GrippeCanadaV3, Main, Exploration, bibRecord, 000102

Epidemiology of invasive pneumococcal and Haemophilus influenzae diseases in Northwestern Ontario, Canada, 2010-2015.

Identifieur interne : 000102 ( Main/Exploration ); précédent : 000101; suivant : 000103

Epidemiology of invasive pneumococcal and Haemophilus influenzae diseases in Northwestern Ontario, Canada, 2010-2015.

Auteurs : Vic Eton [Canada] ; Annette Schroeter [Canada] ; Len Kelly [Canada] ; Michael Kirlew [Canada] ; Raymond S W. Tsang [Canada] ; Marina Ulanova [Canada]

Source :

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases [ 1878-3511 ] ; 2017.

RBID : pubmed:28951105

Descripteurs français

English descriptors

KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Antigenic Variation, Bacterial Capsules, Child, Child, Preschool, Female, Follow-Up Studies, Haemophilus Infections (epidemiology), Haemophilus Infections (prevention & control), Haemophilus Vaccines (administration & dosage), Haemophilus influenzae, Humans, Incidence, Infant, Influenza, Human (epidemiology), Influenza, Human (prevention & control), Male, Middle Aged, Morbidity, Ontario (epidemiology), Pneumococcal Infections (epidemiology), Pneumococcal Infections (prevention & control), Pneumococcal Vaccines (administration & dosage), Retrospective Studies, Streptococcus pneumoniae, Vaccination, Vaccines, Conjugate (administration & dosage), Young Adult.
MESH :
- chemical , administration & dosage : Haemophilus Vaccines, Pneumococcal Vaccines, Vaccines, Conjugate.
- epidemiology : Haemophilus Infections, Influenza, Human, Ontario, Pneumococcal Infections.
- prevention & control : Haemophilus Infections, Influenza, Human, Pneumococcal Infections.
- Adolescent, Adult, Aged, Aged, 80 and over, Antigenic Variation, Bacterial Capsules, Child, Child, Preschool, Female, Follow-Up Studies, Haemophilus influenzae, Humans, Incidence, Infant, Male, Middle Aged, Morbidity, Retrospective Studies, Streptococcus pneumoniae, Vaccination, Young Adult.

Abstract

INTRODUCTION

North American indigenous populations experience a high burden of invasive bacterial infections. Because Streptococcus pneumoniae and Haemophilus influenzae have multiple antigenic variants, the existing vaccines cannot prevent all cases. This study addresses the current epidemiology of invasive H. influenzae and pneumococcal disease (IPD) in a region of Northwestern Ontario, Canada with a relatively high (82%) indigenous population.

METHODS

Data were retrieved from a retrospective chart review at a hospital servicing a population of 29000 (82% indigenous), during January 2010-July 2015.

RESULTS

Ten cases of invasive H. influenzae disease and 37 cases of IPD were identified. The incidence of both in the study population (6.3 and 23.1/100000/year, respectively) exceeded national rates (1.6 and 9.0/100000/year). H. influenzae serotype a (Hia) was the most common (50%), followed by non-typeable H. influenzae (20%). In adults, 77% of IPD cases were caused by serotypes included in the 23-valent pneumococcal polysaccharide vaccine. All paediatric IPD cases were caused by serotypes not included in the 13-valent pneumococcal conjugate vaccine. The case-fatality rate was 10% for invasive H. influenzae and 2.7% for IPD. Most cases exhibited substantial co-morbidity.

CONCLUSIONS

In Northwestern Ontario, the incidence of invasive Hia disease exceeds that of H. influenzae type b (Hib) in the pre-Hib vaccine era. This provides strong support for the development of a new Hia vaccine. Improved pneumococcal vaccination of high-risk adults in the region is warranted.

DOI: 10.1016/j.ijid.2017.09.016
PubMed: 28951105

Affiliations:

Canada

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

to stream Main, to step Corpus: 000077
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Le document en format XML

