Experimental human pneumococcal carriage in adults with HIV in Malawi
This study established a safe and acceptable experimental human pneumococcal carriage model in Malawi, revealing that while virally suppressed people living with HIV are not more susceptible to initial pneumococcal acquisition than HIV-uninfected adults, they exhibit impaired clearance, suggesting that prolonged carriage duration rather than increased susceptibility drives the high pneumococcal carriage rates observed in this population.