Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2004-7-19
pubmed:abstractText
Streptococcus pneumoniae is the most common cause of invasive bacterial disease among children worldwide. The authors aimed to determine the incidence, clinical characteristics, and serotype distribution of invasive pneumococcal disease (IPD) among Navajo children in the southwestern United States. Active population-based laboratory surveillance for IPD among resident members of the Navajo Nation under 18 years of age was conducted between 1989 and 1996. During this 8-year period, 706 cases of IPD were identified. The rate of disease varied by age, with the highest rate being observed among children aged 6-11 months (727 cases/100,000 person-years), followed by children aged 0-11 months, 0-23 months, and 0-59 months (568, 537, and 272 cases/100,000 person-years, respectively). Among children aged 0-23 months, 60.3% of cases were caused by serotypes in the seven-valent conjugate pneumococcal vaccine (71.5% from 1989-1993 and 58.3% from 1994-1996). Navajo children are at increased risk of IPD in comparison with the general US population. The distribution of disease-causing serotypes is similar to that of many countries in the developing world. Prevention strategies should include the use of licensed pneumococcal protein conjugate vaccine; however, a substantial proportion of disease is caused by nonvaccine serotypes. These data are critical for assessing the impact of these vaccines in this high-risk population.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0002-9262
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
160
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
270-8
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:15258000-Age Distribution, pubmed-meshheading:15258000-Arizona, pubmed-meshheading:15258000-Child, Preschool, pubmed-meshheading:15258000-Female, pubmed-meshheading:15258000-Humans, pubmed-meshheading:15258000-Incidence, pubmed-meshheading:15258000-Indians, North American, pubmed-meshheading:15258000-Infant, pubmed-meshheading:15258000-Infant, Newborn, pubmed-meshheading:15258000-Male, pubmed-meshheading:15258000-New Mexico, pubmed-meshheading:15258000-Pneumococcal Infections, pubmed-meshheading:15258000-Pneumococcal Vaccines, pubmed-meshheading:15258000-Population Surveillance, pubmed-meshheading:15258000-Seasons, pubmed-meshheading:15258000-Serotyping, pubmed-meshheading:15258000-Sex Distribution, pubmed-meshheading:15258000-Streptococcus pneumoniae, pubmed-meshheading:15258000-Survival Analysis, pubmed-meshheading:15258000-Utah, pubmed-meshheading:15258000-Vaccines, Conjugate
pubmed:year
2004
pubmed:articleTitle
Epidemiology of invasive Streptococcus pneumoniae among Navajo children in the era before use of conjugate pneumococcal vaccines, 1989-1996.
pubmed:affiliation
Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. klobrien@jhsph.edu
pubmed:publicationType
Journal Article