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The dynamics and interactions of respiratory pathogen carriage among French pilgrims during the 2018 Hajj.

Identifieur interne : 000017 ( Main/Exploration ); précédent : 000016; suivant : 000018

The dynamics and interactions of respiratory pathogen carriage among French pilgrims during the 2018 Hajj.

Auteurs : Van-Thuan Hoang [France, Viêt Nam] ; Thi-Loi Dao [France, Viêt Nam] ; Tran Duc Anh Ly [France] ; Khadidja Belhouchat [France] ; Kamel Larbi Chaht [France] ; Jean Gaudart [France] ; Bakridine Mmadi Mrenda [France] ; Tassadit Drali [France] ; Saber Yezli [Arabie saoudite] ; Badriah Alotaibi [Arabie saoudite] ; Pierre-Edouard Fournier [France] ; Didier Raoult [France] ; Philippe Parola [France] ; Vincent Pommier De Santi [France] ; Philippe Gautret [France]

Source :

RBID : pubmed:31749410

Descripteurs français

English descriptors

Abstract

We conducted this study to describe the dynamics of the acquisition of respiratory pathogens, their potential interactions and risk factors for possible lower respiratory tract infection symptoms (LRTI) among French pilgrims during the 2018 Hajj. Each participant underwent four successive systematic nasopharyngeal swabs before and during their stay in Saudi Arabia. Carriage of the main respiratory pathogens was assessed by PCR. 121 pilgrims were included and 93.4% reported respiratory symptoms during the study period. The acquisition of rhinovirus, coronaviruses and Staphylococcus aureus occurred soon after arrival in Saudi Arabia and rates decreased gradually after days 5 and 6. In contrast, Streptococcus pneumoniae and Klebsiella pneumoniae carriage increased progressively until the end of the stay in Saudi Arabia. Haemophilus influenzae and Moraxella catarrhalis carriage increased starting around days 12 and 13, following an initial clearance. Influenza viruses were rarely isolated. We observed an independent positive mutual association between S. aureus and rhinovirus carriage and between H. influenzae and M. catarrhalis carriage. Dual carriage of H. influenzae and M. catarrhalis was strongly associated with S. pneumoniae carriage (OR = 6.22). Finally, our model showed that M. catarrhalis carriage was negatively associated with K. pneumoniae carriage. Chronic respiratory disease was associated with symptoms of LRTI. K. pneumoniae, M. catarrhalis-S. aureus and H. influenzae-rhinovirus dual carriage was associated with LRTI symptoms. Our data suggest that RTIs at the Hajj are a result of complex interactions between a number of respiratory viruses and bacteria.

DOI: 10.1080/22221751.2019.1693247
PubMed: 31749410
PubMed Central: PMC6882464


Affiliations:


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Le document en format XML

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<affiliation wicri:level="1">
<nlm:affiliation>Thai Binh University of Medicine and Pharmacy, Thai Binh, Viet Nam.</nlm:affiliation>
<country xml:lang="fr">Viêt Nam</country>
<wicri:regionArea>Thai Binh University of Medicine and Pharmacy, Thai Binh</wicri:regionArea>
<wicri:noRegion>Thai Binh</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ly, Tran Duc Anh" sort="Ly, Tran Duc Anh" uniqKey="Ly T" first="Tran Duc Anh" last="Ly">Tran Duc Anh Ly</name>
<affiliation wicri:level="3">
<nlm:affiliation>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille</wicri:regionArea>
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<region type="region">Provence-Alpes-Côte d'Azur</region>
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<author>
<name sortKey="Belhouchat, Khadidja" sort="Belhouchat, Khadidja" uniqKey="Belhouchat K" first="Khadidja" last="Belhouchat">Khadidja Belhouchat</name>
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</affiliation>
</author>
<author>
<name sortKey="Chaht, Kamel Larbi" sort="Chaht, Kamel Larbi" uniqKey="Chaht K" first="Kamel Larbi" last="Chaht">Kamel Larbi Chaht</name>
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<author>
<name sortKey="Gaudart, Jean" sort="Gaudart, Jean" uniqKey="Gaudart J" first="Jean" last="Gaudart">Jean Gaudart</name>
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<nlm:affiliation>Aix Marseille Univ, INSERM, IRD, SESSTIM UMR1252, Faculty of Medicine Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix Marseille Univ, INSERM, IRD, SESSTIM UMR1252, Faculty of Medicine Marseille</wicri:regionArea>
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<wicri:noRegion>Faculty of Medicine Marseille</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>APHM, La Timone Hospital, Biostatistics & ICT Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>APHM, La Timone Hospital, Biostatistics & ICT Marseille</wicri:regionArea>
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<wicri:noRegion>Biostatistics & ICT Marseille</wicri:noRegion>
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</author>
<author>
<name sortKey="Mrenda, Bakridine Mmadi" sort="Mrenda, Bakridine Mmadi" uniqKey="Mrenda B" first="Bakridine Mmadi" last="Mrenda">Bakridine Mmadi Mrenda</name>
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<nlm:affiliation>French Military Centre for Epidemiology and Public Health, Marseille, France.</nlm:affiliation>
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</affiliation>
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<author>
<name sortKey="Drali, Tassadit" sort="Drali, Tassadit" uniqKey="Drali T" first="Tassadit" last="Drali">Tassadit Drali</name>
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<nlm:affiliation>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France.</nlm:affiliation>
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<nlm:affiliation>IHU-Méditerranée Infection, Marseille, France.</nlm:affiliation>
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</placeName>
</affiliation>
</author>
<author>
<name sortKey="Yezli, Saber" sort="Yezli, Saber" uniqKey="Yezli S" first="Saber" last="Yezli">Saber Yezli</name>
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<nlm:affiliation>The Global Centre for Mass Gatherings Medicine, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation>
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</affiliation>
</author>
<author>
<name sortKey="Alotaibi, Badriah" sort="Alotaibi, Badriah" uniqKey="Alotaibi B" first="Badriah" last="Alotaibi">Badriah Alotaibi</name>
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<nlm:affiliation>The Global Centre for Mass Gatherings Medicine, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation>
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</affiliation>
</author>
<author>
<name sortKey="Fournier, Pierre Edouard" sort="Fournier, Pierre Edouard" uniqKey="Fournier P" first="Pierre-Edouard" last="Fournier">Pierre-Edouard Fournier</name>
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<nlm:affiliation>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille</wicri:regionArea>
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<region type="region">Provence-Alpes-Côte d'Azur</region>
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</placeName>
</affiliation>
</author>
<author>
<name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name>
<affiliation wicri:level="3">
<nlm:affiliation>IHU-Méditerranée Infection, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<nlm:affiliation>Aix Marseille Univ, IRD, AP-HM, MEPHI, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix Marseille Univ, IRD, AP-HM, MEPHI, Marseille</wicri:regionArea>
<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
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</placeName>
</affiliation>
</author>
<author>
<name sortKey="Parola, Philippe" sort="Parola, Philippe" uniqKey="Parola P" first="Philippe" last="Parola">Philippe Parola</name>
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<nlm:affiliation>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille</wicri:regionArea>
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<region type="old region">Provence-Alpes-Côte d'Azur</region>
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</placeName>
</affiliation>
</author>
<author>
<name sortKey="De Santi, Vincent Pommier" sort="De Santi, Vincent Pommier" uniqKey="De Santi V" first="Vincent Pommier" last="De Santi">Vincent Pommier De Santi</name>
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<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
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</placeName>
</affiliation>
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</placeName>
</affiliation>
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<author>
<name sortKey="Gautret, Philippe" sort="Gautret, Philippe" uniqKey="Gautret P" first="Philippe" last="Gautret">Philippe Gautret</name>
<affiliation wicri:level="3">
<nlm:affiliation>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille</wicri:regionArea>
<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
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<nlm:affiliation>IHU-Méditerranée Infection, Marseille, France.</nlm:affiliation>
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<region type="region">Provence-Alpes-Côte d'Azur</region>
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<series>
