GrippeBresilV1, Main, Exploration, bibRecord, 000235

[Impact of Haemophilus influenzae b (Hib) vaccination on meningitis in Central Brazil].

Identifieur interne : 000235 ( Main/Exploration ); précédent : 000234; suivant : 000236

[Impact of Haemophilus influenzae b (Hib) vaccination on meningitis in Central Brazil].

Auteurs : Luciana Leite Pineli Sim Es [Brésil] ; Ana Lúcia S S. Andrade ; Cristina A. Laval ; Renato M. Oliveira ; Simmone A. Silva ; Celina M T. Martelli ; Sueli L De A. Alves ; Robmary M. Almeida ; João G. Andrade

Source :

Revista de saude publica [ 0034-8910 ] ; 2004.

RBID : pubmed:15499437

Descripteurs français

KwdFr :
- Anatoxine tétanique (administration et posologie), Brésil (épidémiologie), Enfant d'âge préscolaire, Femelle, Haemophilus influenzae type B (immunologie), Humains, Incidence, Mâle, Méningite à hémophilus (), Méningite à hémophilus (épidémiologie), Nourrisson, Vaccins anti-Haemophilus (administration et posologie), Vaccins conjugués (administration et posologie).
MESH :
- administration et posologie : Anatoxine tétanique, Vaccins anti-Haemophilus, Vaccins conjugués.
- immunologie : Haemophilus influenzae type B.
- épidémiologie : Brésil, Méningite à hémophilus.
- Enfant d'âge préscolaire, Femelle, Humains, Incidence, Mâle, Méningite à hémophilus, Nourrisson.
Wicri :
- geographic : Brésil.

English descriptors

KwdEn :
- Brazil (epidemiology), Child, Preschool, Female, Haemophilus Vaccines (administration & dosage), Haemophilus influenzae type b (immunology), Humans, Incidence, Infant, Male, Meningitis, Haemophilus (epidemiology), Meningitis, Haemophilus (prevention & control), Tetanus Toxoid (administration & dosage), Vaccines, Conjugate (administration & dosage).
MESH :
- chemical , administration & dosage : Haemophilus Vaccines, Tetanus Toxoid, Vaccines, Conjugate.
- geographic , epidemiology : Brazil.
- epidemiology : Meningitis, Haemophilus.
- immunology : Haemophilus influenzae type b.
- prevention & control : Meningitis, Haemophilus.
- Child, Preschool, Female, Humans, Incidence, Infant, Male.

Abstract

OBJECTIVE

To assess the impact of the Haemophilus influenzae b (Hib) conjugate vaccine in reducing the incidence of meningitis among children under five years old.

METHODS

A 'before-after' design was used to compare Hib meningitis incidence rates in the pre-vaccine (July 1995 - June 1999) and post-vaccine (July 1999 - June 2001) periods in the state of Goias, central Brazil. Bacterial meningitis case definition was based on World Health Organization criteria. Incidence rates of S. pneumoniae and N. meningitidis were used for comparison purposes. Chi-squared and Student's t tests were used for statistical analysis. P-values below 0.05 were considered as statistically significant.

RESULTS

979 children with acute bacterial meningitis were detected throughout the entire period. The incidence rate of Hib meningitis decreased from 10.8 (x10(5)) in the pre-vaccine period to 2.3 (x10(5)) in the 2nd year post vaccination, leading to a risk reduction of 78%, targeted to the 7-23 months age group (p<0.05). A total of 65 cases of Hib meningitis were prevented. An increase in S. pneumoniae meningitis was observed. Vaccine failure was detected in one child.

CONCLUSIONS

This study showed that mass immunization with Hib conjugate vaccine brought about an expressive decline in childhood Hib meningitis in Goias soon after the first year. Notwithstanding, an enhancement of surveillance using high-accuracy tools is essential to: (i) detect a possible reemergence of Hib; (ii) identify vaccine failure, and (iii) monitor changes in the H. influenzae serotype profile over time.

