin 3.6% in pneumococcal isolates, which increased significantly (phttps://turkjpediatr.org/article/view/2569
spellingShingle Arzu Uzuner
Arzu Ilki
Mehmet Akman
Ercan Gündoğdu
Riza Erbölükbaş
Omer Kokaçya
Türkan Mengüç
Sibel Kalaça
Güner Söyletir
Nasopharyngeal carriage of penicillin-resistant Streptococcus pneumoniae in healthy children
The Turkish Journal of Pediatrics
title Nasopharyngeal carriage of penicillin-resistant Streptococcus pneumoniae in healthy children
title_full Nasopharyngeal carriage of penicillin-resistant Streptococcus pneumoniae in healthy children
title_fullStr Nasopharyngeal carriage of penicillin-resistant Streptococcus pneumoniae in healthy children
title_full_unstemmed Nasopharyngeal carriage of penicillin-resistant Streptococcus pneumoniae in healthy children
title_short Nasopharyngeal carriage of penicillin-resistant Streptococcus pneumoniae in healthy children
title_sort nasopharyngeal carriage of penicillin resistant streptococcus pneumoniae in healthy children
url https://turkjpediatr.org/article/view/2569
work_keys_str_mv AT arzuuzuner nasopharyngealcarriageofpenicillinresistantstreptococcuspneumoniaeinhealthychildren
AT arzuilki nasopharyngealcarriageofpenicillinresistantstreptococcuspneumoniaeinhealthychildren
AT mehmetakman nasopharyngealcarriageofpenicillinresistantstreptococcuspneumoniaeinhealthychildren
AT ercangundogdu nasopharyngealcarriageofpenicillinresistantstreptococcuspneumoniaeinhealthychildren
AT rizaerbolukbas nasopharyngealcarriageofpenicillinresistantstreptococcuspneumoniaeinhealthychildren
AT omerkokacya nasopharyngealcarriageofpenicillinresistantstreptococcuspneumoniaeinhealthychildren
AT turkanmenguc nasopharyngealcarriageofpenicillinresistantstreptococcuspneumoniaeinhealthychildren
AT sibelkalaca nasopharyngealcarriageofpenicillinresistantstreptococcuspneumoniaeinhealthychildren
AT gunersoyletir nasopharyngealcarriageofpenicillinresistantstreptococcuspneumoniaeinhealthychildren