<title level="j">Emerging microbes & infections</title>
<idno type="eISSN">2222-1751</idno>
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<date when="2019" type="published">2019</date>
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<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Bacteria (classification)</term>
<term>Bacteria (genetics)</term>
<term>Bacteria (isolation & purification)</term>
<term>Bacterial Infections (microbiology)</term>
<term>Female (MeSH)</term>
<term>France (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Respiratory Tract Infections (microbiology)</term>
<term>Respiratory Tract Infections (virology)</term>
<term>Saudi Arabia (MeSH)</term>
<term>Travel (MeSH)</term>
<term>Virus Diseases (virology)</term>
<term>Viruses (classification)</term>
<term>Viruses (genetics)</term>
<term>Viruses (isolation & purification)</term>
</keywords>
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<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Arabie saoudite (MeSH)</term>
<term>Bactéries (classification)</term>
<term>Bactéries (génétique)</term>
<term>Bactéries (isolement et purification)</term>
<term>Femelle (MeSH)</term>
<term>France (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections bactériennes (microbiologie)</term>
<term>Infections de l'appareil respiratoire (microbiologie)</term>
<term>Infections de l'appareil respiratoire (virologie)</term>
<term>Maladies virales (virologie)</term>
<term>Mâle (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Virus (classification)</term>
<term>Virus (génétique)</term>
<term>Virus (isolement et purification)</term>
<term>Voyage (MeSH)</term>
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<term>France</term>
<term>Saudi Arabia</term>
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<term>Infections de l'appareil respiratoire</term>
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<term>Bacterial Infections</term>
<term>Respiratory Tract Infections</term>
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<front>
<div type="abstract" xml:lang="en">We conducted this study to describe the dynamics of the acquisition of respiratory pathogens, their potential interactions and risk factors for possible lower respiratory tract infection symptoms (LRTI) among French pilgrims during the 2018 Hajj. Each participant underwent four successive systematic nasopharyngeal swabs before and during their stay in Saudi Arabia. Carriage of the main respiratory pathogens was assessed by PCR. 121 pilgrims were included and 93.4% reported respiratory symptoms during the study period. The acquisition of rhinovirus, coronaviruses and S
<i>taphylococcus aureus</i>
occurred soon after arrival in Saudi Arabia and rates decreased gradually after days 5 and 6. In contrast,
<i>Streptococcus pneumoniae</i>
and
<i>Klebsiella pneumoniae</i>
carriage increased progressively until the end of the stay in Saudi Arabia.
<i>Haemophilus influenzae</i>
and
<i>Moraxella catarrhalis</i>
carriage increased starting around days 12 and 13, following an initial clearance. Influenza viruses were rarely isolated. We observed an independent positive mutual association between
<i>S. aureus</i>
and rhinovirus carriage and between
<i>H. influenzae</i>
and
<i>M. catarrhalis</i>
carriage
<i>.</i>
Dual carriage of
<i>H. influenzae</i>
and
<i>M. catarrhalis</i>
was strongly associated with
<i>S. pneumoniae</i>
carriage (OR = 6.22). Finally, our model showed that
<i>M. catarrhalis</i>
carriage was negatively associated with
<i>K. pneumoniae</i>
carriage. Chronic respiratory disease was associated with symptoms of LRTI.
<i>K. pneumoniae, M. catarrhalis-S. aureus</i>
and
<i>H. influenzae</i>
-rhinovirus dual carriage was associated with LRTI symptoms. Our data suggest that RTIs at the Hajj are a result of complex interactions between a number of respiratory viruses and bacteria.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">31749410</PMID>
<DateCompleted>
<Year>2019</Year>
<Month>12</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>01</Month>
<Day>08</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">2222-1751</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>8</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2019</Year>
</PubDate>
</JournalIssue>
<Title>Emerging microbes & infections</Title>
<ISOAbbreviation>Emerg Microbes Infect</ISOAbbreviation>
</Journal>
<ArticleTitle>The dynamics and interactions of respiratory pathogen carriage among French pilgrims during the 2018 Hajj.</ArticleTitle>
<Pagination>
<MedlinePgn>1701-1710</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1080/22221751.2019.1693247</ELocationID>
<Abstract>
<AbstractText>We conducted this study to describe the dynamics of the acquisition of respiratory pathogens, their potential interactions and risk factors for possible lower respiratory tract infection symptoms (LRTI) among French pilgrims during the 2018 Hajj. Each participant underwent four successive systematic nasopharyngeal swabs before and during their stay in Saudi Arabia. Carriage of the main respiratory pathogens was assessed by PCR. 121 pilgrims were included and 93.4% reported respiratory symptoms during the study period. The acquisition of rhinovirus, coronaviruses and S
<i>taphylococcus aureus</i>
occurred soon after arrival in Saudi Arabia and rates decreased gradually after days 5 and 6. In contrast,
<i>Streptococcus pneumoniae</i>
and
<i>Klebsiella pneumoniae</i>
carriage increased progressively until the end of the stay in Saudi Arabia.
<i>Haemophilus influenzae</i>
and
<i>Moraxella catarrhalis</i>
carriage increased starting around days 12 and 13, following an initial clearance. Influenza viruses were rarely isolated. We observed an independent positive mutual association between
<i>S. aureus</i>
and rhinovirus carriage and between
<i>H. influenzae</i>
and
<i>M. catarrhalis</i>
carriage
<i>.</i>
Dual carriage of
<i>H. influenzae</i>
and
<i>M. catarrhalis</i>
was strongly associated with
<i>S. pneumoniae</i>
carriage (OR = 6.22). Finally, our model showed that
<i>M. catarrhalis</i>
carriage was negatively associated with
<i>K. pneumoniae</i>
carriage. Chronic respiratory disease was associated with symptoms of LRTI.
<i>K. pneumoniae, M. catarrhalis-S. aureus</i>
and
<i>H. influenzae</i>
-rhinovirus dual carriage was associated with LRTI symptoms. Our data suggest that RTIs at the Hajj are a result of complex interactions between a number of respiratory viruses and bacteria.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
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