Prevalence of meningococcal carriage in children and adolescents aged 10–19 years in Chile in 2013

Summary: In 2011, Chile experienced an increase in the number of cases of IMD caused by Neisseria meningitidis group W. This epidemiological scenario prompted authorities to implement prevention strategies. As part of these strategies, the Institute of Public Heath of Chile conducted a cross-section...

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Main Authors: Janepsy Díaz, Marcela Cárcamo, Mabel Seoane, Paola Pidal, Gabriel Cavada, Rodrigo Puentes, Solana Terrazas, Pamela Araya, Ana B. Ibarz-Pavon, Macarena Manríquez, Juan C. Hormazábal, Salvador Ayala, María T. Valenzuela
Format: Article
Language:English
Published: Elsevier 2016-07-01
Series:Journal of Infection and Public Health
Online Access:http://www.sciencedirect.com/science/article/pii/S1876034116000022
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author Janepsy Díaz
Marcela Cárcamo
Mabel Seoane
Paola Pidal
Gabriel Cavada
Rodrigo Puentes
Solana Terrazas
Pamela Araya
Ana B. Ibarz-Pavon
Macarena Manríquez
Juan C. Hormazábal
Salvador Ayala
María T. Valenzuela
author_facet Janepsy Díaz
Marcela Cárcamo
Mabel Seoane
Paola Pidal
Gabriel Cavada
Rodrigo Puentes
Solana Terrazas
Pamela Araya
Ana B. Ibarz-Pavon
Macarena Manríquez
Juan C. Hormazábal
Salvador Ayala
María T. Valenzuela
author_sort Janepsy Díaz
collection DOAJ
description Summary: In 2011, Chile experienced an increase in the number of cases of IMD caused by Neisseria meningitidis group W. This epidemiological scenario prompted authorities to implement prevention strategies. As part of these strategies, the Institute of Public Heath of Chile conducted a cross-sectional study to determine the prevalence of pharyngeal carriage of N. meningitidis in a representative sample of healthy children and adolescents aged 10–19 years.The identification of presumptive N. meningitidis strains was performed by testing carbohydrate utilization in the National Reference Laboratory at the ISP. Association of meningococcal carriage with risk factors was analyzed by calculating the Odds Ratio. Selected variables were included in a logistic model for risk analyses.The prevalence of carriage of N. meningitidis was 6.5% (CI: 5.7–7.3%). Older age (carriers: 14.2 ± 0.29 vs. non-carriers: 13.8 ± 0.08 years old; p = 0.009), cohabitation with children (carriers: 0.9 ± 0.13 vs. non-carriers: 0.7 ± 0.03; p = 0.028), number of smoking cohabitants (carriers: 0.55 ± 0.13 vs. non-carriers: 0.44 ± 0.03) and frequent attendance to crowded social venues (carriers: 49% vs. non-carriers: 37%; p = 0.008) were determined to favor carriage. Statistical modeling showed that meningococcal carriage was associated with older age (OR: 1.077, p-value: 0.002) and cohabitation with children (OR: 1.182, p-value: 0.02). Keywords: Neisseria meningitidis, Prevalence, Multivariate logistic regression, IMD, Meningococcal carriage, Risk factors
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spelling doaj.art-1793562879bc4758b24b4752dfce41322022-12-21T17:58:53ZengElsevierJournal of Infection and Public Health1876-03412016-07-0194506515Prevalence of meningococcal carriage in children and adolescents aged 10–19 years in Chile in 2013Janepsy Díaz0Marcela Cárcamo1Mabel Seoane2Paola Pidal3Gabriel Cavada4Rodrigo Puentes5Solana Terrazas6Pamela Araya7Ana B. Ibarz-Pavon8Macarena Manríquez9Juan C. Hormazábal10Salvador Ayala11María T. Valenzuela12Departamento de Asuntos Científicos, Instituto de Salud Pública de Chile, Santiago, Chile; Corresponding author. Tel.: +56 2 25755612.Departamento de Asuntos Científicos, Instituto de Salud Pública de Chile, Santiago, ChileDepartamento de Laboratorio Biomédico Nacional de