Invasive pneumococcal disease among children in Victoria
DOI:
https://doi.org/10.33321/cdi.2003.27.61Keywords:
invasive pneumococcal disease, enhanced surveillance, risk factors, vaccine, serotype, childrenAbstract
This study analysed notification data from the first year of enhanced surveillance of invasive pneumococcal disease (IPD) in Victoria (1 July 2001 - 30 June 2002), with a focus on risk factors for infection and vaccination status among children under five years of age. Overall, there were 397 notifications (8.2 per 100,000 population), 131 (33%) were children under five years of age. The highest notification rates were among those aged less than two years (72.6 per 100,000 population) among children aged less than five years: bacteraemia without a primary focus of infection was the most common clinical presentation (64%); 89 per cent were hospitalised with the median length of stay being three days; four children (3%) died. There were 107 cases of a known serotype, 92% (n=98) were either in or closely related to those included in the 7-valent conjugate pneumococcal vaccine (7vPCV). Most cases (98%) were not eligible for free 7vPCV under the currently funded program in Victoria. Only one child had been vaccinated. The results from the first year of enhanced IPD surveillance in Victoria suggest consideration should be given to extending the publicly funded program to include all children under two years of age. Commun Dis Intell 2003;27:362-366.
Downloads
References
Forrest JM, McIntyre PB, Burgess MA. Pneumococcal disease in Australia. Commun Dis Intell 2000;24:89-92.
Musher DM. Streptococcus pneumoniae. In: Mandell GL, Douglas RG and Bennett JE, eds. Principles and practice of infectious diseases. 4th edn. Philadelphia: Churchill Livingstone, 2000:1811-1826.
Roche P, Krause K for the Enhanced Pneumococcal Surveillance Group of the Pneumococcal Working Party of the Communicable Diseases Network Australia. Invasive pneumococcal disease in Australia, 2001. Commun Dis Intell 2002;26:505-519.
National Health and Medical Research Council Health Advisory Committee. National Childhood Pneumococcal Vaccination Program: recommendations of the Australian Technical Advisory Group on Immunisation for a childhood pneumococcal vaccination program. National Health and Medical Research Council; October 2001
Victorian Government Department of Human Services, Public Health Division. Childhood pneumococcal disease immunisation information. Department of Human Services; May 2002 (0210202).
Fedson DS, Musher DM, Eskola J. Pneumococcal vaccine. In: Plotkin SA, Orenstein WA, eds. Vaccines. 3rd edn. Philadelphia: WB Saunders, 1999:553-607.
National Health and Medical Research Council. The Australian Immunisation Handbook. 7th edn. Canberra: Australian Government Publishing Service, 2000:183-187.
McIntyre PB, Gilmour RE, Gilbert GL, Kakakios AM, Mellis CM. Epidemiology of invasive pneumococcal disease in urban New South Wales, 1997-1999. Med J Aust 2000;173:S22-S26.
Centers for Disease Control and Prevention. Prevention of pneumococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep 1997;46:1-24.
Hogg GG, Strachan JE, Lester RA. Invasive pneumococcal disease in the population of Victoria. Med J Aust 2000;173:S32-S35.
Fedson DS, Scott JA, Scott G. The burden of pneumococcal disease among adults in developed and developing countries: what is and is not known. Vaccine 1999;17:S11-S18.
Poland GA. The prevention of pneumococcal disease by vaccines: promises and challenges. [Review] Infect Dis Clin North Am 2001;15:97-122.
Peters TR, Edwards KM. The pneumococcal protein conjugate vaccines. J Paediatr 2000;137:416-420.
Lieu TA, Ray GT, Black SB, Butler JC, Klein JO, Breiman RF, et al. Projected cost-effectiveness of pneumococcal conjugate vaccination of healthy infants and young children. JAMA 2000;283:1460-1468.
Centres for Disease Control and Prevention. Preventing pneumococcal disease among infants and young children: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep 2000;49(RR-9):1-38.
Hills SL, Hanna JN and Murphy D. Invasive pneumococcal disease in North Queensland, 2001. Commun Dis Intell 2002;26:520-524.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2003 Communicable Diseases Intelligence

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
