دورية أكاديمية

Childhood Bacterial Meningitis Surveillance in Southern Vietnam: Trends and Vaccination Implications From 2012 to 2021.

التفاصيل البيبلوغرافية
العنوان: Childhood Bacterial Meningitis Surveillance in Southern Vietnam: Trends and Vaccination Implications From 2012 to 2021.
المؤلفون: Truong HC; Pasteur Institute in Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Institute of Health and Society, Université Catholique de Louvain, Brussels, Belgium., Van Phan T; Pasteur Institute in Ho Chi Minh City, Ho Chi Minh City, Vietnam., Nguyen HT; Children's Hospital 1, Ho Chi Minh City, Vietnam., Truong KH; Children's Hospital 1, Ho Chi Minh City, Vietnam., Do VC; Children's Hospital 2, Ho Chi Minh City, Vietnam., Pham NNM; Children's Hospital 2, Ho Chi Minh City, Vietnam., Ho TV; Pasteur Institute in Ho Chi Minh City, Ho Chi Minh City, Vietnam., Phan TTQ; Pasteur Institute in Ho Chi Minh City, Ho Chi Minh City, Vietnam., Hoang TA; Pasteur Institute in Ho Chi Minh City, Ho Chi Minh City, Vietnam., Soetewey A; Institute of Statistics, Biostatistics and Actuarial Sciences, Université Catholique de Louvain, Louvain-la-Neuve, Belgium., Ho TNL; Pasteur Institute in Ho Chi Minh City, Ho Chi Minh City, Vietnam., Pham QD; Pasteur Institute in Ho Chi Minh City, Ho Chi Minh City, Vietnam., Luong QC; Pasteur Institute in Ho Chi Minh City, Ho Chi Minh City, Vietnam., Vo DTT; Pasteur Institute in Ho Chi Minh City, Ho Chi Minh City, Vietnam., Nguyen TV; Pasteur Institute in Ho Chi Minh City, Ho Chi Minh City, Vietnam., Speybroeck N; Institute of Health and Society, Université Catholique de Louvain, Brussels, Belgium.
المصدر: Open forum infectious diseases [Open Forum Infect Dis] 2023 May 02; Vol. 10 (7), pp. ofad229. Date of Electronic Publication: 2023 May 02 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Published by Oxford University Press on behalf of the Infectious Diseases Society of America Country of Publication: United States NLM ID: 101637045 Publication Model: eCollection Cited Medium: Print ISSN: 2328-8957 (Print) Linking ISSN: 23288957 NLM ISO Abbreviation: Open Forum Infect Dis Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Cary, NC : Published by Oxford University Press on behalf of the Infectious Diseases Society of America, [2014]-
مستخلص: Background: This retrospective hospital-based surveillance aimed to assess the epidemiology, causative pathogens trend, and serotypes distribution of pneumococcal meningitis among children aged under 5 years with bacterial meningitis in Southern Vietnam after the introduction of pentavalent vaccine in the Expanded Program on Immunization (EPI).
Methods: From 2012 to 2021, cerebrospinal fluid samples were collected from children aged under 5 years with suspected bacterial meningitis at Children's Hospitals 1 and 2 in Ho Chi Minh City. Probable bacterial meningitis (PBM) cases were identified using biochemistry and cytology. Real-time polymerase chain reaction was used to confirm cases of confirmed bacterial meningitis (CBM) caused by Streptococcus pneumoniae , Haemophilus influenzae , or Neisseria meningitidis . Streptococcus pneumoniae serotyping was performed.
Results: Of the 2560 PBM cases, 158 (6.2%) were laboratory-confirmed. The CBM proportion decreased during the 10-year study and was associated with age, seasonality, and permanent residence. Streptococcus pneumoniae was the most common pathogen causing bacterial meningitis (86.1%), followed by H influenzae (7.6%) and N meningitidis (6.3%). The case-fatality rate was 8.2% (95% confidence interval, 4.2%-12.2%). Pneumococcal serotypes 6A/B, 19F, 14, and 23F were the most prevalent, and the proportion of pneumococcal meningitis cases caused by the 10-valent pneumococcal conjugate vaccine (PCV) serotypes decreased from 96.2% to 57.1% during the PCV eras.
Conclusions: Streptococcus pneumoniae is the most frequent causative agent of bacterial meningitis in children aged under 5 years in Southern Vietnam over the last decade. Policymakers may need to consider introducing PCVs into the EPI to effectively prevent and control bacterial meningitis.
Competing Interests: Potential conflicts of interest. All authors: No reported conflicts of interest.
(© The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America.)
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فهرسة مساهمة: Keywords: Vietnam; childhood bacterial meningitis; epidemiology; surveillance; vaccination implications
تواريخ الأحداث: Date Created: 20230705 Latest Revision: 20230802
رمز التحديث: 20230802
مُعرف محوري في PubMed: PMC10316691
DOI: 10.1093/ofid/ofad229
PMID: 37404952
قاعدة البيانات: MEDLINE
الوصف
تدمد:2328-8957
DOI:10.1093/ofid/ofad229