NDLI: Epidemiology of vaccine-preventable invasive diseases in Catalonia in the era of conjugate vaccines.

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Epidemiology of vaccine-preventable invasive diseases in Catalonia in the era of conjugate vaccines.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ciruela, Pilar Martínez, Ana Izquierdo, Conchita Hernández, Sergi Broner, Sonia Muñoz-Almagro, Carmen Domínguez, Àngela
Spatial Coverage	Spain
Description	Country affiliation: Spain Author Affiliation: Ciruela P ( Public Health Agency of Catalonia)
Abstract	We investigated the incidence and distribution of cases of invasive pneumococcal disease (IPD), invasive meningococcal disease (IMD) and invasive Hemophilus influenzae disease (IHiD) notified by hospital laboratories to the Microbiological Reporting System of Catalonia between 2005 and 2009. Incidence rates were compared using the rate ratio (RR) and 95% CI were calculated. A value of p < 0.05 was considered statistically significant. Of the 6,661 cases, 6,012 were IPD, 436 IMD and 213 IHiD. The global annual incidence per 10 ( 5) inhabitants was 16.62 (95% CI 16.20-17.04) for IPD, 1.21 (95% CI 1.09-1.32) for IMD and 0.59 (95% CI 0.51-0.67) for IHiD. IPD increased in 2009 compared with 2005 (RR:1.55, 95%CI: 1.43-1.70) and IMD and IHiD remained stable. Pneumonia was the most-frequent clinical manifestation of IPD (75.6%) and IHiD (44.1%) and meningoencephalitis with or without sepsis for IMD (70.6%). The male:female ratio was 1.37 for IPD, 1.0 for IMD and 1.15 for IHiD. The age groups with the highest incidence were the ≤ 2 y and 2-4 y groups for IPD (66.40 and 50.66/100,000 persons-year) and IMD (14.88 and 7.26/100,000 persons-year) and the ≤ 2 y and ≥ 65 y groups for IHiD (1.88 and 1.89/100,000 persons-year). The most-frequent serotypes were serotype 1 (19.0%) in IPD and untypeable serotypes (60.8%) in IHiD. Serogroup B (78.3%) was the most frequent in IMD. S. pneumoniae is the most-frequent agent causing invasive disease in Catalonia. The main clinical manifestations were pneumonia in IPD and IHiD and meningitis in IMD. The main causative agent of meningitis was N. meningitidis in people aged < 20 y and S. pneumoniae in people aged ≥ 20 y. Vaccination with conjugate vaccines may reduce the risk of infectious disease in our setting.
File Format	HTM / HTML
ISSN	21645515
e-ISSN	2164554X
Journal	Human Vaccines & Immunotherapeutics
Issue Number	3
Volume Number	9
Language	English
Publisher	Taylor & Francis
Publisher Date	2013-03-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Immunology Discipline Therapeutics Haemophilus Infections Epidemiology Haemophilus Vaccines Immunology Meningococcal Infections Meningococcal Vaccines Pneumococcal Infections Pneumococcal Vaccines Vaccination Utilization Adolescent Child, Preschool Prevention & Control Administration & Dosage Infant Infant, Newborn Spain Vaccines, Conjugate
Content Type	Text
Resource Type	Article
Subject	Immunology and Allergy Immunology Pharmacology

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