Pneumonia at Marine Corps Recruit Depots: Current Trends in Ambulatory Encounters and Inpatient Discharges.
Identifieur interne : 001C46 ( Ncbi/Merge ); précédent : 001C45; suivant : 001C47Pneumonia at Marine Corps Recruit Depots: Current Trends in Ambulatory Encounters and Inpatient Discharges.
Auteurs : Kristen Rossi [États-Unis] ; Gosia Nowak [États-Unis] ; Asha Jindal Riegodedios [États-Unis]Source :
- Military medicine [ 1930-613X ] ; 2017.
Descripteurs français
- KwdFr :
- Californie (épidémiologie), Caroline du Sud (épidémiologie), Facteurs de risque, Femelle, Humains, Infections de l'appareil respiratoire (épidémiologie), Mâle, Personnel militaire (), Pneumonie à pneumocoques (épidémiologie), Pneumopathie infectieuse (épidémiologie), Pneumopathie à mycoplasmes (épidémiologie), Sélection du personnel (organisation et administration).
- MESH :
- organisation et administration : Sélection du personnel.
- épidémiologie : Californie, Caroline du Sud, Infections de l'appareil respiratoire, Pneumonie à pneumocoques, Pneumopathie infectieuse, Pneumopathie à mycoplasmes.
- Facteurs de risque, Femelle, Humains, Mâle, Personnel militaire.
English descriptors
- KwdEn :
- California (epidemiology), Female, Humans, Male, Military Personnel (statistics & numerical data), Personnel Selection (organization & administration), Pneumonia (epidemiology), Pneumonia, Mycoplasma (epidemiology), Pneumonia, Pneumococcal (epidemiology), Respiratory Tract Infections (epidemiology), Risk Factors, South Carolina (epidemiology).
- MESH :
- epidemiology : California, Pneumonia, Pneumonia, Mycoplasma, Pneumonia, Pneumococcal, Respiratory Tract Infections, South Carolina.
- organization & administration : Personnel Selection.
- statistics & numerical data : Military Personnel.
- Female, Humans, Male, Risk Factors.
Abstract
Acute respiratory infections are recognized as a significant source of morbidity for military populations, particularly for recruits. This analysis aims to describe the pneumonia burden at Marine Corps Recruit Depots (MCRD) in Parris Island and San Diego during 2007-2014, as these two depots maintain noteworthy comparisons in vaccine and prophylaxis policies. First, both depots reinstated the adenovirus vaccine in October 2011. Second, San Diego provides the pneumococcal polysaccharide vaccine to all recruits within the first 2 days of arrival, although Parris Island does not routinely vaccinate for Streptococcus pneumoniae. Third, recruits at San Diego routinely receive three doses of penicillin G benzathine for group A Streptococcus bacterium prophylaxis, although those at Parris Island receive one dose year-round and a second dose during the winter months when group A Streptococcus bacterium burden is expected to increase.
DOI: 10.7205/MILMED-D-16-00034
PubMed: 28290951
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Kristen" uniqKey="Rossi K" first="Kristen" last="Rossi">Kristen Rossi</name><affiliation wicri:level="2"><nlm:affiliation>EpiData Center, Navy and Marine Corps Public Health Center, 620 John Paul Jones Circle, Suite 100, Portsmouth, VA 23708-2103.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Virginie</region></placeName><wicri:cityArea>EpiData Center, Navy and Marine Corps Public Health Center, 620 John Paul Jones Circle, Suite 100, Portsmouth</wicri:cityArea></affiliation></author><author><name sortKey="Nowak, Gosia" sort="Nowak, Gosia" uniqKey="Nowak G" first="Gosia" last="Nowak">Gosia Nowak</name><affiliation wicri:level="2"><nlm:affiliation>EpiData Center, Navy and Marine Corps Public Health Center, 620 John Paul Jones Circle, Suite 100, Portsmouth, VA 23708-2103.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Virginie</region></placeName><wicri:cityArea>EpiData Center, Navy and Marine Corps Public Health Center, 620 John Paul Jones Circle, Suite 100, Portsmouth</wicri:cityArea></affiliation></author><author><name sortKey="Riegodedios, Asha Jindal" sort="Riegodedios, Asha Jindal" uniqKey="Riegodedios A" first="Asha Jindal" last="Riegodedios">Asha Jindal Riegodedios</name><affiliation wicri:level="2"><nlm:affiliation>Preventive Medicine Program, Navy and Marine Corps Public Health Center, 620 John Paul Jones Circle, Suite 100, Portsmouth, VA 23708-2103.