[Chlamydia pneumoniae occurrence in children with adenoid vegetations].
BACKGROUND
In world literature there is a lack on informations about occurrence frequency of Chlamydia pneumoniae in swabs fromadenoid vegetations. Chlamydia spp. is a group of nontypical pathogenetic bacteria. Initially they were fought a cause of lower respiratory tract. Nowadays they are considered as a pathogenetic factor of upper respiratory tract infections. They can also cause persistant infection.


METHODS
During 3,5 months at the end of winter and bigining of spring, 110 children qualified to adenotomy (53 girls and 57 boys) were examinated. The average of age carried out 6,11 years.


RESULTS
the positive results of direct immunophluorescence test (IFA) of adenoid vegetations swabs were received in 29 children (26.4%). Received results demonstrate chronic infection with Chlamydia pneumoniae. Pneumonia or bronchitis was noted additionally at 3 children (2.7%) in this in one child pneumonia caused by C. pneumoniae was diagnosed, secretory otitis media was diagnosed in 5 children (4,5%), asthma in 3 patients (2,7%). Confirmed infection Chlamydia pneumoniae occurred earlier at 5 children (4.5%).


CONCLUSIONS
Results of direct immunophluorescence test(IFA) of adenoid vegetations swabs do not correlate directly with levels of anty-C. pneumoniae antybodies in blood. But antybody level could be supplementary to clinical symptoms and and swab result or give us information about infection history in patient.
Zalesska-Krecicka
Maria
M
Katedra i Klinika Otolaryngologii AM we Wrocławiu.
Choroszy-Król
Irena
I
Skrzypek
Aleksandra
A
Morawska-Kochman
Monika
M
Teryks-Wołyniec
Dorota
D
Frej-Madrzak
Magdalena
M
Kaufeld-Budrewicz
Iwona
I
D000233:Adenoidectomy; D000234:Adenoids / Q000382:microbiology* / Q000601:surgery; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002690:Chlamydia Infections / Q000382:microbiology*; D016993:Chlamydophila pneumoniae / Q000302:isolation & purification*; D005260:Female; D005455:Fluorescent Antibody Technique; D006801:Humans; D008297:Male; D009305:Nasopharynx / Q000382:microbiology*; D011044:Poland