2006
DOI: 10.1097/01.inf.0000232705.49634.68
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Upper Respiratory Tract Bacterial Carriage in Aboriginal and Non-Aboriginal Children in a Semi-arid Area of Western Australia

Abstract: Interventions are needed to reduce high transmission and carriage rates, particularly in Aboriginal communities, to avoid the serious consequences of OM.

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Cited by 124 publications
(137 citation statements)
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“…We did not find association to age, but other studies suggest that nasopharyngeal colonization of respiratory bacteria increase after birth and peak during early childhood, and then steadily decrease (6,13,23,24). Although there is variability in the peak age during childhood between studies, the nasopharyngeal colonization is much less during early adulthood compared to childhood (23,25).…”
Section: Discussioncontrasting
confidence: 47%
See 1 more Smart Citation
“…We did not find association to age, but other studies suggest that nasopharyngeal colonization of respiratory bacteria increase after birth and peak during early childhood, and then steadily decrease (6,13,23,24). Although there is variability in the peak age during childhood between studies, the nasopharyngeal colonization is much less during early adulthood compared to childhood (23,25).…”
Section: Discussioncontrasting
confidence: 47%
“…Although there is variability in the peak age during childhood between studies, the nasopharyngeal colonization is much less during early adulthood compared to childhood (23,25). An increase in respiratory bacterial colonization has been associated with low socio-economic status, autumn-winter seasons, exposure to other children, prone sleeping position, upper respiratory or otitis media infection, immunosuppression or lack of immunization, use of pacifiers, hospitalization and xylitol consumption (21, 24, 2 6 ).…”
Section: Discussionmentioning
confidence: 99%
“…In comparison, in a high‐income country such as Australia, fewer than half of non‐Indigenous Australian children carry pneumococci at least once during their first year of life 25. The aim of this study was to test the hypothesis that pneumococcal cellular immune responses at birth differ between children born in pneumococcal high‐ versus low pneumococcal‐endemic settings, possibly as a result of prenatal activation, and influence infants' subsequent susceptibility to pneumococcal acquisition.…”
Section: Introductionmentioning
confidence: 99%
“…However, suppurative OM can arrest pneumatisation of the mastoid 20 bone, and archaeological evidence in ancient fossilized skulls of both the native American (Gregg & Steele 1982) and the Greenland Inuit (Homoe et al 1996a) does suggest an increase in OM subsequent to European colonisation. Genetic variation in the nasopharyngeal flora by ethnic groups has not been studied, either in contemporary or bioarchaeological remains, but the nasopharynx of Australian Aborigine children is known to be colonized by potential otopathogens at an earlier age (Leach et al 1994) and in higher numbers (Watson et al 2006), and this is predictive of subsequent middle ear suppuration (Smith-Vaughan et al 2006). This supports the idea that Aborigine populations are colonised by variants of nasopharyngeal commensals with which they have not co-evolved, and to which they may not have the genetic repertoire to mount a directed and specific immune response.…”
Section: Ethnic Variations In Otitis Media Incidencementioning
confidence: 99%