Clinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazil

Detalhes bibliográficos
Autor(a) principal: Leite, Carolina Regis
Data de Publicação: 2016
Outros Autores: Azevedo, Jailton, Galvão, Vivian Santos, Carvalho, Otavio Augusto Moreno, Reis, Joice Neves, Carvalho, Cristiana Maria Costa Nascimento
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/13248
Resumo: Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil
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spelling Leite, Carolina RegisAzevedo, JailtonGalvão, Vivian SantosCarvalho, Otavio Augusto MorenoReis, Joice NevesCarvalho, Cristiana Maria Costa Nascimento2016-03-22T17:43:58Z2016-03-22T17:43:58Z2016LEITE, C. R. et al. Clinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazil. Brazilian Journal of Infectious Diseases, v. 20, n. 1, p. 56-60, 2016.1678-4391dx.doi.org/10.1016/j.bjid.2015.10.005https://www.arca.fiocruz.br/handle/icict/13248engElsevierClinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação José Silveira. Laboratório de líquor–SINPEL. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Farmácia. Salvador, BA, BrasilUniversidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, BrasilInvasive pneumococcal disease is a relevant public health problem in Brazil, especially among children and the elderly. In July/2010 a 10-valent pneumococcal conjugate vaccine was introduced to the immunization schedule of Brazilian children under two years of age. Between July/2010 and December/2013 we conducted a case-series study on invasive pneumococcal disease in Salvador, Brazil to describe the clinical and bacteriological profile of invasive pneumococcal disease cases during the post-implementation period. Eighty-two cases were eligible. Mean age was 31 years (interquartile range, 3-42); 17.1% and 30.5% were under 2 years and 5 years, respectively. Pneumococcal meningitis (n=64, 78.1%), bacteraemic pneumococcal pneumonia (n=12, 14.6%) and bacteraemia (n=6, 7.3%) were the clinical syndromes identified. Thirty-three different serotypes were found. Of these, serotype 14 (n=12, 14.6%) was the most common, followed by 23F (n=10, 12.2%), 12F (n=8, 9.8%), 18C (n=5, 6.1%) and 6B (n=5, 6.1%). Investigations conducted in Salvador in the pre-vaccine period did not identify serotype 12F as one of the most prevalent serotypes. Increase of serotype 12F was observed in different regions of Brazil, in the post-vaccine period. Among children under two years of age, the target group for 10-valent pneumococcal conjugate vaccine, 11 (78.6%) of the 14 isolated strains of Streptococcus pneumoniae belonged to vaccine serotypes; at least 50% of these children were not vaccinated. The relatively recent implementation of 10-valent pneumococcal conjugate vaccine in Brazil reinforces the need to maintain an active surveillance of invasive pneumococcal disease cases, considering the possible increase of invasive pneumococcal disease cases related to non-vaccine serotypes and the changes on the clinical presentation of the disease.Streptococcus pneumoniaeVaccineEpidemiologyinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/13248/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALLeite CR Clinical and bacteriological....pdfLeite CR Clinical and bacteriological....pdfapplication/pdf551607https://www.arca.fiocruz.br/bitstream/icict/13248/2/Leite%20CR%20Clinical%20and%20bacteriological....pdf39cc1dfcdd82155860ab652d224220cfMD52TEXTLeite CR Clinical and 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dc.title.pt_BR.fl_str_mv Clinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazil
title Clinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazil
spellingShingle Clinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazil
Leite, Carolina Regis
Streptococcus pneumoniae
Vaccine
Epidemiology
title_short Clinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazil
title_full Clinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazil
title_fullStr Clinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazil
title_full_unstemmed Clinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazil
title_sort Clinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazil
author Leite, Carolina Regis
author_facet Leite, Carolina Regis
Azevedo, Jailton
Galvão, Vivian Santos
Carvalho, Otavio Augusto Moreno
Reis, Joice Neves
Carvalho, Cristiana Maria Costa Nascimento
author_role author
author2 Azevedo, Jailton
Galvão, Vivian Santos
Carvalho, Otavio Augusto Moreno
Reis, Joice Neves
Carvalho, Cristiana Maria Costa Nascimento
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Leite, Carolina Regis
Azevedo, Jailton
Galvão, Vivian Santos
Carvalho, Otavio Augusto Moreno
Reis, Joice Neves
Carvalho, Cristiana Maria Costa Nascimento
dc.subject.en.pt_BR.fl_str_mv Streptococcus pneumoniae
Vaccine
Epidemiology
topic Streptococcus pneumoniae
Vaccine
Epidemiology
description Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil
publishDate 2016
dc.date.accessioned.fl_str_mv 2016-03-22T17:43:58Z
dc.date.available.fl_str_mv 2016-03-22T17:43:58Z
dc.date.issued.fl_str_mv 2016
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv LEITE, C. R. et al. Clinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazil. Brazilian Journal of Infectious Diseases, v. 20, n. 1, p. 56-60, 2016.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/13248
dc.identifier.issn.none.fl_str_mv 1678-4391
dx.doi.org/10.1016/j.bjid.2015.10.005
identifier_str_mv LEITE, C. R. et al. Clinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazil. Brazilian Journal of Infectious Diseases, v. 20, n. 1, p. 56-60, 2016.
1678-4391
dx.doi.org/10.1016/j.bjid.2015.10.005
url https://www.arca.fiocruz.br/handle/icict/13248
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
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