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Epidemiology of infant meningococcal disease in the United States, 2006-2012

The incidence of meningococcal disease is currently at historic lows in the United States; however, incidence remains highest among infants aged

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Published in:Pediatrics (Evanston) 2015-02, Vol.135 (2), p.e305-e311
Main Authors: MacNeil, Jessica R, Bennett, Nancy, Farley, Monica M, Harrison, Lee H, Lynfield, Ruth, Nichols, Megin, Petit, Sue, Reingold, Arthur, Schaffner, William, Thomas, Ann, Pondo, Tracy, Mayer, Leonard W, Clark, Thomas A, Cohn, Amanda C
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cited_by cdi_FETCH-LOGICAL-c489t-2584b9f744e0e45f59b91f819775e77afee75e6f4797beae3da235c4f88a8a183
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creator MacNeil, Jessica R
Bennett, Nancy
Farley, Monica M
Harrison, Lee H
Lynfield, Ruth
Nichols, Megin
Petit, Sue
Reingold, Arthur
Schaffner, William
Thomas, Ann
Pondo, Tracy
Mayer, Leonard W
Clark, Thomas A
Cohn, Amanda C
description The incidence of meningococcal disease is currently at historic lows in the United States; however, incidence remains highest among infants aged
doi_str_mv 10.1542/peds.2014-2035
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With routine use of Haemophilus influenzae type b and pneumococcal vaccines in infants and children in the United States, Neisseria meningitidis remains an important cause of bacterial meningitis in young children. Data were collected from active, population- and laboratory-based surveillance for N meningitidis conducted through Active Bacterial Core surveillance during 2006 through 2012. Expanded data collection forms were completed for infant cases identified in the surveillance area during 2006 through 2010. An estimated 113 cases of culture-confirmed meningococcal disease occurred annually among infants aged &lt;1 year in the United States from 2006 through 2012, for an overall incidence of 2.74 per 100,000 infants. Among these cases, an estimated 6 deaths occurred. Serogroup B was responsible for 64%, serogroup C for 12%, and serogroup Y for 16% of infant cases. Based on the expanded data collection forms, a high proportion of infant cases (36/58, 62%) had a smoker in the household and the socioeconomic status of the census tracts where infant meningococcal cases resided was lower compared with the other Active Bacterial Core surveillance areas and the United States as a whole. The burden of meningococcal disease remains highest in young infants and serogroup B predominates. Vaccines that provide long-term protection early in life have the potential to reduce the burden of meningococcal disease, especially if they provide protection against serogroup B meningococcal disease.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2014-2035</identifier><identifier>PMID: 25583921</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>Analysis ; Babies ; Care and treatment ; Data collection ; Dosage and administration ; Epidemiology ; Female ; Haemophilus influenzae ; Health aspects ; Humans ; Incidence ; Infant ; Infants ; Male ; Meningitis ; Meningitis, Meningococcal - epidemiology ; Meningitis, Meningococcal - microbiology ; Meningitis, Meningococcal - prevention &amp; control ; Meningococcal infections ; Meningococcal Vaccines - administration &amp; dosage ; Neisseria meningitidis ; Neisseria meningitidis, Serogroup B - pathogenicity ; Neisseria meningitidis, Serogroup Y - pathogenicity ; Pediatrics ; Pneumococcal vaccine ; Pneumococcal vaccines ; Population Surveillance ; Risk factors ; Streptococcus pneumoniae ; Survival Rate ; United States ; Vaccines ; Virulence</subject><ispartof>Pediatrics (Evanston), 2015-02, Vol.135 (2), p.e305-e311</ispartof><rights>Copyright © 2015 by the American Academy of Pediatrics.