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<term>Aged, 80 and over</term>
<term>Antigenic Variation</term>
<term>Bacterial Capsules</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Haemophilus Infections (epidemiology)</term>
<term>Haemophilus Infections (prevention & control)</term>
<term>Haemophilus Vaccines (administration & dosage)</term>
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<term>Incidence</term>
<term>Infant</term>
<term>Influenza, Human (epidemiology)</term>
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<term>Middle Aged</term>
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<term>Ontario (epidemiology)</term>
<term>Pneumococcal Infections (epidemiology)</term>
<term>Pneumococcal Infections (prevention & control)</term>
<term>Pneumococcal Vaccines (administration & dosage)</term>
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<term>Adulte d'âge moyen</term>
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<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Grippe humaine ()</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Haemophilus influenzae</term>
<term>Humains</term>
<term>Incidence</term>
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<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Capsules bactériennes</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Grippe humaine</term>
<term>Haemophilus influenzae</term>
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<front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b>
</p>
<p>North American indigenous populations experience a high burden of invasive bacterial infections. Because Streptococcus pneumoniae and Haemophilus influenzae have multiple antigenic variants, the existing vaccines cannot prevent all cases. This study addresses the current epidemiology of invasive H. influenzae and pneumococcal disease (IPD) in a region of Northwestern Ontario, Canada with a relatively high (82%) indigenous population.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Data were retrieved from a retrospective chart review at a hospital servicing a population of 29000 (82% indigenous), during January 2010-July 2015.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Ten cases of invasive H. influenzae disease and 37 cases of IPD were identified. The incidence of both in the study population (6.3 and 23.1/100000/year, respectively) exceeded national rates (1.6 and 9.0/100000/year). H. influenzae serotype a (Hia) was the most common (50%), followed by non-typeable H. influenzae (20%). In adults, 77% of IPD cases were caused by serotypes included in the 23-valent pneumococcal polysaccharide vaccine. All paediatric IPD cases were caused by serotypes not included in the 13-valent pneumococcal conjugate vaccine. The case-fatality rate was 10% for invasive H. influenzae and 2.7% for IPD. Most cases exhibited substantial co-morbidity.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>In Northwestern Ontario, the incidence of invasive Hia disease exceeds that of H. influenzae type b (Hib) in the pre-Hib vaccine era. This provides strong support for the development of a new Hia vaccine. Improved pneumococcal vaccination of high-risk adults in the region is warranted.</p>
</div>
</front>
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<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">North American indigenous populations experience a high burden of invasive bacterial infections. Because Streptococcus pneumoniae and Haemophilus influenzae have multiple antigenic variants, the existing vaccines cannot prevent all cases. This study addresses the current epidemiology of invasive H. influenzae and pneumococcal disease (IPD) in a region of Northwestern Ontario, Canada with a relatively high (82%) indigenous population.</AbstractText>
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<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In Northwestern Ontario, the incidence of invasive Hia disease exceeds that of H. influenzae type b (Hib) in the pre-Hib vaccine era. This provides strong support for the development of a new Hia vaccine. Improved pneumococcal vaccination of high-risk adults in the region is warranted.</AbstractText>
<CopyrightInformation>Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.</CopyrightInformation>
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<Initials>M</Initials>
<AffiliationInfo><Affiliation>Northern Ontario School of Medicine, 955 Oliver Road, Thunder Bay, Ontario P7B 5E1, Canada; Lakehead University, Thunder Bay, Ontario, Canada.</Affiliation>
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<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year>
<Month>05</Month>
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<PubMedPubDate PubStatus="revised"><Year>2017</Year>
<Month>09</Month>
<Day>10</Day>
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<PubMedPubDate PubStatus="accepted"><Year>2017</Year>
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<ArticleIdList><ArticleId IdType="pubmed">28951105</ArticleId>
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<ArticleId IdType="doi">10.1016/j.ijid.2017.09.016</ArticleId>
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<name sortKey="Kelly, Len" sort="Kelly, Len" uniqKey="Kelly L" first="Len" last="Kelly">Len Kelly</name>
<name sortKey="Kirlew, Michael" sort="Kirlew, Michael" uniqKey="Kirlew M" first="Michael" last="Kirlew">Michael Kirlew</name>
<name sortKey="Schroeter, Annette" sort="Schroeter, Annette" uniqKey="Schroeter A" first="Annette" last="Schroeter">Annette Schroeter</name>
<name sortKey="Tsang, Raymond S W" sort="Tsang, Raymond S W" uniqKey="Tsang R" first="Raymond S W" last="Tsang">Raymond S W. Tsang</name>
<name sortKey="Ulanova, Marina" sort="Ulanova, Marina" uniqKey="Ulanova M" first="Marina" last="Ulanova">Marina Ulanova</name>
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Epidemiology of invasive pneumococcal and Haemophilus influenzae diseases in Northwestern Ontario, Canada, 2010-2015.

Epidemiology of invasive pneumococcal and Haemophilus influenzae diseases in Northwestern Ontario, Canada, 2010-2015.

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