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Paediatric Pulmonology and Allergology
2008 October, Vol. XI, No. 2 (3951-3960)
NASOPHARYNGEAL CARRIAGE OF STREPTOCOCCUS PNEUMONIAE AND INCIDENCE RESPIRATORY INFECTIONS IN KAUNAS CHILD FOSTER HOMES
Marija Marengolciene*, Jurgis Bojarskas**
*Kaunas 2nd Clinical Hospital and **Clinic of Children’s Diseases of Kaunas Medical University, Kaunas, Lithuania
The objective of this paper is to familiarize with children’s in the foster home morbidity with respiratory tract infections and Streptococcus pneumoniae carriage in the pharynx. The study conducted within seven children foster homes during 2004–2005. A total of 624 children were evaluated. Parents, foster-parents or other person provided by law answered the questionnaire. The data according respiratory morbidity was collected from medical documentation. Bacteriological samples collected from nasopfaryngeal wall with flexible disposable swab with transport medium. Samples delivered to microbiological laboratory in Kaunas 2nd Clinical hospital in an hour. The results showed morbidity with respiratory infections was eight times a year in foster home children. Children under 3 years of age (7.79 times/year) and over 7 years of age (8.61 times/year) were ill more often. This was the main reason for frequent usage of antibacterials (till 85%). The carriage of S. pneumoniae was detected in 13.6% and mix colonization (S. pneumoniae and H. influenzae) in 2.8% of children under 18 years of age. Percental distribution of carriage of S. pneumoniae by age: under 3 years – 37.4%, from 3 till 7 years 29.2% and over 7 years – 3.3%. Although the aim of this research wasn’t detection of resistance of S. pneumoniae to antibiotics, the antibioticograms were performed and all strains were susceptible to penicillin group.