We enrolled in the study all patients <24 months of age who received a diagnosis of conjunctivitis from pediatricians at SUMC or at the primary clinical service in southern Israel and whose conjunctival swabs were cultured at SUMC’s clinical microbiology laboratory and grew S. pneumoniae. Swabbing methods were described previously (15). Specimen swabs were placed in transport medium and were processed in a similar manner to the nasopharyngeal swabs.

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