Nasopharyngeal carriage of Streptococcus pneumoniae in healthy children under five years old in central lombok regency, Indonesia

Sri Rezeki S. Harun Hadinegoro, Ari Prayitno, Miftahuddin Majid Khoeri, I. Gusti Gede Djelantik, Nurhandini Eka Dewi, Sang Ayu Kompiang Indriyani, Zainul Muttaqin, Siti Mudaliana, Dodi Safari

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)

Abstract

Colonization with Streptococcus pneumoniae is mostly symptomless, but can progress to respiratory or even systemic disease. We investigated nasopharyngeal carriage of Streptococcus pneumoniae in healthy children under five years of age in Central Lombok Regency, Indonesia. This cross sectional study was carried out in 2012 among 1,200 healthy children aged 2 to 60 months. A multiplex sequential PCR was employed to determine serotype of cultured S. pneumoniae and a disk diffusion method to assess susceptibility to antimicrobial drugs. S. pneumoniae was cultured from 554 children and the most frequent serotypes found were 6A/B (22% of pneumococcal strains), 19F (11%), 23F (10%), 15B/C (8%), and 19A and 14 (4% each). The majority of strains were still susceptible to clindamycin (97%), erythromycin (87%), chloramphenicol (81%), and penicillin (72%), with only 41% and 38% susceptible to tetracycline and sulfamethoxazole/trimethoprim, respectively. Continuous surveillance of S. pneumoniae carriage is important for future pneumococcal vaccination programs in Indonesia.

Original languageEnglish
Pages (from-to)485-493
Number of pages9
JournalSoutheast Asian Journal of Tropical Medicine and Public Health
Volume47
Issue number3
Publication statusPublished - 1 Jan 2016

Keywords

  • Healthy children
  • Indonesia
  • Nasopharyngeal carriage
  • Streptococcus pneumoniae

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