<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-05-22T11:08:25Z</responseDate><request verb="GetRecord" identifier="oai:repisalud.isciii.es:20.500.12105/11672" metadataPrefix="marc">https://repisalud.isciii.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:repisalud.isciii.es:20.500.12105/11672</identifier><datestamp>2025-05-08T11:17:01Z</datestamp><setSpec>com_20.500.12105_2052</setSpec><setSpec>com_20.500.12105_2051</setSpec><setSpec>col_20.500.12105_19609</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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      <subfield code="a">Alfayate Miguélez, Santiago</subfield>
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      <subfield code="a">Yague Guirao, Genoveva</subfield>
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      <subfield code="a">Menasalvas Ruíz, Ana I</subfield>
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      <subfield code="a">Sánchez-Solís, Manuel</subfield>
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      <subfield code="a">Gonzalez-Camacho, Fernando</subfield>
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      <subfield code="a">Ortíz Romero, M Mar</subfield>
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      <subfield code="a">Espejo García, Pilar</subfield>
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      <subfield code="a">Guerrero Gómez, Carmen</subfield>
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      <subfield code="a">Iofrío de Arce, Antonio</subfield>
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      <subfield code="a">Moreno Parrado, Laura</subfield>
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      <subfield code="a">Sánchez Andrada, Rosa M</subfield>
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      <subfield code="a">Cascales Alcolea, Eva</subfield>
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      <subfield code="a">Lorente García, Sebastián</subfield>
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      <subfield code="a">Paredes Reyes, Pedro</subfield>
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      <subfield code="a">Casquet Barceló, Ángela</subfield>
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      <subfield code="a">López Yepes, M Luisa</subfield>
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      <subfield code="a">Vigueras Abellán, Juan José</subfield>
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      <subfield code="a">Sanz Mateo, Gonzalo</subfield>
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      <subfield code="a">Domenech Lucas, Mirian</subfield>
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      <subfield code="a">Murcian Pneumococcal Study Group</subfield>
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      <subfield code="c">2020-12-28</subfield>
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      <subfield code="a">Background: An epidemiological study of Streptococcus pneumoniae nasopharyngeal carriage in healthy children was carried out five years after the introduction of the 13-valent pneumococcal conjugate vaccine (PCV13). Objectives: Study the impact of pediatric vaccination with PCV13, and other associated epidemiological factors on the status of nasopharyngeal carriage, the circulating pneumococcal serotypes, and the antibiotic susceptibility to more frequently used antibiotics. Methods: A multi-center study was carried out in Primary Health Care, which included 1821 healthy children aged 1 to 4 years old. All isolates were sent to the Spanish Pneumococcal Reference Laboratory for serotyping and antimicrobial susceptibility testing. Results: At least one dose of PCV13 had been received by 71.9% of children and carriage pneumococcal prevalence was 19.7%. The proportion of PCV13 serotypes was low (14.4%), with an observed predominance of non-vaccine serotypes, 23B, 11A, 10A, 35B/F, and 23A were the five most frequent. A high rate of resistance to penicillin, erythromycin, and trimethoprim sulfamethoxazole was found. Conclusions: A low proportion of PCV13 serotypes were detected, confirming the impact of pediatric vaccination for reducing the serotypes vaccine carriage. High resistance rates to clinically important antibiotics were observed.</subfield>
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      <subfield code="a">Vaccines (Basel). 2020 Dec 28;9(1):E14.</subfield>
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      <subfield code="a">10.3390/vaccines9010014</subfield>
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      <subfield code="a">2076-393X</subfield>
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      <subfield code="a">http://hdl.handle.net/20.500.12105/11672</subfield>
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      <subfield code="a">Streptococcus pneumoniae nasopharyngeal carriage</subfield>
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      <subfield code="a">Antimicrobial susceptibility</subfield>
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      <subfield code="a">Impact of Pneumococcal Vaccination in the Nasopharyngeal Carriage of Streptococcus pneumoniae in Healthy Children of the Murcia Region in Spain</subfield>
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