Low maternally derived serum immunoglobulin G (IgG) antibodies to Streptococcus pneumoniae capsular polysaccharides (PS) combined with the inability of infants to produce anti-PS antibody may explain onset of otitis media in the first 6 months of life.
To explore this relation, cord blood samples were assayed for anti-PS IgG antibodies from 414 of 592 infants enrolled in a study of early onset otitis media between 1991 and 1994.
Infants'ears were examined at health supervision and illness visits for the first 6 months of life in a large Minneapolis-St.
Paul, Minnesota, health maintenance organization.
Antibodies to seven common pneumococcal serotypes (3,4,6B, 14,18C, 19F, and 23F) were measured by enzyme-linked immunoabsorbent assay (ELISA).
Cox's regression analysis revealed that among infants with a sibling otitis media history, those with low concentrations of type 14 or 19F anti-PS cord blood antibody had earlier otitis media onset than those with higher cord blood antibody concentrations (relative risks (RR) (95% confidence intervals (Cl))=1.77 (1.05-2.99) and 1.89 (1.11-3.23), respectively).
Day care attendance also increased risk (RR=1.56,95% Cl 0.96-2.52).
Breastfeeding, parental smoking, and low anti-PS antibody to pneumococcal serotypes 3,4,6B, 18C, and 23F did not significantly affect the risk of early otitis media.
Mots-clés Pascal : Otite moyenne, Aigu, Nourrisson, Homme, Nouveau né, Epidémiologie, Anticorps, IgG, Streptococcus pneumoniae, Streptococcaceae, Micrococcales, Bactérie, Cordon ombilical, Taux, Facteur risque, Minnesota, Etats Unis, Amérique du Nord, Amérique, ORL pathologie, Oreille moyenne pathologie
Mots-clés Pascal anglais : Otitis media, Acute, Infant, Human, Newborn, Epidemiology, Antibody, IgG, Streptococcus pneumoniae, Streptococcaceae, Micrococcales, Bacteria, Umbilical cord, Rate, Risk factor, Minnesota, United States, North America, America, ENT disease, Middle ear disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0340162
Code Inist : 002B10D02. Création : 12/09/1997.