Experience with the prevention of invasive Haemophilus influenzae type b disease by vaccination in Alaska: The impact of persistent oropharyngeal carriage
Identifieur interne : 001C33 ( Main/Exploration ); précédent : 001C32; suivant : 001C34Experience with the prevention of invasive Haemophilus influenzae type b disease by vaccination in Alaska: The impact of persistent oropharyngeal carriage
Auteurs : Rosalyn Singleton [États-Unis] ; Lisa R. Bulkow [États-Unis] ; Orin S. Levine [États-Unis] ; Jay C. Butler [États-Unis] ; Thomas W. Hennessy [États-Unis] ; Alan Parkinson [États-Unis]Source :
- The Journal of Pediatrics [ 0022-3476 ] ; 2000.
English descriptors
Abstract
Objectives: To report the epidemiology of invasive Haemophilus influenzae type b (Hib) disease in high-risk Alaska Native infants before and after universal infant Hib vaccination and evaluate an increase in invasive Hib disease in 1996 after changing Hib vaccine type. Study design: Statewide laboratory surveillance for invasive Hib disease has been conducted since 1980. Three cross-sectional Hib carriage studies were conducted in 1997 and 1998. Results: The invasive Hib disease rate in Alaska Natives decreased from 332 cases per 100,000 children <5 years old in 1980-1991 to 17:100,000 in 1992-1995 but increased primarily in rural areas to 57.9:100,000 after a switch in Hib vaccine types. Carriage studies in 5 rural Alaska Native villages showed oropharyngeal Hib carriage as high as 9.3% in children aged 1 to 5 years; in contrast, carriage in urban Alaska Native children was <1%. Conclusions: Although Hib disease has decreased in Alaska, the rate of Hib disease and carriage in rural Alaska Natives did not decrease to the same extent as in non-Natives and urban Alaska Natives. Use of polyribosylribitol phosphate–outer-membrane protein conjugate vaccine for the first vaccine dose is critical to disease control in this population with continued transmission in infants <6 months of age. The ability to eliminate Hib carriage and disease may be affected by population characteristics, vaccination coverage, and Hib vaccine type used. This may pose a challenge to global elimination of Hib. (J Pediatr 2000;137:313-20)
Url:
DOI: 10.1067/mpd.2000.107843
Affiliations:
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Bulkow</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Arctic Investigations Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Anchorage, Alaska; Alaska Native Tribal Health Consortium, Anchorage, Alaska; and Respiratory Diseases Branch, National Institute of Allergy and Infectious Diseases, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Levine, Orin S" sort="Levine, Orin S" uniqKey="Levine O" first="Orin S." last="Levine">Orin S. 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Hennessy</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Arctic Investigations Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Anchorage, Alaska; Alaska Native Tribal Health Consortium, Anchorage, Alaska; and Respiratory Diseases Branch, National Institute of Allergy and Infectious Diseases, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Parkinson, Alan" sort="Parkinson, Alan" uniqKey="Parkinson A" first="Alan" last="Parkinson">Alan Parkinson</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Arctic Investigations Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Anchorage, Alaska; Alaska Native Tribal Health Consortium, Anchorage, Alaska; and Respiratory Diseases Branch, National Institute of Allergy and Infectious Diseases, Bethesda</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j">The Journal of Pediatrics</title><title level="j" type="abbrev">YMPD</title><idno type="ISSN">0022-3476</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2000">2000</date><biblScope unit="volume">137</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="313">313</biblScope><biblScope unit="page" to="320">320</biblScope></imprint><idno type="ISSN">0022-3476</idno></series><idno type="istex">EA6228BBABA89477B41134505E3A7382A96CAFB0</idno><idno type="DOI">10.1067/mpd.2000.107843</idno><idno type="PII">S0022-3476(00)12972-5</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-3476</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIP</term><term>HbOC</term><term>Hib</term><term>IgG</term><term>PRP</term><term>PRP-OMP</term><term>YK</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objectives: To report the epidemiology of invasive Haemophilus influenzae type b (Hib) disease in high-risk Alaska Native infants before and after universal infant Hib vaccination and evaluate an increase in invasive Hib disease in 1996 after changing Hib vaccine type. Study design: Statewide laboratory surveillance for invasive Hib disease has been conducted since 1980. Three cross-sectional Hib carriage studies were conducted in 1997 and 1998. Results: The invasive Hib disease rate in Alaska Natives decreased from 332 cases per 100,000 children <5 years old in 1980-1991 to 17:100,000 in 1992-1995 but increased primarily in rural areas to 57.9:100,000 after a switch in Hib vaccine types. Carriage studies in 5 rural Alaska Native villages showed oropharyngeal Hib carriage as high as 9.3% in children aged 1 to 5 years; in contrast, carriage in urban Alaska Native children was <1%. Conclusions: Although Hib disease has decreased in Alaska, the rate of Hib disease and carriage in rural Alaska Natives did not decrease to the same extent as in non-Natives and urban Alaska Natives. Use of polyribosylribitol phosphate–outer-membrane protein conjugate vaccine for the first vaccine dose is critical to disease control in this population with continued transmission in infants <6 months of age. The ability to eliminate Hib carriage and disease may be affected by population characteristics, vaccination coverage, and Hib vaccine type used. This may pose a challenge to global elimination of Hib. (J Pediatr 2000;137:313-20)</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li></region></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Singleton, Rosalyn" sort="Singleton, Rosalyn" uniqKey="Singleton R" first="Rosalyn" last="Singleton">Rosalyn Singleton</name></region><name sortKey="Bulkow, Lisa R" sort="Bulkow, Lisa R" uniqKey="Bulkow L" first="Lisa R." last="Bulkow">Lisa R. Bulkow</name><name sortKey="Butler, Jay C" sort="Butler, Jay C" uniqKey="Butler J" first="Jay C." last="Butler">Jay C. Butler</name><name sortKey="Hennessy, Thomas W" sort="Hennessy, Thomas W" uniqKey="Hennessy T" first="Thomas W." last="Hennessy">Thomas W. Hennessy</name><name sortKey="Levine, Orin S" sort="Levine, Orin S" uniqKey="Levine O" first="Orin S." last="Levine">Orin S. Levine</name><name sortKey="Parkinson, Alan" sort="Parkinson, Alan" uniqKey="Parkinson A" first="Alan" last="Parkinson">Alan Parkinson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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