A study
of Long-term Duration and Multiple Carriage of Neisseria meningitidis in Healthy
Population by Molecular Biology Methods
Křížová P.1, Kalmusová J.1, Musílek M.1, Felsberg J.2, Haugvicová R.2, Vlčková J.3
1NRL pro meningokokové nákazy, SZÚ Praha 2Mikrobiologický ústav AV ČR, Praha 3Zdravotní ústav, Olomouc |
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Summary:
The aim of the study was to investigate the long-term duration and multiple carriage of Neisseria
meningitidis in a healthy population. In this prospective study, 206 students at the age of 15 to 19
years were monitored from October 2002 to March 2003. Nasopharyngeal and laryngeal swabs were
sampled in one-month intervals and cultured on a selective medium. All colonies detected in primary
culture were saved for the study, a maximum of 20 colonies in cases of massive growth. A total of
1.242 isolates were obtained, all of them being examined by a molecular biology method RAPD
(randomly amplified polymorphic DNA analysis). By other methods (determination of phenotype by
slide agglutination and whole-cell ELISA test, the determination of sequence type, ST by multilocus
sequence typing, testing of susceptibity to antibiotics) were always tested the first isolates from
individual carriers and isolates from the same carrier with different RAPD characteristics, being
35 altogether. There were thirty three carriers of N. meningitidis detected among the 206 students
(16%). The carriage of N. meningitidis was of long-term duration. The study of strains of N. meningitidis
with molecular biology methods made it clear that the carrier population of meningococci
is heterogeneous. The population of carrier meningococci was of clonal character and mostly
non-virulent ST-complexes were detected. Multiple carriage of different clones of N. meningitidis is
rare and usually of short-termduration.The colonization of upper respiratory tract by a single clone
of N. meningitidis does not protect from colonization by other clone.
Key words:
carriage of Neisseria meningitidis – population of Neisseria meningitidis – RAPD – MLST.
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