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Changes in the evolution of meningococcal disease, 2001–2008, Catalonia (Spain)

Abstract Reported cases of meningococcal disease between 1997 and 2008 were analyzed to determine the evolution after the introduction of a conjugated vaccine. In

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Published in:Vaccine 2009-05, Vol.27 (25), p.3496-3498
Main Authors: Martínez, Ana I, Dominguez, Angela, Oviedo, Manuel, Minguell, Sofia, Jansa, Josep M, Codina, Gemma, Vazquez, Julio A
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cited_by cdi_FETCH-LOGICAL-c541t-e6cfe92385fb005603ea8b19c6e5b49d0164e0e50f5b17f5b2af19ceef0719043
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container_end_page 3498
container_issue 25
container_start_page 3496
container_title Vaccine
container_volume 27
creator Martínez, Ana I
Dominguez, Angela
Oviedo, Manuel
Minguell, Sofia
Jansa, Josep M
Codina, Gemma
Vazquez, Julio A
description Abstract Reported cases of meningococcal disease between 1997 and 2008 were analyzed to determine the evolution after the introduction of a conjugated vaccine. In
doi_str_mv 10.1016/j.vaccine.2009.01.045
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In &lt;6 years, the incidence rate of serogroup C fell from 7.6 to 0.6 per 100,000 persons/year in the periods before (1997–2000) and after (2001–2007) the introduction of the conjugate vaccine. In serogroup B, the reduction was from 15.4 to 11.1. In &lt;20 years case-fatality-rate increased only in serogroup B (3% and 7.4%, p = 0.026). Serosubtype P1.15 was the most frequent in serogroup B (31%), mainly associated with serotype 4 (80%), and in serogroup C subtype P1.5 (36%), with serosubtype 2a (86%). Exhaustive surveillance of circulating meningococcal strains is essential.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/j.vaccine.2009.01.045</identifier><identifier>PMID: 19200816</identifier><identifier>CODEN: VACCDE</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Allergy and Immunology ; Applied microbiology ; Biological and medical sciences ; Case-fatality-rate ; Child ; Child, Preschool ; Children &amp; youth ; Epidemiology ; Evolution ; Fundamental and applied biological sciences. Psychology ; Humans ; Immunization ; Incidence ; Infant ; Infant, Newborn ; Meningitis ; Meningococcal disease ; Meningococcal Infections - epidemiology ; Meningococcal Infections - prevention &amp; control ; Microbiology ; Middle Aged ; Neisseria meningitidis ; Neisseria meningitidis - classification ; Serotyping ; Spain - epidemiology ; Teenagers ; Time Factors ; Vaccination ; Vaccines ; Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects)</subject><ispartof>Vaccine, 2009-05, Vol.27 (25), p.3496-3498</ispartof><rights>Elsevier Ltd</rights><rights>2009 Elsevier Ltd</rights><rights>2009 INIST-CNRS</rights><rights>Copyright Elsevier Limited May 26, 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-e6cfe92385fb005603ea8b19c6e5b49d0164e0e50f5b17f5b2af19ceef0719043</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,23909,23910,25118,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21749858$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19200816$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martínez, Ana I</creatorcontrib><creatorcontrib>Dominguez, Angela</creatorcontrib><creatorcontrib>Oviedo, Manuel</creatorcontrib><creatorcontrib>Minguell, Sofia</creatorcontrib><creatorcontrib>Jansa, Josep M</creatorcontrib><creatorcontrib>Codina, Gemma</creatorcontrib><creatorcontrib>Vazquez, Julio A</creatorcontrib><creatorcontrib>the Meningococcal Disease Working Group of Catalonia</creatorcontrib><creatorcontrib>Meningococcal Disease Working Group of Catalonia</creatorcontrib><title>Changes in the evolution of meningococcal disease, 2001–2008, Catalonia (Spain)</title><title>Vaccine</title><addtitle>Vaccine</addtitle><description>Abstract Reported cases of meningococcal disease between 1997 and 2008 were analyzed to determine the evolution after the introduction of a conjugated vaccine. In &lt;6 years, the incidence rate of serogroup C fell from 7.6 to 0.6 per 100,000 persons/year in the periods before (1997–2000) and after (2001–2007) the introduction of the conjugate vaccine. In serogroup B, the reduction was from 15.4 to 11.1. In &lt;20 years case-fatality-rate increased only in serogroup B (3% and 7.4%, p = 0.026). Serosubtype P1.15 was the most frequent in serogroup B (31%), mainly associated with serotype 4 (80%), and in serogroup C subtype P1.5 (36%), with serosubtype 2a (86%). Exhaustive surveillance of circulating meningococcal strains is essential.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Allergy and Immunology</subject><subject>Applied microbiology</subject><subject>Biological and medical sciences</subject><subject>Case-fatality-rate</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children &amp; youth</subject><subject>Epidemiology</subject><subject>Evolution</subject><subject>Fundamental and applied biological sciences. 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subjects Adolescent
Adult
Aged
Allergy and Immunology
Applied microbiology
Biological and medical sciences
Case-fatality-rate
Child
Child, Preschool
Children & youth
Epidemiology
Evolution
Fundamental and applied biological sciences. Psychology
Humans
Immunization
Incidence
Infant
Infant, Newborn
Meningitis
Meningococcal disease
Meningococcal Infections - epidemiology
Meningococcal Infections - prevention & control
Microbiology
Middle Aged
Neisseria meningitidis
Neisseria meningitidis - classification
Serotyping
Spain - epidemiology
Teenagers
Time Factors
Vaccination
Vaccines
Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects)
title Changes in the evolution of meningococcal disease, 2001–2008, Catalonia (Spain)
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