Chlamydia pneumoniae carriage and infection in hospitalized children with respiratory tract diseases

被引:20
作者
Schmidt, SM
Müller, CE
Krechting, M
Wierbitzsky, H
Gürtler, L
Wierbitzky, SKW
机构
[1] Childrens & Youth Hosp, Dept Infect Bronchopulm & Allerg Dis, D-17487 Greifswald, Germany
[2] Ernst Moritz Arndt Univ Greifswald, Ctr Radiol, Dept Pediat Radiol, Greifswald, Germany
[3] Ernst Moritz Arndt Univ Greifswald, Friedrich Loeffler Inst Med Microbiol, Greifswald, Germany
关键词
D O I
10.1007/s15010-003-3159-5
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: The importance of Chlamydia pneumoniae respiratory tract infection in childhood is under discussion. Patients and Methods: 798 hospitalized children with respiratory tract diseases were prospectively studied during a 2-year period by polymerase chain reaction and enzyme immunoassay (PCR-EIA) detection from throat swabs. Paired serum samples were used to screen for Chlamydia antibodies. Results: C. pneumoniae was detected by PCR-EIA in 74 children. Prevalence was 11% in lower and 4% in upper respiratory tract disease (p = 0.049) without age dependency. From November to February prevalence was elevated (42/277 vs. 32/521; p < 0.001). Using serotogy, prevalence of acute Chlamydia infection increased with age (p < 0.001) and the number of coinfections (p < 0.001), without seasonal variation. Conclusion: Characteristics of C. pneumoniae carriage in the respiratory tract in childhood differ from those in systemic infection.
引用
收藏
页码:410 / 416
页数:7
相关论文
共 25 条
[1]  
Berdal BP, 1997, SCAND J INFECT DIS, P22
[2]   Chlamydia pneumoniae respiratory infections [J].
Blasi, F ;
Cosentini, R ;
Tarsia, P .
CURRENT OPINION IN INFECTIOUS DISEASES, 2000, 13 (02) :161-164
[3]  
BLASI F, 2002, 6 INT C MACR AZ STR, P176
[4]   Chlamydia pneumoniae in acute otitis media [J].
Block, SL ;
Hammerschlag, MR ;
Hedrick, J ;
Tyler, R ;
Smith, A ;
Roblin, P ;
Gaydos, C ;
Pham, D ;
Quinn, TC ;
Palmer, R ;
McCarty, J .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1997, 16 (09) :858-862
[5]   DETECTION OF CHLAMYDIA-PNEUMONIAE BY POLYMERASE CHAIN-REACTION [J].
CAMPBELL, LA ;
MELGOSA, MP ;
HAMILTON, DJ ;
KUO, CC ;
GRAYSTON, JT .
JOURNAL OF CLINICAL MICROBIOLOGY, 1992, 30 (02) :434-439
[6]   Chlamydia pneumoniae pneumonia in hospitalized patients - Clinical characteristics and diagnostic value of polymerase chain reaction detection in BAL [J].
Dalhoff, K ;
Maass, M .
CHEST, 1996, 110 (02) :351-356
[7]   Standardizing Chlamydia pneumoniae assays:: Recommendations from the Centers for Disease Control and Prevention (USA) and the Laboratory Centre for Disease Control (Canada) [J].
Dowell, SF ;
Peeling, RW ;
Boman, J ;
Carlone, GM ;
Fields, BS ;
Guarner, J ;
Hammerschlag, MR ;
Jackson, LA ;
Kuo, CC ;
Maass, M ;
Messmer, TO ;
Talkington, DF ;
Tondella, ML ;
Zaki, SR ;
Bandea, C ;
Black, C ;
O'Conner, S ;
Papp, J ;
Perilla, MJ ;
Schuchat, A ;
Stevens, V ;
Van Beneden, CA ;
Zell, ER ;
Cohen, C ;
Campbell, LA ;
Wwang, SP ;
Grayston, JT ;
Deal, CD ;
Gaydos, C ;
Schindler, L ;
Taylor, CE ;
Mahony, J ;
Fong, IW ;
Leinonen, M ;
Saikku, P ;
Maas, M ;
Ossewaarde, JM ;
Persson, K ;
Boman, J ;
Apfalter, P .
CLINICAL INFECTIOUS DISEASES, 2001, 33 (04) :492-502
[8]   THE ASSOCIATION OF CHLAMYDIA-PNEUMONIAE INFECTION AND REACTIVE AIRWAY DISEASE IN CHILDREN [J].
EMRE, U ;
ROBLIN, RM ;
GELLING, M ;
DUMORNAY, W ;
RAO, M ;
HAMMERSCHLAG, MR ;
SCHACHTER, J .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 1994, 148 (07) :727-732
[9]   Prevalence of Chlamydia pneumoniae in healthy children and in children with respiratory tract infections [J].
Falck, G ;
Gnarpe, J ;
Gnarpe, H .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1997, 16 (06) :549-554
[10]   DIAGNOSTIC UTILITY OF PCR-ENZYME IMMUNOASSAY, CULTURE, AND SEROLOGY FOR DETECTION OF CHLAMYDIA-PNEUMONIAE IN SYMPTOMATIC AND ASYMPTOMATIC PATIENTS [J].
GAYDOS, CA ;
ROBLIN, PM ;
HAMMERSCHLAG, MR ;
HYMAN, CL ;
EIDEN, JJ ;
SCHACHTER, J ;
QUINN, TC .
JOURNAL OF CLINICAL MICROBIOLOGY, 1994, 32 (04) :903-905