Referencia, Instituto de Salud Pública de Chile, Santiago, ChileDepartamento de Laboratorio Biomédico Nacional de Referencia, Instituto de Salud Pública de Chile, Santiago, ChileDepartamento de Asuntos Científicos, Instituto de Salud Pública de Chile, Santiago, ChileDepartamento de Asuntos Científicos, Instituto de Salud Pública de Chile, Santiago, ChileDepartamento de Asuntos Científicos, Instituto de Salud Pública de Chile, Santiago, ChileDepartamento de Laboratorio Biomédico Nacional de Referencia, Instituto de Salud Pública de Chile, Santiago, ChilePan-American Health Organization/World Health Organization, Washington, DC, USADepartamento de Asuntos Científicos, Instituto de Salud Pública de Chile, Santiago, ChileDepartamento de Laboratorio Biomédico Nacional de Referencia, Instituto de Salud Pública de Chile, Santiago, ChileDepartamento de Asuntos Científicos, Instituto de Salud Pública de Chile, Santiago, ChileInstituto de Salud Pública de Chile, Santiago, ChileSummary: In 2011, Chile experienced an increase in the number of cases of IMD caused by Neisseria meningitidis group W. This epidemiological scenario prompted authorities to implement prevention strategies. As part of these strategies, the Institute of Public Heath of Chile conducted a cross-sectional study to determine the prevalence of pharyngeal carriage of N. meningitidis in a representative sample of healthy children and adolescents aged 10–19 years.The identification of presumptive N. meningitidis strains was performed by testing carbohydrate utilization in the National Reference Laboratory at the ISP. Association of meningococcal carriage with risk factors was analyzed by calculating the Odds Ratio. Selected variables were included in a logistic model for risk analyses.The prevalence of carriage of N. meningitidis was 6.5% (CI: 5.7–7.3%). Older age (carriers: 14.2 ± 0.29 vs. non-carriers: 13.8 ± 0.08 years old; p = 0.009), cohabitation with children (carriers: 0.9 ± 0.13 vs. non-carriers: 0.7 ± 0.03; p = 0.028), number of smoking cohabitants (carriers: 0.55 ± 0.13 vs. non-carriers: 0.44 ± 0.03) and frequent attendance to crowded social venues (carriers: 49% vs. non-carriers: 37%; p = 0.008) were determined to favor carriage. Statistical modeling showed that meningococcal carriage was associated with older age (OR: 1.077, p-value: 0.002) and cohabitation with children (OR: 1.182, p-value: 0.02). Keywords: Neisseria meningitidis, Prevalence, Multivariate logistic regression, IMD, Meningococcal carriage, Risk factorshttp://www.sciencedirect.com/science/article/pii/S1876034116000022
spellingShingle Janepsy Díaz
Marcela Cárcamo
Mabel Seoane
Paola Pidal
Gabriel Cavada
Rodrigo Puentes
Solana Terrazas
Pamela Araya
Ana B. Ibarz-Pavon
Macarena Manríquez
Juan C. Hormazábal
Salvador Ayala
María T. Valenzuela
Prevalence of meningococcal carriage in children and adolescents aged 10–19 years in Chile in 2013
Journal of Infection and Public Health
title Prevalence of meningococcal carriage in children and adolescents aged 10–19 years in Chile in 2013
title_full Prevalence of meningococcal carriage in children and adolescents aged 10–19 years in Chile in 2013
title_fullStr Prevalence of meningococcal carriage in children and adolescents aged 10–19 years in Chile in 2013
title_full_unstemmed Prevalence of meningococcal carriage in children and adolescents aged 10–19 years in Chile in 2013
title_short Prevalence of meningococcal carriage in children and adolescents aged 10–19 years in Chile in 2013
title_sort prevalence of meningococcal carriage in children and adolescents aged 10 19 years in chile in 2013
url http://www.sciencedirect.com/science/article/pii/S1876034116000022
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