Pneumococcal nasopharyngeal carriage in children and adults self-confined at home during a COVID-19 national lockdown.

Publication date: Dec 05, 2024

Despite growing evidence of reduced invasive and non-invasive pneumococcal disease attributed to public health measures against the COVID-19 pandemic, the effect of these measures on pneumococcal carriage remains unclear. This study aimed to assess pneumococcal nasopharyngeal carriage among children and adults self-confined at home during the COVID-19 national lockdown in Spain while identifying predictors of pneumococcal carriage in children. Household study conducted across the metropolitan area of Barcelona (Spain) between April-June 2020. Nasopharyngeal samples were collected from young children and adults for real-time PCR pneumococcal lytA and wgz gene detection, quantification, and serotyping, as well as for detection of respiratory viruses. Among 332 children (median age: 3. 1 years [IQR: 1. 9-4. 0 years]; 59% male) and 278 adults (median age: 38. 9 years [IQR: 36. 1-41. 3 years]; 64% female), pneumococcal carriage rates were 28. 3% and 2. 5%, respectively. Highly invasive serotypes 3, 7F/7A, and 19A were detected in 14. 0% of samples from children carriers. Pneumococcal co-infections with respiratory syncytial virus (RSV), human metapneumovirus (hMPV), and influenza virus (IV) were not identified in children. Attendance to kindergarten before the lockdown (aOR: 2. 65; IQR: 1. 57-4. 47; p

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Concepts Keywords
Influenza Adult
June Carrier State
Kindergarten Child
Pcr Child, Preschool
Spain COVID-19
Female
Humans
Infant
Male
Nasopharynx
Pneumococcal Infections
SARS-CoV-2
Spain
Streptococcus pneumoniae

Semantics

Type Source Name
disease MESH COVID-19
disease MESH pneumococcal disease
disease MESH co-infections
disease MESH influenza
disease MESH infections
pathway REACTOME Reproduction
disease MESH Carrier State

Original Article

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