title: Sequential colonization by Streptococcus pneumoniae of healthy children living in an orphanage.
abstract: A prospective study of nasopharyngeal colonization by Streptococcus pneumoniae in the exceptional conditions of a closed community of abandoned children was done over a 1-year period; 71 children (age <24 months) were studied monthly. S. pneumoniae was isolated from 58 (81.7%), and 94.5% of the 111 isolates were resistant to penicillin. The mean rate of carriage was estimated at 57.4%, ranging from 42.8% to 70.4%. Children were sequentially colonized by a mean of 3 different isolates. The mean duration of carriage for a given isolate was approximately 2.2 months. Serotyping and molecular typing by pulsed-field gel electrophoresis showed that children were colonized by a limited number of clones belonging to only 4 serotypes and 4 pulsotypes. These clones rapidly spread in the community and colonized the children in waves, with a rapid turnover of S. pneumoniae isolates, facilitated by close contact between children.
authors.affiliation: Service Microbiologie, Hôpital Saint Vincent de Paul, 75674 Paris Cedex 14, France. j.raymond@svp.ap-hop-paris.fr
authors.forename: J
authors.initials: J
authors.lastname: Raymond
authors.forename: I
authors.initials: I
authors.lastname: Le Thomas
authors.forename: F
authors.initials: F
authors.lastname: Moulin
authors.forename: A
authors.initials: A
authors.lastname: Commeau
authors.forename: D
authors.initials: D
authors.lastname: Gendrel
authors.forename: P
authors.initials: P
authors.lastname: Berche
mesh_terms: D016521:Electrophoresis, Gel, Pulsed-Field; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D009305:Nasopharynx / Q000382:microbiology*; D019372:Orphanages; D010403:Penicillin Resistance; D011446:Prospective Studies; D013296:Streptococcus pneumoniae / Q000145:classification / Q000302:isolation & purification*