Relationship between serotypes, age, and clinical presentation of invasive pneumococcal disease in Madrid, Spain, after introduction of the 7-valent pneumococcal conjugate vaccine into the vaccination calendar
Autor: | J, Picazo, J, Ruiz-Contreras, J, Casado-Flores, E, Giangaspro, F, Del Castillo, T, Hernández-Sampelayo, E, Otheo, F, Balboa, E, Ríos, C, Méndez, L, Aguilar |
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Rok vydání: | 2010 |
Předmět: |
Serotype
Male Heptavalent Pneumococcal Conjugate Vaccine Serotypes Clinical Biochemistry medicine.disease_cause Polymerase Chain Reaction Pneumococcal conjugate vaccine Pneumococcal Vaccines Immunology and Allergy Child Vaccination N-Acetylmuramoyl-L-alanine Amidase Vaccine Research Pneumococcal infections Streptococcus pneumoniae 7-Valent Pneumococcal Child Preschool Population Surveillance Streptolysins Female Meningitis medicine.drug Microbiology (medical) medicine.medical_specialty Medicina Immunology Vaccination calendar Pneumococcal disease Pneumococcal Infections Age Age Distribution Bacterial Proteins Internal medicine medicine Humans Serotyping Immunization Schedule business.industry Infant medicine.disease bacterial infections and mycoses Culture Media Pneumonia Spain Bacteremia business Vaccine |
Zdroj: | Biblos-e Archivo. Repositorio Institucional de la UAM instname |
ISSN: | 1556-679X |
Popis: | To assess invasive pneumococcal disease (IPD) clinical presentations and relationships with age and serotype in hospitalized children (ply ) and autolysin ( lyt ) gene PCR analysis. A total of 330 IPDs were identified: 263 (79.7%) confirmed by culture and 67 (20.3%) confirmed by PCR. IPD distribution by age (months) was as follows: 23.6% (59). Distribution by clinical presentation was as follows: 34.5% bacteremic pneumonia, 30.3% pediatric parapneumonic empyema (PPE), 13.6% meningitis, 13.3% primary bacteremia, and 8.2% others. Meningitis and primary bacteremia were the most frequent IPDs in children 36 months old. Frequencies of IPD-associated serotypes were as follows: 1, 26.1%; 19A, 18.8%; 5, 15.5%; 7F, 8.5%; 3, 3.9%; nontypeable/other 30 serotypes, 27.3%. Serotype 1 was linked to respiratory-associated IPD (38.6% in bacteremic pneumonia and 38.0% in PPE) and children of >36 months (51.4% for 36 to 59 months and 40.0% for >59 months), while serotype 19A was linked to nonrespiratory IPDs (31.1% in meningitis, 27.3% in primary bacteremia, and 51.9% in others) and children of |
Databáze: | OpenAIRE |
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