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Association between asymptomatic carriage and sporadic (endemic) meningococcal disease in an open community

Published online by Cambridge University Press:  26 November 2001

M. E. VERDÚ
Affiliation:
Servei de Microbiologia, Hospital de la Santa Creu i Sant Pau, Av. Sant Antoni Maria Claret, 167, 08025 Barcelona, Spain
P. COLL
Affiliation:
Servei de Microbiologia, Hospital de la Santa Creu i Sant Pau, Av. Sant Antoni Maria Claret, 167, 08025 Barcelona, Spain Spain
J. A. VÁZQUEZ
Affiliation:
Laboratorio de Referencia de Meningococo, Centro Nacional de Microbiologia, Instituto de Salud Carlos III, 28220 Majadahonda, Madrid, Spain
F. MARCH
Affiliation:
Servei de Microbiologia, Hospital de la Santa Creu i Sant Pau, Av. Sant Antoni Maria Claret, 167, 08025 Barcelona, Spain
D. FONTANALS
Affiliation:
Laboratori de Microbiologia, Consorci Hospitalari Parc Taulí, Sabadell, Spain
S. BERRÓN
Affiliation:
Laboratorio de Referencia de Meningococo, Centro Nacional de Microbiologia, Instituto de Salud Carlos III, 28220 Majadahonda, Madrid, Spain
I. PONS
Affiliation:
Laboratori de Microbiologia, Consorci Hospitalari Parc Taulí, Sabadell, Spain
D. VAN ESSO
Affiliation:
Pediatria, ABS Serraparera, Cerdanyola, Spain
G. PRATS
Affiliation:
Servei de Microbiologia, Hospital de la Santa Creu i Sant Pau, Av. Sant Antoni Maria Claret, 167, 08025 Barcelona, Spain Spain
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Abstract

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We analysed a strain collection representative of the overall Neisseria meningitidis population circulating in an open community (46000 inhabitants, Spain) during an endemic period (30 isolates from patients and 191 from throat cultures of healthy individuals) by both phenotypic and molecular techniques. Almost all patient isolates were assigned to three hyper-virulent lineages (ET-5 complex, ET-37 complex and cluster A4) by both multilocus enzyme electrophoresis (MEE) and pulsed-field gel electrophoresis (PFGE). In contrast, MEE and PFGE assigned 20% and 15% respectively of carrier isolates to the hyper-virulent clones (4% for both methods together). There was also a higher correlation between PFGE and phenotypes associated with virulent clones. These notable differences between the two molecular methods were further observed in more than half the carrier isolates, suggesting that the associations between these strains were distorted by recombination events. However, almost one-third of total endemic strains from symptom-free carriers and almost all patient strains belonged to clones defined by MEE and PFGE, with no known epidemiological connection. These data indicate low transmission and a weak clonal structure for N. meningitidis.

Type
Research Article
Copyright
2001 Cambridge University Press