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Prevalence of Nasopharyngeal Carriage of Streptococcus Pneumoniae in Healthy Children of 12-18 Months in 6 Cities, China

Prevalence of Nasopharyngeal Carriage of Streptococcus Pneumoniae in Healthy Children Aged 12-18 Months in Six Cities of China

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT00952367
Enrollment
3641
Registered
2009-08-06
Start date
2009-04-30
Completion date
2010-03-31
Last updated
2012-04-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Streptococcus Pneumoniae Infections

Brief summary

This study is to observe the carriage rate of Streptococcus pneumoniae (S.p.), Haemophilus influenzae Type B (Hib) and Moraxella catarrhalis (M.Cat.) in healthy Chinese children aged 12-18 months in order to estimate the prevalence of pathogens that commonly cause infection in Chinese young children. The antibiotic resistance of all isolates and the serotypes distribution of S.p. isolates will also be tested. Potential risk factors for nasopharyngeal carriage will be collected.

Interventions

OTHERNasopharyngeal swab

Nasopharyngeal swab

Sponsors

Wyeth is now a wholly owned subsidiary of Pfizer
Lead SponsorINDUSTRY

Study design

Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
12 Months to 18 Months
Healthy volunteers
Yes

Inclusion criteria

* Healthy children aged 12-18 months

Exclusion criteria

* Use of antibiotics up to 15 days prior to study inclusion * Malformation or injury of the nasopharynx that makes the procedure of taking a nasopharyngeal swab impossible * Children with chronic infectious (chronic otitis media or chronic sinusitis prior to study inclusion. * Received any pneumococcal vaccine in the past. * Children who have already provided a NP sample in the same study period. * Any relevant hemorrhagic disorder. * Any febrile process (fever ≥ 38°C) at time of screening.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Nasopharyngeal Carriage of Streptococcus PneumoniaeDay 1A nasopharyngeal swab sample approached via the nasal route was collected. Swab samples were inoculated directly on plates and transferred to local laboratory for culture and isolation of Streptococcus pneumoniae. Percentage of participants in whom Streptococcus pneumoniae was isolated is reported by site.
Percentage of Participants With Serotypes of Streptococcus PneumoniaeDay 1Categories are the serotypes of Streptococcus pneumoniae. NO6A/NO6B belongs to Group 6 but is neither 6A nor 6B. NO23F belongs to Group 23 but is not 23F. NO19A/NO19F belongs to Group 19 but is neither 19A nor 19F. Serotypes G, H, D, I, E, F are results of latex agglutination test, and do not refer to a specific serotype; they cannot be further serotyped by the Quellung reaction. NO(Without capsule) includes all Streptococcus pneumoniae isolates that cannot be serotyped because of no capsule.

Secondary

MeasureTime frameDescription
Percentage of Streptococcus Pneumoniae Isolates Resistant to AntibioticsDay 1Categories are types of antibiotics. Penicillin (Old Criteria): Criteria of non-meningitis Streptococcus pneumoniae isolates resistant to penicillin were changed in Clinical Laboratory and Standards Institute (CLSI) in 2008. Criteria in CLSI before 2008 were the old criteria.
Percentage of Haemophilus Influenzae Type B Isolates Resistant to AntibioticsDay 1Categories are types of antibiotics.
Percentage of Moraxella Catarrhalis Isolates Resistant to AntibioticsDay 1Categories are types of antibiotics.
Percentage of Participants With Nasopharyngeal Carriage of Haemophilus Influenzae Type BDay 1A nasopharyngeal swab sample approached via the nasal route was collected. Swab samples were inoculated directly on plates and transferred to local laboratory for culture and isolation of Haemophilus influenzae type B. Percentage of participants in whom Haemophilus influenzae type B was isolated is reported by site.
Risk Factors Associated With Nasopharyngeal Carriage for Haemophilus Influenzae Type BDay 1Risk factors include birth information (preterm vs full-term birth); household register (local vs nonlocal); feeding manners within 6 months (pure breast feeding, mixed feeding vs pure formula milk feeding); father's education level (illiteracy, elementary school, junior middle school, senior/vocational high school or technical, college/university vs postgraduate and above); living space per capita (continuous variables); vaccination history of Haemophilus influenzae type B (Hib) (no vs yes).
Risk Factors Associated With Nasopharyngeal Carriage for Moraxella CatarrhalisDay 1Risk factors include birth information (preterm vs full-term birth); household register (local vs nonlocal); mother's education level (illiteracy, elementary school, junior middle school, senior/vocational high school or technical, college/university, vs postgraduate and above); whether have brothers or sisters (no vs yes).
Risk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeDay 1Risk factors include age of mother bearing (less than or equal to \[\<=\] 30 years versus \[vs\] more than \[\>\] 30 years); household register (local vs nonlocal); mother's education level (illiteracy, elementary school, junior middle school, senior/vocational high school or technical, college/university vs postgraduate and above); family monthly income per capita (below 600 Chinese Renminbi \[RMB\], 600 RMB to 1999 RMB, 2000 RMB to 4999 RMB, 5000 RMB to 7999 RMB, 8000 RMB to 9999 RMB vs more than or equal to \[\>=\] 10000 RMB); whether have brothers or sisters (yes vs no).
Percentage of Participants With Nasopharyngeal Carriage of Moraxella CatarrhalisDay 1A nasopharyngeal swab sample approached via the nasal route was collected. Swab samples were inoculated directly on plates and transferred to local laboratory for culture and isolation of Moraxella catarrhalis. Percentage of participants in whom Moraxella catarrhalis was isolated is reported by site.

