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. 2016 Nov;22(11):1996-1999.
doi: 10.3201/eid2211.160902.

Nasopharyngeal Pneumococcal Density and Evolution of Acute Respiratory Illnesses in Young Children, Peru, 2009-2011

Nasopharyngeal Pneumococcal Density and Evolution of Acute Respiratory Illnesses in Young Children, Peru, 2009-2011

Roger R Fan et al. Emerg Infect Dis. 2016 Nov.

Abstract

We examined nasopharyngeal pneumococcal colonization density patterns surrounding acute respiratory illnesses (ARI) in young children in Peru. Pneumococcal densities were dynamic, gradually increasing leading up to an ARI, peaking during the ARI, and decreasing after the ARI. Rhinovirus co-infection was associated with higher pneumococcal densities.

Keywords: Peru; Streptococcus pneumoniae; acute respiratory illnesses; bacteria; bacterial load; nasopharynx; pneumococcal density; pneumococcal infections; pneumococcal pneumonia; respiratory tract infections; young children.

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Figures

Figure 1
Figure 1
Estimated median pneumococcal densities with 95% CIs (vertical bars) by acute respiratory illness (ARI) period. Estimates derived from a quantile regression model that accounted for sex, age, daycare attendance, electricity, water supply, housing materials, kitchen type, smokers at home, vaccination, antimicrobial drug use, season, and altitude of residence. Asterisk indicates significantly different from ARI samples; dagger indicates significantly different from non-ARI samples.
Figure 2
Figure 2
Pneumococcal densities of current acute respiratory illness samples subdivided by reverse transcription PCR detection of respiratory viruses. Each circle represents a single bacterial density measurement. The median for the samples of each subgroup is represented by a gray horizontal line. Asterisk indicates significantly different from virus-negative samples.

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