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Prevalence of Mycoplasma pneumoniae Infection in Malagasy Children.

Abstract Childhood community-acquired pneumonia is a leading cause of childhood morbidity in low-income countries. The etiologic agents are usually Staphylococcus aureus, Streptococcus pneumoniae and Mycoplasma pneumoniae. M. pneumoniae was recognized as a cofactor in asthmatic disease. High asthma prevalence was reported in Madagascar. Our aim was to clarify the prevalence of M. pneumoniae infection in this country and its relationship with asthma.
PMID
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Prevalence of Mycoplasma pneumoniae infection in Malagasy children.

Authors

Mayor MeshTerms
Keywords
Journal Title the pediatric infectious disease journal
Publication Year Start




PMID- 28403048
OWN - NLM
STAT- MEDLINE
DA  - 20170413
DCOM- 20170420
LR  - 20170420
IS  - 1532-0987 (Electronic)
IS  - 0891-3668 (Linking)
VI  - 36
IP  - 5
DP  - 2017 May
TI  - Prevalence of Mycoplasma pneumoniae Infection in Malagasy Children.
PG  - 467-471
LID - 10.1097/INF.0000000000001471 [doi]
AB  - BACKGROUND: Childhood community-acquired pneumonia is a leading cause of
      childhood morbidity in low-income countries. The etiologic agents are usually
      Staphylococcus aureus, Streptococcus pneumoniae and Mycoplasma pneumoniae. M.
      pneumoniae was recognized as a cofactor in asthmatic disease. High asthma
      prevalence was reported in Madagascar. Our aim was to clarify the prevalence of
      M. pneumoniae infection in this country and its relationship with asthma.
      METHODS: A prospective study was conducted in 351 children (from 2 to 16 years of
      age) from January 2012 to December 2014. According to the clinical symptoms,
      children were enrolled in 3 groups: "control group" (CG, n = 106), "asthma group"
      (n = 129) and "pneumonia group" (n = 116). The IgG and IgM M. pneumoniae status
      was evaluated by an enzyme-linked immunosorbent assay. Clinical signs of
      infection, socioeconomic data and antimicrobial treatment were recorded. RESULTS:
      The overall prevalence of M. pneumoniae infection was 18.2%. The multivariate
      analysis demonstrated that M. pneumoniae infection was significantly more
      frequent in the CG [pneumonia group vs. CG: odds ratio = 0.45 (0.21-0.91), P =
      0.037 and asthma group vs. CG: odds ratio = 0.39 (0.18-0.87), P = 0.021]. The
      C-reactive protein value was significantly higher in children with M.
      pneumonia-positive serology (85 vs. 61 mg/L, P = 0.03). Of note, 99 (41%)
      children received antibiotics before attending. CONCLUSIONS: We report a
      prevalence of 18.2% for M. pneumoniae infection in children in Madagascar. The
      prevalence of M. pneumoniae infection was higher in the control patients than in 
      asthmatic ones.
FAU - Ravelomanana, Lova
AU  - Ravelomanana L
AD  - From the *Service de Pediatrie, Hopital Ambohimiandra, Antananarivo, Madagascar; 
      daggerURC, University Paris Descartes, Hopital Cochin, Paris, France; double
      daggerService de Pediatrie, Hopital Befelatanana, section signService de
      Pediatrie, Hopital Soavinandriana, and paragraph signService de Pediatrie,
      Hopital Tsaralanana, Antananarivo, Madagascar; ||Service de Pediatrie, Hopital
      Be, Toamasina, Madagascar; **Service de Neonatologie, Befelatanana, Madasgascar; 
      daggerdaggerBacteriology, University Paris Descartes, Hopital Cochin, Paris,
      France; double daggerdouble daggerInstitut Pasteur, Antananarivo, Madagascar;
      section sign section signDepartement Recherche, Direction du service de sante des
      Armees, Hospital Begin, Paris, France; and paragraph sign paragraph
      signAssociation Jeremi Rhones-Alpes, Jeremi, Rhones-Alpes, France.
FAU - Bouazza, Naim
AU  - Bouazza N
FAU - Rakotomahefa, Mbola
AU  - Rakotomahefa M
FAU - Andrianirina, Andre Zo
AU  - Andrianirina AZ
FAU - Robinson, Annick Lalaina
AU  - Robinson AL
FAU - Raobidjaona, Honore
AU  - Raobidjaona H
FAU - Andriamihaja, Rabezanahary
AU  - Andriamihaja R
FAU - Benhaddou, Nadjet
AU  - Benhaddou N
FAU - Randrianirina, Frederique
AU  - Randrianirina F
FAU - Ratsima, Elisoa
AU  - Ratsima E
FAU - Imbert, Patrick
AU  - Imbert P
FAU - Raymond, Josette
AU  - Raymond J
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Pediatr Infect Dis J
JT  - The Pediatric infectious disease journal
JID - 8701858
RN  - 0 (Anti-Bacterial Agents)
RN  - 0 (Antibodies, Bacterial)
RN  - 0 (Immunoglobulin G)
RN  - 0 (Immunoglobulin M)
RN  - 9007-41-4 (C-Reactive Protein)
SB  - IM
MH  - Adolescent
MH  - Anti-Bacterial Agents/therapeutic use
MH  - Antibodies, Bacterial/*blood
MH  - Asthma/diagnosis/*epidemiology/immunology/microbiology
MH  - C-Reactive Protein/metabolism
MH  - Case-Control Studies
MH  - Child
MH  - Child, Preschool
MH  - Community-Acquired Infections
MH  - Developing Countries
MH  - Female
MH  - Humans
MH  - Immunoglobulin G/blood
MH  - Immunoglobulin M/blood
MH  - Madagascar/epidemiology
MH  - Male
MH  - Mycoplasma pneumoniae/growth & development/immunology/*isolation & purification
MH  - Pneumonia, Mycoplasma/diagnosis/drug therapy/*epidemiology/immunology
MH  - Prevalence
MH  - Prospective Studies
MH  - Social Class
EDAT- 2017/04/14 06:00
MHDA- 2017/04/21 06:00
CRDT- 2017/04/14 06:00
AID - 10.1097/INF.0000000000001471 [doi]
AID - 00006454-201705000-00006 [pii]
PST - ppublish
SO  - Pediatr Infect Dis J. 2017 May;36(5):467-471. doi: 10.1097/INF.0000000000001471.

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