KELLNER JD, SEMENIUK H, ELSAYED S, CHURCH D; Interscience Conference on Antimicrobial Agents and Chemotherapy (42nd : 2002 : San Diego, Calif.).
Abstr Intersci Conf Antimicrob Agents Chemother Intersci Conf Antimicrob Agents Chemother. 2002 Sep 27-30; 42: abstract no. G-845.
Alberta Children's Hosp., Calgary, AB, Canada.
BACKGROUND: We wished to determine trends in ISP infections before introduction of conjugate pneumococcal vaccine in Canada. METHODS: Population-based surveillance of ISP infections (cultured from sterile sites) at all ages in Calgary (pop. ~900,000) from 1998 onwards. Cases identified by lab surveillance. One SP isolate/case saved for testing. Antibiotic susceptibilities with E-Test and microbroth dilution using NCCLS guidelines. Serotyping with Quellung method. Molecular typing with pulsed-field gel electrophoresis (PFGE) will be performed. RESULTS: From 1/1/1998 to 12/31/2001 there were 498 invasive cases (90% blood, 5% CSF, 5% other sterile sites, 109 from children <5 yrs). From 1998 to 2000, the average annual incidence of invasive disease (cases/100,000/year) was 69, 11, 4, 8, 45 and 66 for <2 yr, 2 - <5 yr, 5 - <16 yr, 16 - <65 yr, 65 - <85 yr and >/= 85 yr, respectively. In 2001, the incidence of ISP increased to 110 and 61 cases/100,000/yr for <2 yr and 2 - <5 yr, respectively but remained stable at 4, 8, 45 and 71 for 5 - <16 yr, 16 - <65 yr, 65 - <85 yr and = 85 yr, respectively. In children <5 yrs, the % of ISP cases caused by serotypes in the 7-valent conjugate vaccine was 88% from 1998-2000 (7 other cases caused by 7 types) and 70% in 2001 (14 other cases caused by 12 types). In children <5 years, the % of penicillin non-susceptible cases was 4.9% from 1998 - 2000 and 15.3% in 2001. Clinical data review and molecular typing of isolates is ongoing but most cases did not have an epidemiologic link. CONCLUSIONS: 1) The dramatic increase in ISP infections in young children in 2001 was caused by strains with a wide variety of serotypes and antibiotic susceptibilities. 2) Ongoing surveillance before and after introduction of the 7-valent conjugate vaccine is necessary to determine the impact of non-vaccine serotypes.
Publication Types:
Keywords:
- Antigens, Bacterial
- Bacteremia
- Canada
- Child
- Epidemiologic Studies
- Humans
- Incidence
- Infection
- Penicillins
- Pneumococcal Vaccines
- Pneumonia
- Pneumonia, Pneumococcal
- Polysaccharides, Bacterial
- Population Surveillance
- Serotyping
- Sjogren's Syndrome
- Streptococcus pneumoniae
- Vaccines, Conjugate
- immunology
- methods
Other ID:
UI: 102268108
From Meeting Abstracts