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Characteristics of Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis and Staphylococcus aureus isolated from the nasopharynx of healthy children attending day-care centres in the Czech Republic

Published online by Cambridge University Press:  10 May 2006

H. ŽEMLIČKOVÁ
Affiliation:
National Institute of Public Health, šrobárova, Prague, Czech Republic
P. URBÁšKOVÁ
Affiliation:
National Institute of Public Health, šrobárova, Prague, Czech Republic
V. ADÁMKOVÁ
Affiliation:
National Institute of Public Health, šrobárova, Prague, Czech Republic Charles University, 3rd Faculty of Medicine, Ruská, Prague, Czech Republic
J. MOTLOVÁ
Affiliation:
National Institute of Public Health, šrobárova, Prague, Czech Republic
V. LEBEDOVÁ
Affiliation:
National Institute of Public Health, šrobárova, Prague, Czech Republic
B. PROCHÁZKA
Affiliation:
National Institute of Public Health, šrobárova, Prague, Czech Republic
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Abstract

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Nasopharyngeal carriage of potential pathogens was studied in 425 healthy 3- to 6-year-old children attending 16 day-care centres (DCCs) in nine Czech cities during the winter 2004–2005. The overall carriage of pathogens was 62·8% (Streptococcus pneumoniae, 38·1%; Haemophilus influenzae, 24·9%; Moraxella catarrhalis, 22·1%; Staphylococcus aureus, 16%). An age-related downward trend was observed for colonization with respiratory pathogens in contrast to Staph. aureus whose carriage was significantly higher among older children. The following serotypes of colonizing S. pneumoniae were the most predominant: 23F (20·6%), 6A (15·1%), 6B (12·7%), 18C (7·8%), 15B and 19F (6% each). The majority (94·3%) of H. influenzae isolates were non-typable; among capsulated isolates, serotype b was not found. Decreased susceptibility to penicillin was determined in 3% of pneumococci; 4·6% of H. influenzae strains and 85·1% of M. catarrhalis strains produced β-lactamase. As for non-β-lactam antibiotics, pneumococci resistant to trimethoprim–sulphamethoxazole were the most common (15·7%) among the attendees.

Type
Research Article
Copyright
2006 Cambridge University Press