</rights><rights>Copyright American Academy of Pediatrics Feb 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c489t-2584b9f744e0e45f59b91f819775e77afee75e6f4797beae3da235c4f88a8a183</citedby><cites>FETCH-LOGICAL-c489t-2584b9f744e0e45f59b91f819775e77afee75e6f4797beae3da235c4f88a8a183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25583921$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MacNeil, Jessica R</creatorcontrib><creatorcontrib>Bennett, Nancy</creatorcontrib><creatorcontrib>Farley, Monica M</creatorcontrib><creatorcontrib>Harrison, Lee H</creatorcontrib><creatorcontrib>Lynfield, Ruth</creatorcontrib><creatorcontrib>Nichols, Megin</creatorcontrib><creatorcontrib>Petit, Sue</creatorcontrib><creatorcontrib>Reingold, Arthur</creatorcontrib><creatorcontrib>Schaffner, William</creatorcontrib><creatorcontrib>Thomas, Ann</creatorcontrib><creatorcontrib>Pondo, Tracy</creatorcontrib><creatorcontrib>Mayer, Leonard W</creatorcontrib><creatorcontrib>Clark, Thomas A</creatorcontrib><creatorcontrib>Cohn, Amanda C</creatorcontrib><title>Epidemiology of infant meningococcal disease in the United States, 2006-2012</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>The incidence of meningococcal disease is currently at historic lows in the United States; however, incidence remains highest among infants aged &lt;1 year. With routine use of Haemophilus influenzae type b and pneumococcal vaccines in infants and children in the United States, Neisseria meningitidis remains an important cause of bacterial meningitis in young children. Data were collected from active, population- and laboratory-based surveillance for N meningitidis conducted through Active Bacterial Core surveillance during 2006 through 2012. Expanded data collection forms were completed for infant cases identified in the surveillance area during 2006 through 2010. An estimated 113 cases of culture-confirmed meningococcal disease occurred annually among infants aged &lt;1 year in the United States from 2006 through 2012, for an overall incidence of 2.74 per 100,000 infants. Among these cases, an estimated 6 deaths occurred. Serogroup B was responsible for 64%, serogroup C for 12%, and serogroup Y for 16% of infant cases. Based on the expanded data collection forms, a high proportion of infant cases (36/58, 62%) had a smoker in the household and the socioeconomic status of the census tracts where infant meningococcal cases resided was lower compared with the other Active Bacterial Core surveillance areas and the United States as a whole. The burden of meningococcal disease remains highest in young infants and serogroup B predominates. Vaccines that provide long-term protection early in life have the potential to reduce the burden of meningococcal disease, especially if they provide protection against serogroup B meningococcal disease.</description><subject>Analysis</subject><subject>Babies</subject><subject>Care and treatment</subject><subject>Data collection</subject><subject>Dosage and administration</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Haemophilus influenzae</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infants</subject><subject>Male</subject><subject>Meningitis</subject><subject>Meningitis, Meningococcal - epidemiology</subject><subject>Meningitis, Meningococcal - microbiology</subject><subject>Meningitis, Meningococcal - prevention &amp; control</subject><subject>Meningococcal infections</subject><subject>Meningococcal Vaccines - administration &amp; dosage</subject><subject>Neisseria meningitidis</subject><subject>Neisseria meningitidis, Serogroup B - pathogenicity</subject><subject>Neisseria meningitidis, Serogroup Y - pathogenicity</subject><subject>Pediatrics</subject><subject>Pneumococcal vaccine</subject><subject>Pneumococcal vaccines</subject><subject>Population Surveillance</subject><subject>Risk factors</subject><subject>Streptococcus pneumoniae</subject><subject>Survival Rate</subject><subject>United