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Pneumococcal detection in carriage

NoteSample Collection Period

Samples were collected from January 03, 2026 to July 04, 2026 (1576 total samples)

Pneumococcal carriage prevalence by age

Carriage prevalence tends to decline sharply with older age. This can be seen here, with a sharp dropoff in prevalence between the 5-9 and 10-17 year olds. The prevalence in older adults is even lower. This is in line with previous work from our group, which found low carriage rates in older adults, unless they have regular contact with young children.

Pneumococcal (piaB) positivity by age group
Age group Samples Positive % positive
<24m 250 53 21.2%
2-4y 235 74 31.5%
5-9y 293 66 22.5%
10-17y 256 23 9.0%
50-64y 273 17 6.2%
65+y 269 14 5.2%

Carriage density by age

These plots show a wide range of carriage densities within each age group. There are more samples with high concentrations in young children.

Pneumococcal positivity by viral detection

Not unexpectedly, pneumococcal positivity is substantially higher in individuals with a detectable virus. this is seens across most age groups

Pneumococcal (piaB) positivity by age group and viral status
Age Group
Virus Negative
Virus Positive
Samples Positive % Positive Samples Positive % Positive
<24m 130 18 13.8% 120 35 29.2%
2-4y 112 32 28.6% 123 42 34.1%
5-9y 174 35 20.1% 119 31 26.1%
10-17y 168 15 8.9% 88 8 9.1%
50-64y 202 8 4.0% 71 9 12.7%
65+y 184 8 4.3% 85 6 7.1%

Pneumococcal carriage detection by virus category and age group

We can see some differences in pneumococcal positivity associated with specific viruses. This could just be due to the different age distributions of different viruses (e.g., more RSV in young kids, where pneumococcal prevalence is also higher)

Pneumococcal (piaB) positivity by virus category
Virus Category Samples PiaB Positive % piaB positive
Negative 970 116 12.0%
Other 20 7 35.0%
RSV 90 30 33.3%
Influenza 180 42 23.3%
Rhinovirus 175 32 18.3%
COVID 48 7 14.6%
hMPV 48 7 14.6%
Coronavirus 43 6 14.0%
Parainfluenza 2 0 0.0%

Carriage positivity over time

During the study period, the pneumococcal positiviy rate was fairly consistent.

Viral positivity over time

Viral positivity declined in samples collected in late-May through June.

Assay Quality control: Agreement between LytA vs piaB Ct values

This shows strong agreement between the two targets. piaB is generally a more specific indicator of pneumocococcal positivity-encapsulated pneumococci are always piab+. Samples that are lytA+ and piaB- could either be non-typeable pneumococci or other species of Streptococci. The two gene targets do differ in sensitivity however, so particularly for samples with lower concentrations (e.g., Ct>35), one assay might show positivity vs the other.

Positivity by race ethnicity

Coming soon!

Positivity by PCV history

Coming soon!

Positivity by population density of the ZIP of residence

Coming soon!

Positivity by time since immunization

Coming soon!

Positivity by reason for the visit

Coming soon!

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