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Prevalence of penicillin-non-susceptible Streptococcus pneumoniae in children in day-care centres subjected to an intervention to prevent dispersion.

Ahl, Jonas LU ; Melander, Eva LU ; Odenholt, Inga LU ; Tvetman, Lisa ; Thörnblad, Tora ; Riesbeck, Kristian LU orcid and Ringberg, Håkan LU (2015) In Infectious Diseases 47(5). p.338-344
Abstract
Background: The aim of this study was to evaluate the day-care interventions implemented in southern Sweden to restrict the dispersion of penicillin-non-susceptible pneumococci with a minimum inhibitory concentration of penicillin G of at least 0.5 mg/l (PNSP0.5). Methods: A retrospective epidemiological study was performed and data from 109 day-care centre interventions from 2000 to 2010 were analysed, including screening results from 7157 individuals. Results: It was found that 42% of the children were carriers of pneumococci and 5% of the screened children were PNSP0.5 carriers. Very few personnel were PNSP0.5 carriers and they were carriers for only a short time. Significantly more contact cases with the same serogroup as the index... (More)
Background: The aim of this study was to evaluate the day-care interventions implemented in southern Sweden to restrict the dispersion of penicillin-non-susceptible pneumococci with a minimum inhibitory concentration of penicillin G of at least 0.5 mg/l (PNSP0.5). Methods: A retrospective epidemiological study was performed and data from 109 day-care centre interventions from 2000 to 2010 were analysed, including screening results from 7157 individuals. Results: It was found that 42% of the children were carriers of pneumococci and 5% of the screened children were PNSP0.5 carriers. Very few personnel were PNSP0.5 carriers and they were carriers for only a short time. Significantly more contact cases with the same serogroup as the index case were found in the first screening and in the same department as the index case, but a substantial number of contact cases were found in adjacent departments. Conclusions: Screening of personnel is not worth the effort. Based on our results, procedures to restrict dispersion of PNSP0.5 in day-care centres could be improved. To find the majority of contact cases with PNSP0.5 an early screening including adjacent departments seems to be the best approach. (Less)
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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Infectious Diseases
volume
47
issue
5
pages
338 - 344
publisher
Informa Healthcare
external identifiers
  • pmid:25746603
  • wos:000354612900010
  • pmid:25746603
  • scopus:84983196426
ISSN
2374-4243
DOI
10.3109/00365548.2014.994559
language
English
LU publication?
yes
id
4771140f-138d-4060-9443-4b6157f3613c (old id 5265109)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25746603?dopt=Abstract
date added to LUP
2016-04-01 10:33:48
date last changed
2022-01-26 00:28:13
@article{4771140f-138d-4060-9443-4b6157f3613c,
  abstract     = {{Background: The aim of this study was to evaluate the day-care interventions implemented in southern Sweden to restrict the dispersion of penicillin-non-susceptible pneumococci with a minimum inhibitory concentration of penicillin G of at least 0.5 mg/l (PNSP0.5). Methods: A retrospective epidemiological study was performed and data from 109 day-care centre interventions from 2000 to 2010 were analysed, including screening results from 7157 individuals. Results: It was found that 42% of the children were carriers of pneumococci and 5% of the screened children were PNSP0.5 carriers. Very few personnel were PNSP0.5 carriers and they were carriers for only a short time. Significantly more contact cases with the same serogroup as the index case were found in the first screening and in the same department as the index case, but a substantial number of contact cases were found in adjacent departments. Conclusions: Screening of personnel is not worth the effort. Based on our results, procedures to restrict dispersion of PNSP0.5 in day-care centres could be improved. To find the majority of contact cases with PNSP0.5 an early screening including adjacent departments seems to be the best approach.}},
  author       = {{Ahl, Jonas and Melander, Eva and Odenholt, Inga and Tvetman, Lisa and Thörnblad, Tora and Riesbeck, Kristian and Ringberg, Håkan}},
  issn         = {{2374-4243}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{338--344}},
  publisher    = {{Informa Healthcare}},
  series       = {{Infectious Diseases}},
  title        = {{Prevalence of penicillin-non-susceptible Streptococcus pneumoniae in children in day-care centres subjected to an intervention to prevent dispersion.}},
  url          = {{http://dx.doi.org/10.3109/00365548.2014.994559}},
  doi          = {{10.3109/00365548.2014.994559}},
  volume       = {{47}},
  year         = {{2015}},
}