Countries

China

Participant flow

Pre-assignment details

In all, 3641 participants were enrolled; however, 38 were excluded because of violation of inclusion/exclusion criteria and 3 participants were excluded for unavailability of nasopharyngeal swab sample. The record presents demographic and result data for 3600 participants in the per-protocol population.

Participants by arm

ArmCount
Per-protocol Population
In all, 3641 participants were enrolled; however, 38 were excluded because of violation of inclusion/exclusion criteria and 3 participants were excluded for unavailability of nasopharyngeal swab sample. The record presents demographic and result data for 3600 participants in the per-protocol population. These participants completed collection of the nasopharyngeal swab sample, the Epidemiology questionnaire, and 24 hours safety observation.
3,600
Total3,600

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyNoncoordination1
Overall StudyProtocol Violation3
Overall StudyWithdrawal by Subject2

Baseline characteristics

CharacteristicPer-protocol Population
Age Continuous14.9 months
STANDARD_DEVIATION 2.1
Sex: Female, Male
Female
1718 Participants
Sex: Female, Male
Male
1882 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
0 / 3,600
serious
Total, serious adverse events
0 / 3,600

Outcome results

Primary

Percentage of Participants With Nasopharyngeal Carriage of Streptococcus Pneumoniae

A nasopharyngeal swab sample approached via the nasal route was collected. Swab samples were inoculated directly on plates and transferred to local laboratory for culture and isolation of Streptococcus pneumoniae. Percentage of participants in whom Streptococcus pneumoniae was isolated is reported by site.

Time frame: Day 1

Population: Per-protocol (PP): Participants who completed collection of nasopharyngeal swab sample, Epidemiology Questionnaire, and 24 hours safety observation. n=number of participants analyzed at that site.

ArmMeasureGroupValue (NUMBER)
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Streptococcus PneumoniaeBeijing (n=600)12.5 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Streptococcus PneumoniaeShanghai (n=614)7.2 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Streptococcus PneumoniaeJinan (n=594)16.6 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Streptococcus PneumoniaeNanjing (n=598)9.3 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Streptococcus PneumoniaeWuhan (n=596)10.5 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Streptococcus PneumoniaeDongguan (n=598)18.9 percentage of participants
Primary

Percentage of Participants With Serotypes of Streptococcus Pneumoniae

Categories are the serotypes of Streptococcus pneumoniae. NO6A/NO6B belongs to Group 6 but is neither 6A nor 6B. NO23F belongs to Group 23 but is not 23F. NO19A/NO19F belongs to Group 19 but is neither 19A nor 19F. Serotypes G, H, D, I, E, F are results of latex agglutination test, and do not refer to a specific serotype; they cannot be further serotyped by the Quellung reaction. NO(Without capsule) includes all Streptococcus pneumoniae isolates that cannot be serotyped because of no capsule.

Time frame: Day 1

Population: PP. Number of participants analyzed = number of participants with carriage of Streptococcus pneumoniae isolates.

