Epidemiology of invasive childhood pneumococcal infections in Greece

V Syriopoulou1, G L Daikos, K Soulis

  • 1First Department of Paediatrics, Athens University, Aghia Sophia Children's Hospital, Greece. vsyriop@cc.uoa.gr

Insights

Invasive pneumococcal infections are common in children under 14 in Athens, Greece, with pneumonia being the most frequent type. The 7-valent conjugate vaccine covers most prevalent serotypes, offering significant protection potential.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Epidemiology

Background:

  • Invasive pneumococcal infections (IPIs) represent a significant global health concern, particularly in pediatric populations.
  • Understanding regional epidemiologic characteristics is crucial for targeted prevention and control strategies.

Purpose of the Study:

  • To describe the epidemiological features of IPIS in children under 14 years of age in Athens, Greece.
  • To assess the burden and common serotypes of IPIS in the study region.

Main Methods:

  • A retrospective study was conducted over a 5-year period (1995-1999).
  • Data on 590 cases of IPIS were collected from Aghia Sophia Children's Hospital.
  • Incidence rates, common infection types, and prevalent serotypes were analyzed.

Main Results:

  • The overall annual incidence rate was 44/100,000 children (<14 years), with a higher rate of 100/100,000 for children under 5.
  • Pneumonia was the most common infection (472 cases), followed by bacteraemia (79 cases) and meningitis (33 cases).
  • Serogroups 14, 19, 6, 18, 23, 4, and 9 accounted for 77% of isolates, and 66% of these are covered by the 7-valent conjugate vaccine.

Conclusions:

  • IPIS contribute significantly to pediatric morbidity in the Athens metropolitan area.
  • The findings support the potential impact of the 7-valent pneumococcal conjugate vaccine in reducing the burden of IPIS in this region.
Abstract

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