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Nasopharyngeal pneumococcal carriage in healthy Turkish children after 13-valent conjugated pneumococcal vaccine implementation in the national immunization program    
Yazarlar (13)
Saliha Kanık Yüksek
Türkiye
Hasan Tezer
Türkiye
Belgin Gülhan
Aslınur Özkaya Parlakay
Dilek Güldemir
Türkiye
Prof. Dr. Fatma Filiz ARI Prof. Dr. Fatma Filiz ARI
Kırşehir Ahi Evran Üniversitesi, Türkiye
Tuğba Bedir Demirağ
Aysun Kara Uzun
F Nur Aksakal
Sinem Solmaz
Selçuk Kılıç
Sağlık Bilimleri Üniversitesi, Türkiye
Ateş Kara
Hacettepe Üniversitesi, Türkiye
Ayşe Meltem Yalınay
Türkiye
Devamını Göster
Özet
Background: In Turkey, pneumococcal conjugated vaccine (PCV) was introduced to the national immunization program as PCV7 in 2008, and was replaced with PCV13 in 2011. The aims of this study were to investigate the effects of PCV13 on nasopharyngeal pneumococcal carriage (NPC) by determining the serotype distribution, and to identify risk factors for carriage, in healthy Turkish children. Methods: This prospective study was conducted on 500 healthy children aged 0–13 years between April and November 2014. Nasopharyngeal swab samples were taken, and molecular method for capsular serotyping was performed by multiplex PCR. Results: Of 500 children, 43.4% were unvaccinated with a PCV (7- or 13-valent), 56.6% were vaccinated and The NPC rate was found to be 9.8%. Of 49 positive Streptococcus pneumoniae isolates, 26 (53%) were PCV13 vaccine strains (VSs), and 17 (34.7%) were non-VS. Six isolates (12.2%) were not typeable by the method applied. The most common serotypes detected were serotype 3 (18.3%), serotype 19F (14.2%), serotype 6A/B (8.1%), serotype 11A (8.1%), and serotype 15B (8.1%). The total coverage rate of the PCV13 serotypes was 60.4%. Conclusion: A significant decrease in carriage rate was detected within three years after the introduction of PCV13 in Turkey. However, the nasopharyngeal carriage of PCV13 strains was found to be interestingly high.
Anahtar Kelimeler
Healthy children | Nasopharyngeal carriage | PCV13 | Pneumococcal conjugated vaccine | Serotyping
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı J Infect Public Health
Dergi ISSN 1876-0341 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili Türkçe
Basım Tarihi 02-2020
Cilt No 13
Sayı 1
Sayfalar 266 / 274
Doi Numarası 10.1016/j.jiph.2019.10.009
Makale Linki http://dx.doi.org/10.1016/j.jiph.2019.10.009