Gaceta Sanitaria (Dec 2003)
Incidencia de enfermedad neumocócica invasiva en Cantabria (1995-2001) e implicaciones para el calendario vacunal Incidence of invasive pneumococcal disease in Cantabria, Spain, (1995-2001) and implications for the childhood inmunization schedule
Abstract
Objetivo: Describir la incidencia de enfermedad neumocócica invasiva en Cantabria en los años 1995-2001. Método: Consulta de los registros del conjunto mínimo básico de datos (CMBD) de los hospitales públicos de Cantabria, así como altas de los hospitales privados, registro de enfermedades de declaración obligatoria (EDO), y diagnósticos microbiológicos e historias clínicas de los niños ingresados en el Servicio de Pediatría del Hospital Cantabria (el hospital de referencia de tercer nivel). Resultados: Se obtuvo una incidencia de meningitis de 5,55, 5,03 y 0,76/100.000 en los niños Objective: To describe the incidence of invasive pneumococcal disease in Cantabria (Spain) between 1995 and 2001. Method: We reviewed the records of the Minimum Data Set (MDS) of public hospitals in Cantabria, discharges from private hospitals and the registry of diseases of mandatory reporting, as well as the microbiologic diagnoses and medical records of children discharged from the Pediatric Service of the Cantabria Hospital (the tertiary care hospital in our autonomous community). Results: We obtained a meningitis incidence of 5.55, 5.03 and 0.76/100,000 in children < 2 years, ≥ 2 and < 5 years, and ≥ 5 years respectively, and an incidence of invasive disease of 11.11, 11.32 and 1.49/100,000 in the same age groups. Conclusions: The incidence of meningitis and invasive pneumococcal disease in Cantabria is low. We discuss factors that should be taken into account when introducing the pneumococcal conjugate vaccine in the childhood immunization schedule of Cantabria.