ArmMeasureGroupValue (NUMBER)
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae6B6.4 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus PneumoniaeNO6A/NO6B3.5 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae172.0 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus PneumoniaeNO23F2.0 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae181.6 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae101.1 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae80.9 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae110.9 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae200.7 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae220.7 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae330.4 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae70.2 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae40.2 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae90.2 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus PneumoniaeNO19A/NO19F0.2 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus PneumoniaeG8.9 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus PneumoniaeH3.1 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus PneumoniaeD0.9 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus PneumoniaeI0.7 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus PneumoniaeE0.7 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus PneumoniaeF0.2 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus PneumoniaeNO(Without capsule)3.5 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae23F6.0 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae6A5.8 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae19F28.4 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae147.5 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae19A6.7 percentage of participants
Per-protocol PopulationPercentage of Participants With Serotypes of Streptococcus Pneumoniae156.7 percentage of participants
Secondary

Percentage of Haemophilus Influenzae Type B Isolates Resistant to Antibiotics

Categories are types of antibiotics.

Time frame: Day 1

Population: PP. Number of participants analyzed = number of participants with carriage of Haemophilus influenzae type B.

ArmMeasureGroupValue (NUMBER)
Per-protocol PopulationPercentage of Haemophilus Influenzae Type B Isolates Resistant to AntibioticsCefuroxime0.0 percentage of isolates
Per-protocol PopulationPercentage of Haemophilus Influenzae Type B Isolates Resistant to AntibioticsCefatriaxone0.0 percentage of isolates
Per-protocol PopulationPercentage of Haemophilus Influenzae Type B Isolates Resistant to AntibioticsAzithromycin1.2 percentage of isolates
Per-protocol PopulationPercentage of Haemophilus Influenzae Type B Isolates Resistant to AntibioticsLevofloxacin0.0 percentage of isolates
Per-protocol PopulationPercentage of Haemophilus Influenzae Type B Isolates Resistant to AntibioticsMoxifloxacin2.4 percentage of isolates
Per-protocol PopulationPercentage of Haemophilus Influenzae Type B Isolates Resistant to AntibioticsAmpicillin19.6 percentage of isolates
Secondary

Percentage of Moraxella Catarrhalis Isolates Resistant to Antibiotics

Categories are types of antibiotics.

Time frame: Day 1

Population: PP. Number of participants analyzed = number of participants with carriage of Moraxella catarrhalis.

ArmMeasureGroupValue (NUMBER)
Per-protocol PopulationPercentage of Moraxella Catarrhalis Isolates Resistant to AntibioticsCefuroxime0.0 percentage of isolates
Per-protocol PopulationPercentage of Moraxella Catarrhalis Isolates Resistant to AntibioticsCefatriaxone0.0 percentage of isolates
Per-protocol PopulationPercentage of Moraxella Catarrhalis Isolates Resistant to AntibioticsAzithromycin21.0 percentage of isolates
Per-protocol PopulationPercentage of Moraxella Catarrhalis Isolates Resistant to AntibioticsLevofloxacin0.0 percentage of isolates
Per-protocol PopulationPercentage of Moraxella Catarrhalis Isolates Resistant to AntibioticsErythromycin22.7 percentage of isolates
Secondary

Percentage of Participants With Nasopharyngeal Carriage of Haemophilus Influenzae Type B

A nasopharyngeal swab sample approached via the nasal route was collected. Swab samples were inoculated directly on plates and transferred to local laboratory for culture and isolation of Haemophilus influenzae type B. Percentage of participants in whom Haemophilus influenzae type B was isolated is reported by site.

Time frame: Day 1

Population: PP. n=number of participants analyzed at that site.

ArmMeasureGroupValue (NUMBER)
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Haemophilus Influenzae Type BBeijing (n=600)4.3 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Haemophilus Influenzae Type BShanghai (n=614)8.0 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Haemophilus Influenzae Type BJinan (n=594)5.7 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Haemophilus Influenzae Type BNanjing (n=598)2.3 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Haemophilus Influenzae Type BWuhan (n=596)3.4 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Haemophilus Influenzae Type BDongguan (n=598)4.2 percentage of participants
Secondary

Percentage of Participants With Nasopharyngeal Carriage of Moraxella Catarrhalis

A nasopharyngeal swab sample approached via the nasal route was collected. Swab samples were inoculated directly on plates and transferred to local laboratory for culture and isolation of Moraxella catarrhalis. Percentage of participants in whom Moraxella catarrhalis was isolated is reported by site.