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Virginie</region></placeName><wicri:cityArea>Preventive Medicine Program, Navy and Marine Corps Public Health Center, 620 John Paul Jones Circle, Suite 100, Portsmouth</wicri:cityArea></affiliation></author></analytic><series><title level="j">Military medicine</title><idno type="eISSN">1930-613X</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>California (epidemiology)</term><term>Female</term><term>Humans</term><term>Male</term><term>Military Personnel (statistics & numerical data)</term><term>Personnel Selection (organization & administration)</term><term>Pneumonia (epidemiology)</term><term>Pneumonia, Mycoplasma (epidemiology)</term><term>Pneumonia, Pneumococcal (epidemiology)</term><term>Respiratory Tract Infections (epidemiology)</term><term>Risk Factors</term><term>South Carolina (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Californie (épidémiologie)</term><term>Caroline du Sud (épidémiologie)</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Infections de l'appareil respiratoire (épidémiologie)</term><term>Mâle</term><term>Personnel militaire ()</term><term>Pneumonie à pneumocoques (épidémiologie)</term><term>Pneumopathie infectieuse (épidémiologie)</term><term>Pneumopathie à mycoplasmes (épidémiologie)</term><term>Sélection du personnel (organisation et administration)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>California</term><term>Pneumonia</term><term>Pneumonia, Mycoplasma</term><term>Pneumonia, Pneumococcal</term><term>Respiratory Tract Infections</term><term>South Carolina</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Sélection du personnel</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Personnel Selection</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Military Personnel</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Californie</term><term>Caroline du Sud</term><term>Infections de l'appareil respiratoire</term><term>Pneumonie à pneumocoques</term><term>Pneumopathie infectieuse</term><term>Pneumopathie à mycoplasmes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Male</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Personnel militaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Acute respiratory infections are recognized as a significant source of morbidity for military populations, particularly for recruits. This analysis aims to describe the pneumonia burden at Marine Corps Recruit Depots (MCRD) in Parris Island and San Diego during 2007-2014, as these two depots maintain noteworthy comparisons in vaccine and prophylaxis policies. First, both depots reinstated the adenovirus vaccine in October 2011. Second, San Diego provides the pneumococcal polysaccharide vaccine to all recruits within the first 2 days of arrival, although Parris Island does not routinely vaccinate for Streptococcus pneumoniae. Third, recruits at San Diego routinely receive three doses of penicillin G benzathine for group A Streptococcus bacterium prophylaxis, although those at Parris Island receive one dose year-round and a second dose during the winter months when group A Streptococcus bacterium burden is expected to increase.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28290951</PMID><DateCompleted><Year>2018</Year><Month>02</Month><Day>06</Day></DateCompleted><DateRevised><Year>2018</Year><Month>08</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1930-613X</ISSN><JournalIssue CitedMedium="Internet"><Volume>182</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>03</Month></PubDate></JournalIssue><Title>Military medicine</Title><ISOAbbreviation>Mil Med</ISOAbbreviation></Journal><ArticleTitle>Pneumonia at Marine Corps Recruit Depots: Current Trends in Ambulatory Encounters and Inpatient Discharges.</ArticleTitle><Pagination><MedlinePgn>e1733-e1740</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.7205/MILMED-D-16-00034</ELocationID><Abstract><AbstractText Label="BACKGROUND">Acute respiratory infections are recognized as a significant source of morbidity for military populations, particularly for recruits. This analysis aims to describe the pneumonia burden at Marine Corps Recruit Depots (MCRD) in Parris Island and San Diego during 2007-2014, as these two depots maintain noteworthy comparisons in vaccine and prophylaxis policies. First, both depots reinstated the adenovirus vaccine in October 2011. Second, San Diego provides the pneumococcal polysaccharide vaccine to all recruits within the first 2 days of arrival, although Parris Island does not routinely vaccinate for Streptococcus pneumoniae. Third, recruits at San Diego routinely receive three doses of penicillin G benzathine for group A Streptococcus bacterium prophylaxis, although those at Parris Island receive one dose year-round and a second dose during the winter months when group A Streptococcus bacterium burden is expected to increase.</AbstractText><AbstractText Label="METHODS">Monthly pneumonia rates were estimated using diagnostic codes from ambulatory encounters and inpatient discharge records, and specific causative organisms were assessed using code extenders within the International Classification of Diseases, Ninth Revision. Regression analyses and Spearman's correlation rank tests were used to describe significant trends and the relationship between ambulatory and inpatient rates at each depot.