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法国儿童在接种肺炎球菌结合疫苗前后的肺炎球菌性脑膜炎。

PneumococcaL meningitis in french children before and after the introduction of pneumococcal conjugate vaccine.

机构信息

GPIP (Groupe de Pathologie Infectieuse Pe ´diatrique) de la SFP (Socie ´te ´ Franc ¸aise de Pe ´diatrie), Paris, France.

出版信息

Pediatr Infect Dis J. 2011 Feb;30(2):168-70. doi: 10.1097/inf.0b013e3181f4cf69.

Abstract

In France, despite a high rate of pneumococcal conjugate vaccine coverage, the number of cases of pneumococcal meningitis in children did not decline significantly between 2001–2002 (n = 264) and 2007–2008 (n = 244). A decline was observed among children < 2 years old (185 [70.1%] to 134 [54.9%] cases; P = 0.0004), but was counterbalanced by an increase among children ≥ 2 years old (79 [29.9%] to 110 [45.1%] cases). Mean age increased significantly, from 2.3 (median 0.8) to 3.8 (median 1.5) years. After pneumococcal conjugate vaccine 7 implementation, a wide diversity of serotypes implicated in pneumococcalmeningitis was observed; serotypes 19A and 7F were the most frequent.

摘要

在法国,尽管肺炎球菌结合疫苗的覆盖率很高,但儿童肺炎球菌性脑膜炎的病例数在 2001-2002 年(n=264)和 2007-2008 年(n=244)之间并没有显著下降。在<2 岁的儿童中观察到下降(185[70.1%]例至 134[54.9%]例;P=0.0004),但在≥2 岁的儿童中观察到上升(79[29.9%]例至 110[45.1%]例)。平均年龄显著增加,从 2.3(中位数 0.8)岁增加到 3.8(中位数 1.5)岁。在肺炎球菌结合疫苗 7 实施后,观察到多种与肺炎球菌性脑膜炎有关的血清型;血清型 19A 和 7F 最为常见。

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