Time frame: Day 1

Population: PP. n=number of participants analyzed at that site.

ArmMeasureGroupValue (NUMBER)
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Moraxella CatarrhalisBeijing (n=600)11.7 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Moraxella CatarrhalisShanghai (n=614)11.1 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Moraxella CatarrhalisJinan (n=594)9.8 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Moraxella CatarrhalisNanjing (n=598)7.9 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Moraxella CatarrhalisWuhan (n=596)8.2 percentage of participants
Per-protocol PopulationPercentage of Participants With Nasopharyngeal Carriage of Moraxella CatarrhalisDongguan (n=598)17.4 percentage of participants
Secondary

Percentage of Streptococcus Pneumoniae Isolates Resistant to Antibiotics

Categories are types of antibiotics. Penicillin (Old Criteria): Criteria of non-meningitis Streptococcus pneumoniae isolates resistant to penicillin were changed in Clinical Laboratory and Standards Institute (CLSI) in 2008. Criteria in CLSI before 2008 were the old criteria.

Time frame: Day 1

Population: PP. Number of participants analyzed = number of participants with carriage of Streptococcus pneumoniae.

ArmMeasureGroupValue (NUMBER)
Per-protocol PopulationPercentage of Streptococcus Pneumoniae Isolates Resistant to AntibioticsPenicillin (Old Criteria)18.6 percentage of isolates
Per-protocol PopulationPercentage of Streptococcus Pneumoniae Isolates Resistant to AntibioticsPenicillin1.1 percentage of isolates
Per-protocol PopulationPercentage of Streptococcus Pneumoniae Isolates Resistant to AntibioticsAmoxicillin/clavulanic acid1.1 percentage of isolates
Per-protocol PopulationPercentage of Streptococcus Pneumoniae Isolates Resistant to AntibioticsCefuroxime23.5 percentage of isolates
Per-protocol PopulationPercentage of Streptococcus Pneumoniae Isolates Resistant to AntibioticsCefatriaxone4.0 percentage of isolates
Per-protocol PopulationPercentage of Streptococcus Pneumoniae Isolates Resistant to AntibioticsAzithromycin83.6 percentage of isolates
Per-protocol PopulationPercentage of Streptococcus Pneumoniae Isolates Resistant to AntibioticsErythromycin83.6 percentage of isolates
Per-protocol PopulationPercentage of Streptococcus Pneumoniae Isolates Resistant to AntibioticsLevofloxacin0.2 percentage of isolates
Per-protocol PopulationPercentage of Streptococcus Pneumoniae Isolates Resistant to AntibioticsMoxifloxacin0.0 percentage of isolates
Secondary

Risk Factors Associated With Nasopharyngeal Carriage for Haemophilus Influenzae Type B

Risk factors include birth information (preterm vs full-term birth); household register (local vs nonlocal); feeding manners within 6 months (pure breast feeding, mixed feeding vs pure formula milk feeding); father's education level (illiteracy, elementary school, junior middle school, senior/vocational high school or technical, college/university vs postgraduate and above); living space per capita (continuous variables); vaccination history of Haemophilus influenzae type B (Hib) (no vs yes).

