Outcome of invasive pneumococcal disease: a UK based study. Oxford Pneumococcal Surveillance Group.

Shackley, F; Knox, K; Morris, J B; Crook, D; Griffiths, D; Mayon-White, R; George, R; Willocks, L et al. · Arch Dis Child · 2000

retrospective_cohort · Level III

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Abstract

The records of 106 children aged less than 5 years with invasive disease caused by Streptococcus pneumoniae were reviewed. The clinical manifestations were meningitis (37%), upper respiratory tract infection (24%), pneumonia (19%), and occult bacteraemia (18%). One child died and seven had persisting neurological impairment. Five serotypes caused 83% of disease and 92% of the serotypes are included in the seven valent conjugate vaccines which are undergoing trials. These data suggest that S pneumoniae infection is associated with a low case fatality rate but substantial morbidity in the UK.

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