Clinical and bacteriological characteristics of invasive pneumococcal disease after pneumococcal 10-valent conjugate vaccine implementation in Salvador, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
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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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 |
format |
article |
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 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Elsevier |
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Elsevier |
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reponame:Repositório Institucional da FIOCRUZ (ARCA) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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