Finny F. Yani, Indonesia
Faculty Medicine of Universitas Andalas Child HealthPresenter of 1 Presentation
COMPARISONS OF STREPTOCOCCUS PNEUMONIA SEROTYPE ON NASOPHARYNGEAL CARRIAGE BETWEEN UNDER-FIVE CHILDREN WITH COMMUNITY ACQUIRED PNEUMONIA AND HEALTHY (ID 1196)
Abstract
Background
Streptococcus pneumonia colonization in nasopharyng consist of many serotypes, strongly related to high morbidity and mortality of pneumonia in children under-five.This study objective is to compare between S. pneumonia serotypes on nasopharyngeal carriage among children with pneumonia infection and healthy.
Methods
We collected the nasopharyngeal (NP) swab among 130 under-five years of age pneumonia children at M. Djamil hospital and healthy children as control from two daycares in Padang, respectively. Demographic and clinical data were recorded during NP swab collection.The isolate of Streptococcus pneumoniae has been performed by culture on 8% sheep-blood agar plate, were identified serotype by PCR methods.
Results
Overall we found that 19F (21%) and untypeable Streptococcus pneumonia serotype (21%) are the most frequent from PCR identification, followed by 6C, 14 and 34 serotype. Comparing pneumonia cases and healthy children, 19F serotype (22%) more frequent among control healthy children than pneumonia cases (17%). We found untypeable and 6B serotype are the most frequent among pneumonia patiens, but not in control group.
Conclusions
We found the same proportion of 19F serotype Streptococcus pneumoniae among pneumonia patiens and healthy, but very high untypeable serotype in pneumonia patiens.
Author Of 4 Presentations
STREPTOCOCCUS PNEUMONIA COLONIZATION IN NASOPHARYNGEAL CARRIED BY CHILDREN WITH PNEUMONIA INFECTION AND HEALTHY CHILDREN UNDER FIVE YEARS (ID 1163)
CLINICAL SPECTRUM OF COMMUNITY- ACQUIRED PNEUMONIA IN PEDIATRIC WARD OF DR. M. DJAMIL HOSPITAL PADANG IN 2016-2018 (ID 1192)
Abstract
Background
Prevalence of community acquiered pneumonia (CAP) in children at West Sumatra is quite high. Severe pneumonia will be referred to dr. M.Djamil hospital as three level hospital.
Methods
This research is an observational descriptive study by using medical record of children with primary diagnosis of CAP in period of January 2016 until 31 December 2018. We collected demographic data and clinical data.
Results
Patients were diagnosed as CAP, 56.3% found in boys, especially the age group 2- <12 months 54.6% with good nutritional status 60.1% and 46.4% have incomplete immunization status. The chief complaint are shortness of breath 80.3% and clinical symptoms such as shortness of breath found 88.5%. The laboratory test showed leukocytes 61.2% within normal limits and infiltrate found in 84.6% chest radiograph. Accompanying diseases that often are congenital heart disease 24% and complications that occur in acid-base balance disorders 24.6%. The hospital length of stay for children is > 5 days at 81.4%.
Conclusions
The clinical spectrum of community acquired pneumonia in hospitalized children at RSUP DR. M. Djamil have high variation and it is influenced by several factors.
CORRELATION BETWEEN OCCUPANCY DENSITY AND CIGARETTE SMOKE EXPOSURE WITH COLONIZATION OF STREPTOCOCCUS PNEUMONIAE IN NASOPHARYNGEAL SWABS AMONG UNDER FIVE YEARS HEALTHY CHILDREN (ID 1167)
Abstract
Background
Colonization of Streptococcus pneumoniae in nasopharynx, especially among children under five years could be affected by risk factors of occupancy density and cigarette smoke exposure.
Methods
This study is a cross sectional design. We have been collected the nasopharyngeal (NP) swab among 56 healthy children under-five in three district with the high case of pneumonia in Padang city respectively. Demographic data and the risk factor of occupancy density and cigarette smoke exposure were recorded. Streptococcus pneumoniae detection was performed by culture on 8% sheep-blood agar plate followed by optochin susceptibility testing and bile solubility testing.
Results
Among 54 NP swabs of healthy children, we found the carriage prevalence of Streptococcus pneumoniae were 57,1% with the highest percentage of age group being two months to one year (66.7%). Statistical analysis showed that children with positive Streptococcus pneumoniae colonization with occupancy density was 17 children (53.1%) with p value = 0.668 and children with cigarette smoke exposure was 6 children (25%) with p value = 0.831.
Conclusions
There was no significant correlation between occupancy density and cigarette smoke exposure to Streptococcus pneumoniae colonization in nasopharyngeal swabs of children under five years.
COMPARISONS OF STREPTOCOCCUS PNEUMONIA SEROTYPE ON NASOPHARYNGEAL CARRIAGE BETWEEN UNDER-FIVE CHILDREN WITH COMMUNITY ACQUIRED PNEUMONIA AND HEALTHY (ID 1196)
Abstract
Background
Streptococcus pneumonia colonization in nasopharyng consist of many serotypes, strongly related to high morbidity and mortality of pneumonia in children under-five.This study objective is to compare between S. pneumonia serotypes on nasopharyngeal carriage among children with pneumonia infection and healthy.
Methods
We collected the nasopharyngeal (NP) swab among 130 under-five years of age pneumonia children at M. Djamil hospital and healthy children as control from two daycares in Padang, respectively. Demographic and clinical data were recorded during NP swab collection.The isolate of Streptococcus pneumoniae has been performed by culture on 8% sheep-blood agar plate, were identified serotype by PCR methods.
Results
Overall we found that 19F (21%) and untypeable Streptococcus pneumonia serotype (21%) are the most frequent from PCR identification, followed by 6C, 14 and 34 serotype. Comparing pneumonia cases and healthy children, 19F serotype (22%) more frequent among control healthy children than pneumonia cases (17%). We found untypeable and 6B serotype are the most frequent among pneumonia patiens, but not in control group.
Conclusions
We found the same proportion of 19F serotype Streptococcus pneumoniae among pneumonia patiens and healthy, but very high untypeable serotype in pneumonia patiens.