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003 | H12O | ||
005 | 20180417112610.0 | ||
008 | 130622s2011 xxx||||| |||| 00| 0 eng d | ||
040 | _cH12O | ||
041 | _aeng | ||
100 |
_aNegreira Cepeda, Sagrario _91355 _ePediatría |
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100 |
_aRuiz Contreras, Jesús _9811 _ePediatría |
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245 | 0 | 0 |
_aLaboratory-based, 2-year surveillance of pediatric parapneumonic pneumococcal empyema following heptavalent pneumococcal conjugate vaccine universal vaccination in Madrid. _h[artículo] |
260 |
_bPediatric Infectious Disease Journal, _c2011 |
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300 | _a30(6):471-474. | ||
500 | _aFormato Vancouver: Picazo J, Ruiz-Contreras J, Casado-Flores J, Negreira S, Del Castillo F, Hernández-Sampelayo T, et al. Laboratory-based, 2-year surveillance of pediatric parapneumonic pneumococcal empyema following heptavalent pneumococcal conjugate vaccine universal vaccination in Madrid. Pediatr Infect Dis J. 2011;30(6):471-4. | ||
501 | _aPMID: 21266938 | ||
504 | _aContiene 27 referencias | ||
520 | _aBackground: In October 2006, the heptavalent pneumococcal conjugate vaccine was included in the Madrid vaccination calendar, warranting serotype (St) surveillances in pneumococcal pediatric parapneumonic empyema (PPE). Methods: A prospective 2-year (May 2007-April 2009) laboratory-confirmed PPE surveillance was performed in 22 hospitals. All isolates (for serotyping) and culture-negative pleural fluids were sent to the reference laboratory for polymerase chain reaction (PCR) analysis. Results: We identified 138 PPEs. Pneumococcal etiology was confirmed in 100 cases: 38 by culture, 62 by PCR. Mean age was 44.64 +/- 26.64 months; 51.0% were male. Similar pneumococcal PPE distribution was found by age: 21% to 28% in <24, >= 24-<36, >= 36-< 60, and >= 60 months. PPE-associated Sts were St 1 (38%), St 5 (15%), St 19A (11%), St 7F (9%), St 3 (8%), and others (19%). St 1 was the most common in >36 months, with similar rates to St 19A in <24 months (approximate to 30%). In >= 24-<= 36 months, St 3 (21.7%), St 1 and St 5 (17.4% each) were the most frequent. No differences in demographic data, vaccination status, length of hospitalization, and outcome were found between culture-negative (PCR positive) and culture-positive PPE patients, with significantly higher percentages of St 1 and St 5 in culture-positive PPEs. Total rates of St 1 (38%), St 5 (15%), and St 7F (9%) would have been over-represented considering only positive-culture PPEs (n = 38), by increasing to 52.6% (St 1), 23.7% (St 5), and 10.5% (St 7F). The 13-valent pneumococcal conjugate vaccine would cover 84.0% of Sts causing PPEs. Conclusions: PCR is essential for determining the specific etiology of PPE. | ||
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_9446 _aServicio de Pediatría-Neonatología |
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_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/5/pc5922.pdf _ySolicitar documento |
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_c5922 _d5922 |