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Published on: February 23, 2014
Epidemiology of invasive streptococcus pneumoniae infections in children in Spain, 1996-1998
J Díez-Domingo1, I Pereiró, A Morant
1Vaccine Institute of Valencia, Research Unit Trinitat, Valencia, Spain. diez_jav@gva.es
Background:
Streptococcus pneumoniae is a significant cause of meningitis and septicemia in early infancy, being associated to a high case-fatality rates and serious sequelae.
Objective:
To investigate the burden of invasive disease caused by S. pneumoniae in Valencia, Spain, during a three-year period (1996-1998).
Methods:
Hospital-based prospective active surveillance program for invasive bacterial diseases in children < or = 15 years of age in Valencia, from December 1, 1995 to January 1999.
Results:
A total of 94 cases of invasive pneumococcal disease were detected in patients < or = 15 years of age. The overall annual incidence of invasive pneumococcal disease was 4.6/100,000 persons, < or = 15 years of age. The incidence of invasive disease and meningitis was higher among children younger than 2 years of age (16.8 and 3.8, respectively). Serotypes 19, 14 and 6 accounted for 83% of the isolates.
Conclusions:
The age distribution of invasive pneumococcal disease and meningitis shows a peak in the first two years of life and a decline thereafter. Serotypes 19, 14 and 6 are those primarily responsible for invasive pneumococcal disease in children of this region of Spain.
Insights
Invasive pneumococcal disease, a major threat to infants, peaked in children under two. Serotypes 19, 14, and 6 were the primary culprits in Valencia, Spain.
Area of Science:
- Pediatric infectious diseases
- Bacteriology
- Epidemiology
Background:
- Streptococcus pneumoniae causes severe infant meningitis and septicemia with high mortality.
- Invasive pneumococcal disease (IPD) poses significant risks to young children.
Observation:
- A three-year surveillance (1996-1998) in Valencia, Spain, monitored invasive bacterial diseases in children up to 15 years old.
- The study identified 94 cases of IPD in children under 15.
Findings:
- The annual incidence of IPD was 4.6 per 100,000 children.
- Children under two years old had the highest incidence rates for invasive disease (16.8/100,000) and meningitis (3.8/100,000).
- Serotypes 19, 14, and 6 were responsible for 83% of invasive pneumococcal isolates.
Implications:
- IPD predominantly affects infants, with a clear peak incidence in the first two years of life.
- Specific pneumococcal serotypes (19, 14, 6) are key drivers of disease in this pediatric population.
- Understanding serotype prevalence is crucial for developing targeted prevention strategies and vaccines.
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