Pneumococcal Carriage in Jordanian Children and the Importance of Vaccination

Pneumococcal carriage is a prerequisite for invasive and non-invasive infections, where children and elderly are the most vulnerable groups. Aims: Determine rates of carriage, resistance, and coverage of the pneumococcal conjugate vaccines (PCVs) in children attending day care centers (DCC) in north...

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Autor principal: Al-Lahham, Adnan
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Lenguaje:inglés
Publicado: IntechOpen 2022
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Acceso en línea:https://www.intechopen.com/chapters/81821
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author Al-Lahham, Adnan
author_browse Al-Lahham, Adnan
author_facet Al-Lahham, Adnan
author_sort Al-Lahham, Adnan
building IntechOpen
collection Acceso abierto
description Pneumococcal carriage is a prerequisite for invasive and non-invasive infections, where children and elderly are the most vulnerable groups. Aims: Determine rates of carriage, resistance, and coverage of the pneumococcal conjugate vaccines (PCVs) in children attending day care centers (DCC) in north Jordan. Methods: Nasopharyngeal swabs (NP) were taken from healthy Jordanian children from north Jordan with ages ranging from 1 month to 14 years in the period from 2008 to 2019. Classical methods were used for cultivation, identification, resistance testing, and serotyping. Results: 1866 NP swabs were tested with carriage rate 39.3% (733 isolates). Resistance was variable; however, it showed highest rates for penicillin (89.3%) and trimethoprim-sulfamethoxazole (73.0%). Serotype 19F predominates with 17.6% of all serotypes. Coverage of the future PCV20 was 73.1% compared to the old PCV7 (41.7%). About 493 cases had a previous 1–3 PCV7 injections, among which 256 (51.9%) cases were pneumococcal carriers, distributed as non-PCV vaccine serotypes (31.6%), and with PCV types (68.4%). Conclusions: The potential inclusion of the PCV vaccination in the national immunization program of the country is necessary.
doi_str_mv 10.5772/intechopen.104999
first_indexed 2026-10-15T21:40:27Z
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spelling intech-818212022-05-19 Pneumococcal Carriage in Jordanian Children and the Importance of Vaccination Adnan Al-Lahham Health Sciences Pneumococcal carriage is a prerequisite for invasive and non-invasive infections, where children and elderly are the most vulnerable groups. Aims: Determine rates of carriage, resistance, and coverage of the pneumococcal conjugate vaccines (PCVs) in children attending day care centers (DCC) in north Jordan. Methods: Nasopharyngeal swabs (NP) were taken from healthy Jordanian children from north Jordan with ages ranging from 1 month to 14 years in the period from 2008 to 2019. Classical methods were used for cultivation, identification, resistance testing, and serotyping. Results: 1866 NP swabs were tested with carriage rate 39.3% (733 isolates). Resistance was variable; however, it showed highest rates for penicillin (89.3%) and trimethoprim-sulfamethoxazole (73.0%). Serotype 19F predominates with 17.6% of all serotypes. Coverage of the future PCV20 was 73.1% compared to the old PCV7 (41.7%). About 493 cases had a previous 1–3 PCV7 injections, among which 256 (51.9%) cases were pneumococcal carriers, distributed as non-PCV vaccine serotypes (31.6%), and with PCV types (68.4%). Conclusions: The potential inclusion of the PCV vaccination in the national immunization program of the country is necessary. IntechOpen 2022-05-19 Chapter, Part Of Book https://www.intechopen.com/chapters/81821 doi:10.5772/intechopen.104999 en ISBN:978-1-83768-943-9 https://creativecommons.org/licenses/by/3.0/ https://www.intechopen.com/books/12880 ; Infectious Diseases Annual Volume 2022
spellingShingle Health Sciences
Al-Lahham, Adnan
Pneumococcal Carriage in Jordanian Children and the Importance of Vaccination
title Pneumococcal Carriage in Jordanian Children and the Importance of Vaccination
title_full Pneumococcal Carriage in Jordanian Children and the Importance of Vaccination
title_fullStr Pneumococcal Carriage in Jordanian Children and the Importance of Vaccination
title_full_unstemmed Pneumococcal Carriage in Jordanian Children and the Importance of Vaccination
title_short Pneumococcal Carriage in Jordanian Children and the Importance of Vaccination
title_sort pneumococcal carriage in jordanian children and the importance of vaccination
topic Health Sciences
url https://www.intechopen.com/chapters/81821
work_keys_str_mv AT allahhamadnan pneumococcalcarriageinjordanianchildrenandtheimportanceofvaccination