Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-22T15:03:47.102Z Has data issue: false hasContentIssue false

Factors affecting carriage of Neisseria meningitidis among Greek military recruits

Published online by Cambridge University Press:  15 May 2009

C. C. Blackwell
Affiliation:
Department of Medical Microbiology, The Medical School, University of Edinburgh, Edinburgh EH8 9AG
G. Tzanakaki
Affiliation:
National Meningitis Reference Laboratory, Hellenic Institute Pasteur, Athens, Greece
J. Kremastinou
Affiliation:
Athens School of Public Health, Athens, Greece
D. M. Weir
Affiliation:
Department of Medical Microbiology, The Medical School, University of Edinburgh, Edinburgh EH8 9AG
N. Vakalis
Affiliation:
Athens School of Public Health, Athens, Greece
R. A. Elton
Affiliation:
Department of Public Health Sciences, University of Edinburgh
A. Mentis
Affiliation:
National Meningitis Reference Laboratory, Hellenic Institute Pasteur, Athens, Greece
N. Fatouros
Affiliation:
Athens School of Public Health, Athens, Greece
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Greek military recruits (993) were examined for carriage of meningococci during July 1990. Blood, saliva and throat swab specimens were obtained and each recruit answered a questionnaire providing information on age, education (a measure of socioeconomic level), place of residence, smoking habits and recent infections.

The overall carriage rate was 25% but differed between the two camps: 79/432 (18%) in Camp A and 168/561 (30%) in Camp B (P < 0·0005). In Camp B, there were significantly higher proportions of recruits who were non-secretors (P < 0·0005), and/or heavy smokers (P < 0·0005). They were also younger ( < 19 years old) (P < 0·001), and on the whole had fewer years of education (P < 0·0005). By univariate analysis, carriage was significantly associated with smoking. By multiple logistic regression analysis, carriage was associated with smoking (P < 0·001), age (P < 0·01) and the camp in which the recruits were based (P < 0·01). Among recruits in Camp B, 15/38 (40%) of those with recent viral infections were carriers compared with 30% for the camp in general.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1992

References

REFERENCES

1.Kalapothaki, V, Vassilliadis, P, Trichopoulos, D, Kaklamani, E, Sérié, Ch. Caraetéristiques séro-épidémiologiques chez les porteurs sains de meningoeoques en Grèce. Annales Microbiol (Institute Pasteur) 1979; 130B: 4354.Google Scholar
2.Blackwell, CC, Jónsdottir, K, Hanson, M et al. , Non-secretion of ABO blood group antigens predisposing to infection by Neisseria meningitidis and Streptococcus pneumoniae. Lancet 1986; ii: 284–5.CrossRefGoogle Scholar
3.Blackwell, CC, Jonsdóttir, K, Mohammed, I, Weir, DM. Non-secretion of blood group antigens. A genetic factor predisposing to infection by Neisseria meningitidis. In: Poolman, JT, Zanen, HC, Meyer, TF et al. editors. Gonococci and meningococci. Dordrecht: Kluwer Academic Publishers. 1988: 633–6.CrossRefGoogle Scholar
4.Blackwell, CC, Weir, DM, James, VS et al. , Secretor status, smoking and carriage of Neisseria meningitidis. Epidemiol Infect 1990; 104: 203–9.Google Scholar
5.Blackwell, CC, Weir, DM, James, Vs, Cartwright, Kav, Stuart, JM, Jones, DM. The Stonehouse study: secretor status and carriage of Neisseria meningitidis and Neisseria lactamica. Epidemiol Infect 1989; 102: 110.CrossRefGoogle Scholar
6.Blackwell, CC, Weir, DM. Meningococcal disease: high virulence and low transmission? Lancet 1990; ii: 53.CrossRefGoogle Scholar
7.Mourant, AE, Kopéc, AC, Domaniewska-Sobczak, K. The distribution of the human blood groups and other polymorphisms. London: Oxford University Press. 1976: 548–76.Google Scholar
8.Haneberg, B, Tonjum, T, Rodahl, K, Gedde-Dahl, T. Factors preceding the onset of meningococcal disease with special emphasis on passive smoking, stressful events, physical illness and general symptoms of ill health. Nat Inst Pub Health Annal 1983; 6: 169–76.Google Scholar
9.Stuart, JM, Cartwright, Kav, Dawson, AJ, Rickard, J, Noah, ND. Risk factors for meningococcal disease: a case control study in Southwest England. Comm Med 1988; 10: 139–46.Google Scholar
10.Stuart, JM, Cartwright, Kav, Robinson, PM, Noah, ND. Effect of smoking on meningococcal carriage. Lancet 1989; ii: 723–5.CrossRefGoogle Scholar
11.Krakinski, K, Nilson, JD, Butler, S, Laby, JP, Kusmiesz, H. Possible association of mycoplasma in viral respiratory infections with bacterial meningitis. Am J Epidemiol 1987; 125: 499508.Google Scholar
12.Musher, DM, Fainstein, V. Adherence of Staphylococcus aureus In: Jeljaszewiez, J editor. Staphylococci and staphylococcal infections. New York: Gustav Fischer Verlag. Zbl Bakt Suppl 10. 1981: 1011–16.Google Scholar
13.Young, H. Cultural diagnosis of gonorrhoea with modified New York City Medium (MNYC). Br J Vener Dis 1978; 54: 3640.Google ScholarPubMed
14.Pether, JVS, Lightfoot, NF, Scott, RJD, Morgon, J, Steele-Perkins, AP, Sheard, SC. Carriage of Neisseria meningitidis: investigations in a military establishment. Epidemiol Infect 1988; 101: 21–4.CrossRefGoogle Scholar
15.Cartwright, Kav, Stuart, JM, Jones, DM, Noah, MD. The Stonehouse survey: nasopharyngeal carriage of meningococci and Neisseria lactamica. Epidemiol Infect 1987; 99: 591601.CrossRefGoogle ScholarPubMed
16.Mentis, A, Blackwell, CC, Weir, DM, Spiliadis, C, Dailianas, A, Skandalis, N. ABO blood group, secretor status and detection of Helicobacter pylori among patients with gastric or duodenal ulcers. Epidemiol Infect 1990; 106: 221–9.CrossRefGoogle Scholar
17.Hirszfeld, L, Hirszfeld, H. Serological differences between the blood of different races. The result of researches on the Macedonian front. Lancet 1919; ii: 675–9.CrossRefGoogle Scholar
18.Crowdy, JP, Smoking in the army. J Roy Army Med Corps 1981; 127: 115.Google Scholar
19.Wald, N, Kiryluk, S, Darby, S, Doll, R, Pike, M, Peto, R. UK smoking statistics. Oxford: Oxford University Press. 1988.Google Scholar
20.Plotkowski, M-C, Puchelle, F, Beck, G, Jacquot, J, Hannoun, C. Adherence of type 1 Streptococcus pneumoniae to tracheal epithelium of mice infected with influenza A/PRB virus. Am Rev Resp Dis 1984; 134: 1040–4.CrossRefGoogle Scholar
21.Sanford, B, Davison, V, Ramsay, M. Staphylococcus aureus adherence to influenza A virus infected and control cell cultures: evidence for multiple adhesions. Proc Soc Exp Biol Med 1986; 181: 104–11.CrossRefGoogle Scholar
22.Cartwright, Kav, Jones, DM, Smith, AJ, Stuart, JM, Kaczmarski, EB, Palmer, SR. Influenza A and meningococcal disease. Lancet 1991; 338: 554–7.Google Scholar