</AbstractText><AbstractText Label="FINDINGS">Although our results indicate the majority of ambulatory encounters and inpatient discharges are attributed to unspecified pneumonia diagnostic codes at both locations, these data still lend noteworthy trends. At both locations, linear trends in ambulatory pneumonia rates significantly declined over the 8-year period, whereas inpatient rates demonstrated less variability and did not significantly decline. Both depots experienced prolonged, heightened pneumonia trends from early 2009-2010, a period which included the global influenza pandemic. Following reimplementation of the adenovirus vaccine during October 2011, the average ambulatory rates at MCRD San Diego (38.02 per 1,000 recruit-months vs. 65.59 per 1,000 recruit-months) and MCRD Parris Island (10.9 per 1,000 recruit-months vs. 22.8 per 1,000 recruit-months) were approximately half the average rate before utilization of the adenovirus vaccine. At MCRD San Diego, a weak correlation between monthly inpatient and ambulatory pneumonia rates suggests that trends for potentially severe pneumonia do not follow those for generalized disease (r<sup>s</sup> = 0.43; p < 0.05), whereas correlation results at MCRD Parris Island indicate these monthly trends are positively associated (r<sup>s</sup> = 0.71; p < 0.05).</AbstractText><AbstractText Label="DISCUSSION">These observations underscore the evidence that pneumonia burden among military recruits is not associated with one single etiology. Recruits are at risk for a range of etiologic agents, and control measures should include a combination of specific medical countermeasures that focus on a single bacterial or viral disease as well as nonmedical public health measures that reduce the overall burden of circulating infectious respiratory agents. The trends described in this report, coupled with the similarities and dissimilarities for public health prevention practices at each depot, may warrant further investigation for a systematic review of social and environmental factors within recruit populations at these two locations.</AbstractText><CopyrightInformation>Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rossi</LastName><ForeName>Kristen</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>EpiData Center, Navy and Marine Corps Public Health Center, 620 John Paul Jones Circle, Suite 100, Portsmouth, VA 23708-2103.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nowak</LastName><ForeName>Gosia</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>EpiData Center, Navy and Marine Corps Public Health Center, 620 John Paul Jones Circle, Suite 100, Portsmouth, VA 23708-2103.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Riegodedios</LastName><ForeName>Asha Jindal</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Preventive Medicine Program, Navy and Marine Corps Public Health Center, 620 John Paul Jones Circle, Suite 100, Portsmouth, VA 23708-2103.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Mil Med</MedlineTA><NlmUniqueID>2984771R</NlmUniqueID><ISSNLinking>0026-4075</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002140" MajorTopicYN="N">California</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008889" MajorTopicYN="N">Military Personnel</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010560" MajorTopicYN="N">Personnel Selection</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011014" MajorTopicYN="N">Pneumonia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011019" MajorTopicYN="N">Pneumonia, Mycoplasma</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011018" MajorTopicYN="N">Pneumonia, Pneumococcal</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012141" MajorTopicYN="N">Respiratory Tract Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013022" MajorTopicYN="N">South Carolina</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>3</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>3</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>2</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28290951</ArticleId><ArticleId IdType="doi">10.7205/MILMED-D-16-00034</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Virginie</li></region></list><tree><country name="États-Unis"><region name="Virginie"><name sortKey="Rossi, Kristen" sort="Rossi, Kristen" uniqKey="Rossi K" first="Kristen" last="Rossi">Kristen Rossi</name></region><name sortKey="Nowak, Gosia" sort="Nowak, Gosia" uniqKey="Nowak G" first="Gosia" last="Nowak">Gosia Nowak</name><name sortKey="Riegodedios, Asha Jindal" sort="Riegodedios, Asha Jindal" uniqKey="Riegodedios A" first="Asha Jindal" last="Riegodedios">Asha Jindal Riegodedios</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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