Pneumococcal nasopharyngeal carriage in children 2-60 months of age in Novi Sad (Serbia), October 2022-September 2026

Background: Streptococcus pneumoniae nasopharyngeal carriage in young children is an important source of transmission and may precede pneumococcal disease. Pneumococcal conjugate vaccines can alter circulating serotypes. Continued surveillance is needed to monitor serotype replacement, vaccine serotype coverage, and antimicrobial resistance. Methods: A prospective surveillance study was conducted in outpatient pediatric practices from October 2022 to September 2026 among children aged 2-60 months in Novi Sad, Serbia. Healthy children attending preventive visits and children with acute respirat

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