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About:
Examining the relationship between household air pollution and infant microbial nasal carriage in a Ghanaian cohort
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wasabi.inria.fr
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Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Examining the relationship between household air pollution and infant microbial nasal carriage in a Ghanaian cohort
Creator
Tokarz, Rafal
Quinn, Ashlinn
Kinney, Patrick
Ae-Ngibise, Kenneth
Asante, Kwaku
CarriĆ³n, Daniel
Chillrud, Steven
Iddrisu, Luisa
Jack, Darby
Kaali, Seyram
Lee, Alison
Owusu-Agyei, Seth
Wylie, Blair
Yawson, Abena
source
Elsevier; Medline; PMC
abstract
BACKGROUND: Pneumonia, a leading cause of childhood mortality, is associated with household air pollution (HAP) exposure. Mechanisms between HAP and pneumonia are poorly understood, but studies suggest that HAP may increase the likelihood of bacterial, instead of viral, pneumonia. We assessed the relationship between HAP and infant microbial nasal carriage among 260 infants participating in the Ghana Randomized Air Pollution and Health Study (GRAPHS). METHODS: Data are from GRAPHS, a cluster-randomized controlled trial of cookstove interventions (improved biomass or LPG) versus the 3-stone (baseline) cookstove. Infants were surveyed for pneumonia during the first year of life and had routine personal exposure assessments. Nasopharyngeal swabs collected from pneumonia cases (n = 130) and healthy controls (n = 130) were analyzed for presence of 22 common respiratory microbes by MassTag polymerase chain reaction. Data analyses included intention-to-treat (ITT) comparisons of microbial species presence by study arm, and exposure-response relationships. RESULTS: In ITT analyses, 3-stone arm participants had a higher mean number of microbial species than the LPG (LPG: 2.71, 3-stone: 3.34, p < 0.0001, n = 260). This difference was driven by increased bacterial (p < 0.0001) rather than viral species presence (non-significant). Results were pronounced in pneumonia cases and attenuated in healthy controls. Higher prevalence bacterial species were Haemophilus influenzae, Streptococcus pneumoniae, and Moraxella catarrhalis. Exposure-response relationships did not yield significant associations between measured CO and nasal microbial carriage. CONCLUSIONS: Our intention-to-treat findings are consistent with a link between HAP and bacterial nasal carriage. No relationships were found for viral carriage. Given the null results in exposure-response analysis, it is likely that a pollutant besides CO is driving these differences.
has issue date
2019-09-10
(
xsd:dateTime
)
bibo:doi
10.1016/j.envint.2019.105150
bibo:pmid
31518936
has license
no-cc
sha1sum (hex)
cf3d012a747aadc8d8756951bd68985c0589f45b
schema:url
https://doi.org/10.1016/j.envint.2019.105150
resource representing a document's title
Examining the relationship between household air pollution and infant microbial nasal carriage in a Ghanaian cohort
has PubMed Central identifier
PMC6868532
has PubMed identifier
31518936
schema:publication
Environ Int
resource representing a document's body
covid:cf3d012a747aadc8d8756951bd68985c0589f45b#body_text
is
schema:about
of
named entity 'INFANT'
named entity 'HOUSEHOLD'
named entity 'study'
named entity 'arm'
named entity 'consistent'
named entity 'higher'
named entity 'surveyed'
named entity 'carriage'
named entity 'INCLUDED'
named entity 'MICROBIAL'
named entity 'BACKGROUND'
named entity 'UNDERSTOOD'
named entity 'ANALYSIS'
named entity 'CONCLUSIONS'
named entity 'HEALTHY'
named entity 'SIGNIFICANT'
named entity 'NASAL'
named entity 'COLLECTED'
named entity 'DATA ANALYSES'
named entity 'HIGHER'
named entity 'DID'
named entity 'STREPTOCOCCUS PNEUMONIAE'
named entity 'DRIVING'
named entity 'INFANTS'
named entity 'POLLUTANT'
named entity 'RELATIONSHIPS'
named entity 'HEALTH'
named entity 'DIFFERENCE'
named entity 'GIVEN'
named entity 'POLYMERASE CHAIN REACTION'
named entity 'ITT'
named entity 'LIKELIHOOD'
named entity 'NASAL'
named entity 'BIOMASS'
named entity 'RELATIONSHIP'
named entity 'NUMBER OF'
named entity 'RATHER'
named entity 'ASSOCIATIONS'
named entity 'GHANAIAN'
named entity 'EXAMINING'
named entity 'COHORT'
named entity 'MICROBIAL'
named entity 'BACTERIAL'
named entity '260'
named entity 'YEAR'
named entity 'NASOPHARYNGEAL'
named entity 'ASSESSMENTS'
named entity 'CHILDHOOD'
named entity 'LEADING'
named entity 'INTERVENTIONS'
named entity 'MORTALITY'
named entity 'ATTENUATED'
named entity 'SPECIES'
named entity 'AIR POLLUTION'
named entity 'METHODS'
named entity 'RESPIRATORY'
named entity 'PRESENCE OF'
named entity 'ASSESSED'
named entity 'LPG'
named entity 'PRESENCE'
named entity 'EXPOSURE'
named entity 'BUT'
named entity 'LINK'
named entity 'SUGGEST'
named entity 'MECHANISMS'
named entity 'ANALYZED'
named entity 'ROUTINE'
named entity 'PERSONAL EXPOSURE'
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