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Association of pneumococcal carriage in infants with the risk of carriage among their contacts in Nha Trang, Vietnam: A nested cross-sectional survey

Author summary Why was this study done? There is little information in the current literature on pneumococcal transmission to infants. Since individuals in this age group are at major risk of pneumococcal disease and at potentially reduced protection in reduced dose pneumococcal vaccination schedules, we carried out a study to identify their close contacts and likely routes of transmission. What did the researchers do and find? We identified all 7,428 physical contacts of 1,583 infants in Nha Trang, a coastal city in Vietnam. We found that there was a high correlation between infant infection and their probability of contact with at least 1 pneumococcal carrier on the surveyed day. Preschool-age children contributed around half of the total direct pneumococcal exposure risk to infants in Nha Trang. Around 80% of the exposure risk came from contact with household members. What do these findings mean? Social contact surveys can help to identify possible transmission pathways. I ....

United Kingdom , Nha Trang , Khá Hòm , Republic Of , Khanh Hoa , An Giang , Han I , Minh Xuan Bui , Kim Mulholland , Mirjamee Kretzschmar , Jason Hinds , Taqman Geneexpression Mastermix , Royal Society Grant , London School Of Hygiene Tropical Medicine , Pasteur Institute In Nha Trang , Merck Investigator Studies Program , Pasteur Institute Of Nha Trang , Khanh Hoa Health , World Health Organization , Khanh Hoa Health Service , Melinda Gates Foundation Grant , Career Development Fellowship , Murdoch Children Research Institute , National Institute Of Hygiene , Victorian Government Operational Infrastructure Support Program , Universitair Medisch Centrum Utrecht ,