DOI: 10.1590/s0034-89102004000500008
PubMed: 15499437

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<author><name sortKey="Andrade, Ana Lucia S S" sort="Andrade, Ana Lucia S S" uniqKey="Andrade A" first="Ana Lúcia S S" last="Andrade">Ana Lúcia S S. Andrade</name>
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<author><name sortKey="Laval, Cristina A" sort="Laval, Cristina A" uniqKey="Laval C" first="Cristina A" last="Laval">Cristina A. Laval</name>
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<term>Female</term>
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<term>Haemophilus influenzae type b (immunology)</term>
<term>Humans</term>
<term>Incidence</term>
<term>Infant</term>
<term>Male</term>
<term>Meningitis, Haemophilus (epidemiology)</term>
<term>Meningitis, Haemophilus (prevention & control)</term>
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<term>Femelle</term>
<term>Haemophilus influenzae type B (immunologie)</term>
<term>Humains</term>
<term>Incidence</term>
<term>Mâle</term>
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<term>Nourrisson</term>
<term>Vaccins anti-Haemophilus (administration et posologie)</term>
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<term>Vaccines, Conjugate</term>
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<term>Vaccins anti-Haemophilus</term>
<term>Vaccins conjugués</term>
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<term>Incidence</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To assess the impact of the Haemophilus influenzae b (Hib) conjugate vaccine in reducing the incidence of meningitis among children under five years old.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>A 'before-after' design was used to compare Hib meningitis incidence rates in the pre-vaccine (July 1995 - June 1999) and post-vaccine (July 1999 - June 2001) periods in the state of Goias, central Brazil. Bacterial meningitis case definition was based on World Health Organization criteria. Incidence rates of S. pneumoniae and N. meningitidis were used for comparison purposes. Chi-squared and Student's t tests were used for statistical analysis. P-values below 0.05 were considered as statistically significant.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>979 children with acute bacterial meningitis were detected throughout the entire period. The incidence rate of Hib meningitis decreased from 10.8 (x10(5)) in the pre-vaccine period to 2.3 (x10(5)) in the 2nd year post vaccination, leading to a risk reduction of 78%, targeted to the 7-23 months age group (p<0.05). A total of 65 cases of Hib meningitis were prevented. An increase in S. pneumoniae meningitis was observed. Vaccine failure was detected in one child.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>This study showed that mass immunization with Hib conjugate vaccine brought about an expressive decline in childhood Hib meningitis in Goias soon after the first year. Notwithstanding, an enhancement of surveillance using high-accuracy tools is essential to: (i) detect a possible reemergence of Hib; (ii) identify vaccine failure, and (iii) monitor changes in the H. influenzae serotype profile over time.</p>
</div>
</front>
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<ForeName>Luciana Leite Pineli</ForeName>
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<Author ValidYN="Y"><LastName>Laval</LastName>
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<name sortKey="Andrade, Ana Lucia S S" sort="Andrade, Ana Lucia S S" uniqKey="Andrade A" first="Ana Lúcia S S" last="Andrade">Ana Lúcia S S. Andrade</name>
<name sortKey="Andrade, Joao G" sort="Andrade, Joao G" uniqKey="Andrade J" first="João G" last="Andrade">João G. Andrade</name>
<name sortKey="Laval, Cristina A" sort="Laval, Cristina A" uniqKey="Laval C" first="Cristina A" last="Laval">Cristina A. Laval</name>
<name sortKey="Martelli, Celina M T" sort="Martelli, Celina M T" uniqKey="Martelli C" first="Celina M T" last="Martelli">Celina M T. Martelli</name>
<name sortKey="Oliveira, Renato M" sort="Oliveira, Renato M" uniqKey="Oliveira R" first="Renato M" last="Oliveira">Renato M. Oliveira</name>
<name sortKey="Silva, Simmone A" sort="Silva, Simmone A" uniqKey="Silva S" first="Simmone A" last="Silva">Simmone A. Silva</name>
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<country name="Brésil"><region name="Goiás"><name sortKey="Sim Es, Luciana Leite Pineli" sort="Sim Es, Luciana Leite Pineli" uniqKey="Sim Es L" first="Luciana Leite Pineli" last="Sim Es">Luciana Leite Pineli Sim Es</name>
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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:15499437" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a GrippeBresilV1

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Corpus GrippeBresilV1

[Impact of Haemophilus influenzae b (Hib) vaccination on meningitis in Central Brazil].

[Impact of Haemophilus influenzae b (Hib) vaccination on meningitis in Central Brazil].

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