Journal Article

Duration of Nasopharyngeal Carriage of Penicillin-Resistant <i>Streptococcus pneumoniae</i>: Experiences from the South Swedish Pneumococcal Intervention Project

Karl Ekdahl, Ingrid Ahlinder, Hans Bertil Hansson, Eva Melander, Sigvard Mölstad, Margareta Söderström and Kristina Persson

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 25, issue 5, pages 1113-1117
Published in print November 1997 | ISSN: 1058-4838
Published online November 1997 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/516103
Duration of Nasopharyngeal Carriage of Penicillin-Resistant Streptococcus pneumoniae: Experiences from the South Swedish Pneumococcal Intervention Project

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As a part of an intervention project, all detected carriers of penicillin-resistant pneumococci (PRP) (MIC, ⩾0.5 mg/L) in Malmöhus County, southern Sweden, were followed by means of weekly nasopharyngeal cultures. The median duration of carriage in 678 individuals was 19 days (range, 3–267 days). The duration of carriage was longest in children <1 year old (median, 30 days) and shortest in adults >18 years old (median, 14 days). Index cases, whose cultures were performed during an acute infection, were carriers for a mean of 10 days longer than asymptomatic contact cases (P < .05). The PRP spontaneously disappeared from the nasopharynx within 4 weeks in 68%, within 8 weeks in 87%, and within 12 weeks in 94% of the individuals. Other significant risk factors for prolonged carriage were the occurrence of >6 episodes of acute otitis media (AOM) or first episode of AOM before the age of 1 year (P < .01), the carriage of PRP by other family members (P < .05), and the obtainment of a first positive culture during the winter months (P < .05).

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Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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