Evolution of the Epidemiology of Pneumococcal Disease Among Utah Children Through the Vaccine Era | Zendy

Krow Ampofo | Zendy; Andrew T. Pavia | Zendy; Chris Stockmann | Zendy; Anne J. Blaschke | Zendy; Hsin Yi Weng | Zendy; Kent Korgenski | Zendy; Judy A. Daly | Zendy; Carrie L. Byington | Zendy

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Evolution of the Epidemiology of Pneumococcal Disease Among Utah Children Through the Vaccine Era

Author(s) -

Krow Ampofo,

Andrew T. Pavia,

Chris Stockmann,

Anne J. Blaschke,

Hsin Yi Weng,

Kent Korgenski,

Judy A. Daly,

Carrie L. Byington

Publication year - 2011

Publication title -

the pediatric infectious disease journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.028

H-Index - 140

eISSN - 1532-0987

pISSN - 0891-3668

DOI - 10.1097/inf.0b013e318232ee3e

Subject(s) - epidemiology , pneumococcal disease , pneumococcal vaccine , medicine , pediatrics , streptococcus pneumoniae , biology , microbiology and biotechnology , antibiotics

From 1996 to 2009, we analyzed changes in pneumococcal disease (PD) in Utah children aged <18 years using International Classification of Diseases, ninth revision coded hospital discharges. We observed a sustained decrease in the incidence of PD among children <5 years in 2001-2004 (-36%) and 2005-2009 (-34%) compared with 1996-2000 (pre-7-valent pneumococcal conjugate vaccine). Decreases were primarily in bacteremia, uncomplicated pneumonia, and meningitis. In contrast, significant increases in complicated pneumonia/empyema were noted in children <5 years (+95% and +85%) and 5 to 17 years (+2% and +70%). Despite decreases in PD among Utah children, complicated pneumonia/empyema has increased during the 7-valent pneumococcal conjugate vaccine era.

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