Time frame: Day 1

Population: PP

ArmMeasureGroupValue (MEAN)Dispersion
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Haemophilus Influenzae Type BBirth information, preterm vs full-term birth-0.683 relative riskStandard Error 0.359
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Haemophilus Influenzae Type BHousehold register, local vs nonlocal-0.204 relative riskStandard Error 0.099
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Haemophilus Influenzae Type BFeeding, pure breast feeding vs pure formula milk0.227 relative riskStandard Error 0.113
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Haemophilus Influenzae Type BFeeding, mixed feeding vs pure formula milk-0.287 relative riskStandard Error 0.138
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Haemophilus Influenzae Type BFather's education, illiteracy vs postgraduate2.857 relative riskStandard Error 1.047
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Haemophilus Influenzae Type BFather's education, elementary vs postgraduate-0.126 relative riskStandard Error 0.448
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Haemophilus Influenzae Type BFather's education, junior middle vs postgraduate-0.093 relative riskStandard Error 0.298
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Haemophilus Influenzae Type BFather's education, senior high vs postgraduate-0.411 relative riskStandard Error 0.306
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Haemophilus Influenzae Type BFather's education, college vs postgraduate-0.559 relative riskStandard Error 0.316
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Haemophilus Influenzae Type BLiving space per capita, continuous variables-0.016 relative riskStandard Error 0.009
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Haemophilus Influenzae Type BVaccination history of Hib, no vs yes-0.158 relative riskStandard Error 0.085
Comparison: Birth information, preterm birth vs full-term birthp-value: 0.05795% CI: [0.062, 1.044]Chi-squared
Comparison: Household register, local vs nonlocalp-value: 0.0495% CI: [0.451, 0.981]Chi-squared
Comparison: Feeding manners within 6 months, pure breast feeding vs pure formula milk feedingp-value: 0.04495% CI: [0.758, 1.844]Chi-squared
Comparison: Feeding manners within 6 months, mixed feeding vs pure formula milk feedingp-value: 0.03895% CI: [0.42, 1.191]Chi-squared
Comparison: Father's education level, illiteracy vs postgraduate or abovep-value: 0.00695% CI: [3.993, 2130.5]Chi-squared
Comparison: Father's education level, elementary school vs postgraduate or abovep-value: 0.77895% CI: [0.537, 40.608]Chi-squared
Comparison: Father's education level, junior high school vs postgraduate or abovep-value: 0.75695% CI: [0.649, 35.956]Chi-squared
Comparison: Father's education level, senior high school/vocational high school/technical secondary school vs postgraduate or abovep-value: 0.17995% CI: [0.474, 26.03]Chi-squared
Comparison: Father's education level, college/university vs postgraduate or abovep-value: 0.07795% CI: [0.412, 22.292]Chi-squared
Comparison: Living space per capita, continuous variablesp-value: 0.05695% CI: [0.968, 1]Chi-squared
Comparison: Vaccination history of Hib, no vs yesp-value: 0.06495% CI: [0.522, 1.018]Chi-squared
Secondary

Risk Factors Associated With Nasopharyngeal Carriage for Moraxella Catarrhalis

Risk factors include birth information (preterm vs full-term birth); household register (local vs nonlocal); mother's education level (illiteracy, elementary school, junior middle school, senior/vocational high school or technical, college/university, vs postgraduate and above); whether have brothers or sisters (no vs yes).

Time frame: Day 1

Population: PP

ArmMeasureGroupValue (MEAN)Dispersion
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Moraxella CatarrhalisBirth information, preterm vs full-term birth-0.412 relative riskStandard Error 0.175
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Moraxella CatarrhalisHousehold register, local vs nonlocal-0.303 relative riskStandard Error 0.065
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Moraxella CatarrhalisMother's education, illiteracy vs graduate0.280 relative riskStandard Error 0.479
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Moraxella CatarrhalisMother's education, elementary vs graduate0.104 relative riskStandard Error 0.214
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Moraxella CatarrhalisMother's education, junior middle vs graduate0.199 relative riskStandard Error 0.153
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Moraxella CatarrhalisMother's education, senior high vs postgraduate0.166 relative riskStandard Error 0.159
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Moraxella CatarrhalisMother's education, college vs postgraduate-0.270 relative riskStandard Error 0.174
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Moraxella CatarrhalisWhether have brothers or sisters, no vs yes-0.203 relative riskStandard Error 0.063
Comparison: Birth information, preterm birth vs full-term birthp-value: 0.01995% CI: [0.221, 0.871]Chi-squared
Comparison: Household register, local vs nonlocalp-value: <0.00195% CI: [0.423, 0.703]Chi-squared
Comparison: Mother's education level, illiteracy vs graduate or abovep-value: 0.55995% CI: [0.473, 9.652]Chi-squared
Comparison: Mother's education level, elementary school vs graduate or abovep-value: 0.62695% CI: [0.596, 5.394]Chi-squared
Comparison: Mother's education level, junior middle school vs graduate or abovep-value: 0.19395% CI: [0.699, 5.562]Chi-squared
Comparison: Mother's education level, senior high school/vocational high school/technical secondary school vs postgraduate or abovep-value: 0.29895% CI: [0.679, 5.353]Chi-squared
Comparison: Mother's education level, college/university vs postgraduate or abovep-value: 0.12295% CI: [0.439, 3.464]Chi-squared
Comparison: Whether have brothers or sisters, no vs yesp-value: 0.00195% CI: [0.52, 0.855]Chi-squared
Secondary

