Evaluation of Acute and Convalescent Antibody Concentration Against Pneumococcal Capsular Polysaccharides for the Diagnosis of Pneumococcal Infection in Children with Community-Acquired Pneumonia

Author:

Carter Michael J.1234ORCID,Shrestha Sonu23,O’Reilly Peter23,Gurung Pallavi5,Gurung Meeru5,Thorson Stephen5,Kandasamy Rama64ORCID,Voysey Merryn23ORCID,O’Mahony Elizabeth23,Kelly Sarah23,Ansari Imran5,Shah Ganesh5,Amatya Puja5,Tcherniaeva Irina7,Berbers Guy7,Murdoch David R.8ORCID,Pollard Andrew J.23ORCID,Shrestha Shrijana5ORCID,Kelly Dominic F.23ORCID,

Affiliation:

1. Paediatric Intensive Care, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom

2. Oxford Vaccine Group, Department of Paediatrics, University of Oxford

3. NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom

4. National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, Sydney, Australia

5. Pediatric Research Group, Patan Academy of Health Sciences, Patan, Kathmandu, Nepal

6. Discipline of Paediatrics and Child Health, School of Clinical Medicine, University of New South Wales

7. Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands

8. Department of Pathology and Biomedical Science, University of Otago Christchurch, Christchurch, New Zealand.

Abstract

We evaluated whether the quantification of IgG to pneumococcal capsular polysaccharides is an accurate diagnostic test for pneumococcal infection in children with pneumonia in Nepal. Children with pneumococcal pneumonia did not have higher convalescent, or higher fold change, IgG to pneumococcal polysaccharides than children with other causes of pneumonia. Caution is needed in interpreting antibody responses in pneumococcal infections.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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