Epidemiology of Moraxella catarrhalis in children during the first 2 years of life: relationship to otitis media.
Abstract
Nasopharyngeal colonization with Moraxella catarrhalis was evaluated in a large cohort of infants followed prospectively from birth to 2 years of age; 120 children were examined at 13 routine visits. Of these, 66% became colonized with M. catarrhalis by 1 year and 77.5% by 2 years. Nasopharyngeal colonization with M. catarrhalis increased from 27.0% during healthy visits to 62.7% during visits due to otitis media (P < .001). Otitis-prone children were colonized at 44.4% of all visits compared with 16.7% for children who did not have otitis media (P < .001). DNA from 112 strains of M. catarrhalis from 34 children were evaluated; 106 were successfully digested with restriction enzymes and demonstrated a great degree of heterogeneity. Children tended to acquire and eliminate a number of different strains. Intrafamilial spread of the same strain of M. catarrhalis was frequent. These data suggest that nasopharyngeal colonization with M. catarrhalis is common throughout infancy. A high rate of colonization is associated with an increased risk of otitis media.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
M. catarrhalis is now acknowledged as the third most common cause of otitis media after S. pneumoniae and H. influenzae, and the second most common cause of exacerbations in COPD, accounting for up to 4 million exacerbations per year in the United States alone.
“Moraxella catarrhalis is a bacteria of increasing importance being now acknowledged as the third most common cause of otitis media (OM), after S. pneumoniae and H. influenzae (Bluestone, 1986; Faden et al., 1994; Kilpi et al., 2001; Dupont et al., 2010) and the second most common cause of exacerbations in COPD, accounting for up to 4 million exacerbations per year in the United States alone (Mur”
From Secondary bacterial infections associated with influenza pandemics (2017) · cites this paper as Faden et al., 1994
Cites
Branhamella catarrhalis: an organism gaining respect as a pathogen
Catlin, B. W. (1990) · Clinical Microbiology Reviews · doi:10.1128/cmr.3.4.293 · Cited by 255 · see citing works
Nasopharyngeal Colonization during the First Year of Life
Aniansson, G., Aim, B., Andersson, B. A., Larsson, P., Nylén, O., Peterson, H., Rignér, P., Svanborg, M., & Svanborg, C. (1992) · The Journal of Infectious Diseases · doi:10.1093/infdis/165-supplement_1-s38 · Cited by 232 · see citing works
Nasopharyngeal Flora in the First Three Years of Life in Normal and Otitis-Prone Children
Faden, H. S., Brodsky, L. S., Waz, M. J., et al. (1991) · Annals of Otology Rhinology & Laryngology · doi:10.1177/000348949110000802 · Cited by 201 · see citing works
Self-citationChanges in nasopharyngeal flora during otitis media of childhood.
Faden, H., Stanievich, J. F., Brodsky, L., Bernstein, J., & Ogra, P. L. O. (1990) · PubMed · Cited by 197 · see citing works
Self-citationPlasma anti-pneumococcal antibody activity of the IgG class and subclasses in otitis prone children.
Freijd, A., Hammarström, L. L. G., Persson, M. A. A., et al. (1984) · PubMed · Cited by 172 · see citing works
Acute Otitis Media Caused by Branhamella catarrhalis: Biology and Therapy
Hare, G. F. V., Shurin, P. A., Marchant, C. D., Cartelli, N. A., Johnson, C. E., Fulton, D. J., Carlin, S. A., & Kim, C. H. (1987) · Clinical Infectious Diseases · doi:10.1093/clinids/9.1.16 · Cited by 138 · see citing works
Jousimies-Somer, H. R., Savolainen, S., & Ylikoski, J. S. (1989) · Journal of Clinical Microbiology · doi:10.1128/jcm.27.12.2736-2743.1989 · Cited by 109 · see citing works
The Bacterial Flora in the Nasopharynx in Healthy Children
Ingvarsson, L. B., Lundgren, K., & Ursing, J. (1982) · Acta Oto-Laryngologica · doi:10.3109/00016488209108482 · Cited by 99 · see citing works
A Nosocomial Outbreak of Branhamella catarrhalis Confirmed by Restriction Endonuclease Analysis
Patterson, T. F., PATTERSON, J. E., Masecar, B. L., et al. (1988) · The Journal of Infectious Diseases · doi:10.1093/infdis/157.5.996 · Cited by 89 · see citing works
Comparison of the Outer Membrane Proteins of 50 Strains of Branhamella catarrhalis
Bartos, L. C., & Murphy, T. F. (1988) · The Journal of Infectious Diseases · doi:10.1093/infdis/158.4.761 · Cited by 88 · see citing works
A BACTERIOLOGIC INVESTIGATION OF OTITIS MEDIA IN INFANCY
Mortimer, E. A., & Watterson, R. L. (1956) · PEDIATRICS · doi:10.1542/peds.17.3.359 · Cited by 82 · see citing works
ACUTE OTITIS MEDIA: TREATMENT RESULTS IN RELATION TO BACTERIAL ETIOLOGY
Nilson, B. W., Poland, R. L., Thompson, R. S., et al. (1969) · PEDIATRICS · doi:10.1542/peds.43.3.351 · Cited by 81 · see citing works
Pneumococcal antibodies and complement during and after periods of recurrent otitis