Risk Factors Associated With Nasopharyngeal Carriage for Streptococcus Pneumoniae

Risk factors include age of mother bearing (less than or equal to \[\<=\] 30 years versus \[vs\] more than \[\>\] 30 years); household register (local vs nonlocal); mother's education level (illiteracy, elementary school, junior middle school, senior/vocational high school or technical, college/university vs postgraduate and above); family monthly income per capita (below 600 Chinese Renminbi \[RMB\], 600 RMB to 1999 RMB, 2000 RMB to 4999 RMB, 5000 RMB to 7999 RMB, 8000 RMB to 9999 RMB vs more than or equal to \[\>=\] 10000 RMB); whether have brothers or sisters (yes vs no).

Time frame: Day 1

Population: PP

ArmMeasureGroupValue (MEAN)Dispersion
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeAge of mother bearing, <=30 years vs >30 years0.248 relative riskStandard Error 0.07
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeHousehold register, local vs nonlocal-0.116 relative riskStandard Error 0.062
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeMother's education, illiteracy vs postgraduate1.087 relative riskStandard Error 0.396
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeMother's education, elementary vs postgraduate0.326 relative riskStandard Error 0.199
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeMother's education, junior middle vs postgraduate0.209 relative riskStandard Error 0.149
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeMother's education, senior high vs postgraduate-0.068 relative riskStandard Error 0.157
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeMother's education, college vs postgraduate-0.643 relative riskStandard Error 0.175
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeMonthly income, <600 RMB vs >=10000 RMB0.508 relative riskStandard Error 0.251
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeMonthly income, 600 to 1999 RMB vs >= 10000 RMB0.448 relative riskStandard Error 0.175
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeMonthly income, 2000 to 4999 RMB vs >= 10000 RMB0.396 relative riskStandard Error 0.172
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeMonthly income, 5000-7999 RMB vs >= 10000 RMB-0.230 relative riskStandard Error 0.254
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeMonthly income, 8000 to 9999 RMB vs >= 10000 RMB-0.834 relative riskStandard Error 0.615
Per-protocol PopulationRisk Factors Associated With Nasopharyngeal Carriage for Streptococcus PneumoniaeWhether have brothers or sisters, no vs yes-0.331 relative riskStandard Error 0.065
Comparison: Age of mother bearing, \<=30 years vs \>30 yearsp-value: <0.00195% CI: [1.247, 2.159]Chi-squared
Comparison: Household register, local vs nonlocalp-value: 0.0695% CI: [0.622, 1.01]Chi-squared
Comparison: Mother's education level, illiteracy vs postgraduate or abovep-value: 0.00695% CI: [1.672, 32.479]Chi-squared
Comparison: Mother's education level, elementary school vs postgraduate or abovep-value: 0.10295% CI: [1.001, 11.843]Chi-squared
Comparison: Mother's education level, junior middle school vs postgraduate or abovep-value: 0.15995% CI: [0.933, 10.067]Chi-squared
Comparison: Mother's education level, senior high school/vocational high school/technical secondary school vs postgraduate or abovep-value: 0.66295% CI: [0.71, 7.589]Chi-squared
Comparison: Mother's education level, college/university vs postgraduate or abovep-value: <0.00195% CI: [0.399, 4.277]Chi-squared
Comparison: Family monthly income per capita, \<=600 RMB vs \>=10000 RMBp-value: 0.04395% CI: [0.719, 6.831]Chi-squared
Comparison: Family monthly income per capita, 600 to 1999 RMB vs \>=10000 RMBp-value: 0.0195% CI: [0.739, 5.906]Chi-squared
Comparison: Family monthly income per capita, 2000 to 4999 RMB vs \>=10000 RMBp-value: 0.02195% CI: [0.704, 5.583]Chi-squared
Comparison: Family monthly income per capita, 5000 to 7999 RMB vs \>=10000 RMBp-value: 0.36495% CI: [0.344, 3.267]Chi-squared
p-value: 0.17595% CI: [0.1, 3.347]Chi-squared
Comparison: Whether have brothers or sisters, no vs yesp-value: <0.00195% CI: [0.4, 0.666]Chi-squared

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026