States</subject><subject>Vaccines</subject><subject>Virulence</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNqNks1v1DAQxS1ERZfClSOKxIUDWcZfsXNBqlYFKq3UQ-nZ8jrj1FViL7G3ov89ibZUwKknjzS_eR4_P0LeUVhTKdjnPXZ5zYCKmgGXL8iKQqtrwZR8SVYAnNYCQJ6S1znfAYCQir0ip0xKzVtGV2R7sQ8djiENqX-okq9C9DaWasQYYp9ccs4OVRcy2oxzsyq3WN3EULCrrostmD9VDKCZr6fsDTnxdsj49vE8IzdfL35svtfbq2-Xm_Nt7YRuS82kFrvWKyEQUEgv211LvaatUhKVsh5xLhovVKt2aJF3lnHphNfaaks1PyNfjrr7w27EzmEskx3MfgqjnR5MssH824nh1vTp3ggNHJiYBT4-Ckzp5wFzMWPIDofBRkyHbGjTaCaBc_kMVDIhG6qaGf3wH3qXDlOcnVgoyWUjlZqp-kj1dkATokux4K_i0jBgj2Y2anNlzgWwBkDDsuv6yLsp5Tyhf3onBbNkwCwZMEsGzJKBeeD93-484X8-nf8G_E2qNw</recordid><startdate>20150201</startdate><enddate>20150201</enddate><creator>MacNeil, Jessica R</creator><creator>Bennett, Nancy</creator><creator>Farley, Monica M</creator><creator>Harrison, Lee H</creator><creator>Lynfield, Ruth</creator><creator>Nichols, Megin</creator><creator>Petit, Sue</creator><creator>Reingold, Arthur</creator><creator>Schaffner, William</creator><creator>Thomas, Ann</creator><creator>Pondo, Tracy</creator><creator>Mayer, Leonard W</creator><creator>Clark, Thomas A</creator><creator>Cohn, Amanda C</creator><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope><scope>7QL</scope><scope>C1K</scope><scope>5PM</scope></search><sort><creationdate>20150201</creationdate><title>Epidemiology of infant meningococcal disease in the United States, 2006-2012</title><author>MacNeil, Jessica R ; 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however, incidence remains highest among infants aged &lt;1 year. With routine use of Haemophilus influenzae type b and pneumococcal vaccines in infants and children in the United States, Neisseria meningitidis remains an important cause of bacterial meningitis in young children. Data were collected from active, population- and laboratory-based surveillance for N meningitidis conducted through Active Bacterial Core surveillance during 2006 through 2012. Expanded data collection forms were completed for infant cases identified in the surveillance area during 2006 through 2010. An estimated 113 cases of culture-confirmed meningococcal disease occurred annually among infants aged &lt;1 year in the United States from 2006 through 2012, for an overall incidence of 2.74 per 100,000 infants. Among these cases, an estimated 6 deaths occurred. Serogroup B was responsible for 64%, serogroup C for 12%, and serogroup Y for 16% of infant cases. Based on the expanded data collection forms, a high proportion of infant cases (36/58, 62%) had a smoker in the household and the socioeconomic status of the census tracts where infant meningococcal cases resided was lower compared with the other Active Bacterial Core surveillance areas and the United States as a whole. The burden of meningococcal disease remains highest in young infants and serogroup B predominates. Vaccines that provide long-term protection early in life have the potential to reduce the burden of meningococcal disease, especially if they provide protection against serogroup B meningococcal disease.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>25583921</pmid><doi>10.1542/peds.2014-2035</doi><oa>free_for_read</oa></addata></record>
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subjects Analysis
Babies
Care and treatment
Data collection
Dosage and administration
Epidemiology
Female
Haemophilus influenzae
Health aspects
Humans
Incidence
Infant
Infants
Male
Meningitis
Meningitis, Meningococcal - epidemiology
Meningitis, Meningococcal - microbiology
Meningitis, Meningococcal - prevention & control
Meningococcal infections
Meningococcal Vaccines - administration & dosage
Neisseria meningitidis
Neisseria meningitidis, Serogroup B - pathogenicity
Neisseria meningitidis, Serogroup Y - pathogenicity
Pediatrics
Pneumococcal vaccine
Pneumococcal vaccines
Population Surveillance
Risk factors
Streptococcus pneumoniae
Survival Rate
United States
Vaccines
Virulence
title Epidemiology of infant meningococcal disease in the United States, 2006-2012
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