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Investigators in Denmark previously proposed that bacterial airway colonization during infancy might increase the risk for childhood asthma. Now, they have tested this hypothesis in a prospective study of 321 term or near-term infants born to women with asthma.
Hypopharyngeal samples were obtained at ages 1 and 12 months and were cultured for Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, and Staphylococcus aureus. Parents recorded wheezing-related respiratory symptoms in daily diaries for up to 5 years; symptoms that persisted for ≥3 days were confirmed by physicians.
At age 1 month, 61% of infants were colonized with S. aureus, and 21% of infants were colonized with S. pneumoniae, H. influenzae, M. catarrhalis, or …