Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2001-7-16
pubmed:abstractText
A surveillance program for invasive pneumococcal disease was undertaken in Puyde-D?me, an administrative district of the region Auvergne in France, from 1 January 1994 to 31 December 1998. A total of 214 cases were identified. The annual incidence of invasive pneumococcal disease increased (P=0.04) from 5.5 in 1994 to 9.3 cases per 10(5) person-years in 1998. The highest incidences were for children <2 years of age (59.2 cases per 10(5) person-years) and for adults > or = 65 years (18 cases per 10(5) person-years). Clinical diagnoses, available in 200 patients, included acute pneumonia (62%), meningitis (10%), sepsis without focus (20%), and others (8%). The most frequent chronic medical conditions of the patients included smoking, alcoholism, cardiovascular and pulmonary diseases, and malignancies. Thirty-one percent of the isolates were nonsusceptible to penicillin. Penicillin resistance (MIC > or = 0.1 mg/l) was more frequent (P=0.02) in cancer patients. The overall case-fatality rate was 21.5%. Risk factors for death were age, sex, and underlying diseases of the patients, along with the severity of illness. These population-based findings should convince clinicians to offer pneumococcal vaccine to patients at high risk for invasive pneumococcal disease, thereby increasing vaccination coverage levels in France.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0934-9723
pubmed:author
pubmed:issnType
Print
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
299-308
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:11453589-Adolescent, pubmed-meshheading:11453589-Adult, pubmed-meshheading:11453589-Age Distribution, pubmed-meshheading:11453589-Aged, pubmed-meshheading:11453589-Child, pubmed-meshheading:11453589-Child, Preschool, pubmed-meshheading:11453589-Drug Resistance, pubmed-meshheading:11453589-Female, pubmed-meshheading:11453589-France, pubmed-meshheading:11453589-Humans, pubmed-meshheading:11453589-Incidence, pubmed-meshheading:11453589-Infant, pubmed-meshheading:11453589-Male, pubmed-meshheading:11453589-Microbial Sensitivity Tests, pubmed-meshheading:11453589-Middle Aged, pubmed-meshheading:11453589-Pneumococcal Infections, pubmed-meshheading:11453589-Population Surveillance, pubmed-meshheading:11453589-Risk Factors, pubmed-meshheading:11453589-Serotyping, pubmed-meshheading:11453589-Streptococcus pneumoniae
pubmed:year
2001
pubmed:articleTitle
Clinical characteristics and outcome of patients with invasive pneumococcal disease, Puy-de-Dôme, France, 1994-1998.
pubmed:affiliation
Infectious Diseases Department, Hôtel-Dieu, University Hospital of Clermont-Ferrand, France. hlaurichesse@chu-clermontferrand.fr
pubmed:publicationType
Journal Article