Prellner, K., Kalm, O., & Pedersen, F. K. (1984) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/s0165-5876(84)80052-x · Cited by 72 · see citing works
Immune response to outer membrane antigens of Moraxella catarrhalis in children with otitis media
Faden, H., Hong, J. J., & Murphy, T. F. (1992) · Infection and Immunity · doi:10.1128/iai.60.9.3824-3829.1992 · Cited by 66 · see citing works
Self-citationPrellner, K., Rosén, C., Christensen, P., et al. (1984) · Acta Oto-Laryngologica · doi:10.3109/00016488409107572 · Cited by 66 · see citing works
The Nasopharyngeal Microflora of Otitis-Prone Children, With Emphasis on H. Influenzae
Freijd, A., BYGDEMAN, S. M., & Rynnel-Dagöö, B. (1984) · Acta Oto-Laryngologica · doi:10.3109/00016488409130971 · Cited by 54 · see citing works
Local Antibody Response to P6 of NontypableHaemophilus influenzaein Otitis-prone and Normal Children
Yamanaka, N., & Faden, H. (1993) · Acta Oto-Laryngologica · doi:10.3109/00016489309135857 · Cited by 51 · see citing works
Self-citationPATTERSON, J. E., Patterson, T. F., Farrel, P. A., et al. (1989) · Journal of Clinical Microbiology · doi:10.1128/jcm.27.5.944-946.1989 · Cited by 47 · see citing works
MORGAN, M. G., McKenzie, H., Enright, M. C., et al. (1992) · European Journal of Clinical Microbiology & Infectious Diseases · doi:10.1007/bf01962069 · Cited by 32 · see citing works
Mölstad, S., Eliasson, I., Hovelius, B., Kamme, C., & Schalén, C. (1988) · Scandinavian Journal of Infectious Diseases · doi:10.3109/00365548809032459 · Cited by 30 · see citing works
Epidemiological typing of Moraxella catarrhalis by using DNA probes
Beaulieu, D., Scriver, S. R., Bergeron, M. G., et al. (1993) · Journal of Clinical Microbiology · doi:10.1128/jcm.31.3.736-739.1993 · Cited by 24 · see citing works
Pharyngeal carriage ofMoraxella (branhamella) catarrhalis in healthy adults
Ejlertsen, T. (1991) · European Journal of Clinical Microbiology & Infectious Diseases · doi:10.1007/bf01964414 · Cited by 22 · see citing works
Lundgren, K., & Ingvarsson, L. B. (1986) · Drugs · doi:10.2165/00003495-198600313-00028 · Cited by 20 · see citing works
Bernstein, J. M., Faden, H. S., & Ogra, P. L. O. (1991) · Otolaryngology · doi:10.1177/019459989110500309 · Cited by 20 · see citing works
Self-citationComparison of molecular epidemiological tools for Branhamella catarrhalis typing
Denamur, É., Picard-Pasquier, N., Mura, C., et al. (1991) · Research in Microbiology · doi:10.1016/0923-2508(91)90191-c · Cited by 17 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Secondary bacterial infections associated with influenza pandemics
Morris, D. E., Cleary, D. W., & Clarke, S. C. (2017) · Frontiers in Microbiology · doi:10.3389/fmicb.2017.01041 · Cited by 576 · see citing works
Stearns, J. C., Davidson, C. J., McKeon, S., Whelan, F. J., Fontes, M. E., Schryvers, A. B., Bowdish, D. M. E., Kellner, J. D., & Surette, M. G. (2015) · The ISME Journal · doi:10.1038/ismej.2014.250 · Cited by 234 · see citing works
Dynamics of the nasal microbiota in infancy: A prospective cohort study
Mika, M., Mack, I., Korten, I., Qi, W., Aebi, S., Frey, U., Latzin, P., & Hilty, M. (2015) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2014.12.1909 · Cited by 118 · see citing works
Profiling bacterial community in upper respiratory tracts
Yi, H., Yong, D., Lee, K., Cho, Y.-J., & Chun, J. (2014) · BMC Infectious Diseases · doi:10.1186/s12879-014-0583-3 · Cited by 75 · see citing works
- Authors
- Faden, H., Harabuchi, Y., Hong, J. J., & Pediatrics, T.
- Affiliations
- State University of New York (US)
- Corresponding author
- Faden, H.
- Venue
- Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1994-06-01
- Volume
- 169
- Issue
- 6
- Pages
- 1312-1317
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- OpenAlex
- W1994988080
- Cited by
- 175
- References
- 25
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 2 · 2022: 1 · 2020: 1 · 2019: 4 · 2017: 4 · 2016: 5 · 2015: 8 · 2014: 8 · 2013: 5 · 2012: 5
- FWCI
- 7.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01ai015939-17, 5r01hd019679-09)
- National Institute of Allergy and Infectious Diseases (AI 15939)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD-19679)
- Topics
- Health Sciences › Medicine › Otorhinolaryngology › Ear Surgery and Otitis Media
- Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
- Life Sciences › Immunology and Microbiology › Microbiology › Microbial infections and disease research
- Keywords
- Moraxella catarrhalis, nasopharyngeal carriage, otitis media, infants, otitis-prone children, household transmission
- MeSH terms
- Moraxella catarrhalis, Child, Preschool, Demography, DNA, Bacterial, Humans, Infant, Nasopharynx, Otitis Media, Risk Factors, Deoxyribonucleases, Type II Site-Specific, Cohort Studies, Neisseriaceae Infections
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review