Carriage of resistant pneumococci by children in southern Israel and impact of conjugate vaccines on carriage  Ron Dagan, Drora Fraser, Noga Givon, Pablo.

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Carriage of resistant pneumococci by children in southern Israel and impact of conjugate vaccines on carriage  Ron Dagan, Drora Fraser, Noga Givon, Pablo Yagupsky  Clinical Microbiology and Infection  Volume 5, Pages 4S29-4S37 (August 1999) DOI: 10.1111/j.1469-0691.1999.tb00854.x Copyright © 1999 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 1 Nasopharyngeal carriage of S. pneumoniae in healthy Jewish infants in Beer-Sheva at ages 2–24 months. (adapted from Dagan et al [18]) Clinical Microbiology and Infection 1999 5, 4S29-4S37DOI: (10.1111/j.1469-0691.1999.tb00854.x) Copyright © 1999 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 2 Nasopharyngeal carriage of S. pneumoniae and antibiotic-resistant S. pneumoniae by day-care attendance and the number of children per day care group, during the second year of life in southern Israel. (adapted from Dagan et al [18]) Clinical Microbiology and Infection 1999 5, 4S29-4S37DOI: (10.1111/j.1469-0691.1999.tb00854.x) Copyright © 1999 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 3 Proportion of isolates from nasopharynx of healthy Jewish children compared with those isolated from middle ear fluid in children with acute otitis media, by age group. R, resistance; Pen-NS, penicillin non-susceptible; AOM, acute otitis media; NP, nasopharynx. Clinical Microbiology and Infection 1999 5, 4S29-4S37DOI: (10.1111/j.1469-0691.1999.tb00854.x) Copyright © 1999 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 4 Effect of 23-valent non-conjugate, one-dose seven-valent conjugate (Pnc-OMP×1) and seven-valent two-dose conjugate (Pnc-OMPC×2) vaccine on carriage of S. pneumoniae and resistant S, pneumoniae in children aged 12–18 months. VT, serotypes included in the vaccine. (adapted from Austrian [32]) Clinical Microbiology and Infection 1999 5, 4S29-4S37DOI: (10.1111/j.1469-0691.1999.tb00854.x) Copyright © 1999 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 5 The effect of a tetravalent (6B, 14, 19F and 23F) pneumococcal vaccine (either conjugated to tetanus toxoid (Pnc-T), or conjugated to diphtheria toxoid (Pnc-D)) on carriage of S. pneumoniae of the serotypes included in (6B, 14, 19F, 23F) or related to (6A) the vaccines, compared with placebo effect. VT, serotypes included in the vaccine. Clinical Microbiology and Infection 1999 5, 4S29-4S37DOI: (10.1111/j.1469-0691.1999.tb00854.x) Copyright © 1999 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 6 Effect of a nine-valent conjugate vaccine on the nasopharyngeal carriage of S. pneumoniae of the serotypes included in the vaccine (A), of antibiotic-resistant S. pneumoniae (B), of total S. pneumoniae (C), and of S. pneumoniae of other serotypes not included in the vaccine (D), in 132 children, compared with 132 receiving control vaccine. Children were 12–35 months of age. At each determination, 66–132 children were examined. Clinical Microbiology and Infection 1999 5, 4S29-4S37DOI: (10.1111/j.1469-0691.1999.tb00854.x) Copyright © 1999 European Society of Clinical Infectious Diseases Terms and Conditions