Title |
Occult bacteremia etiology following the introduction of 13-valent pneumococcal conjugate vaccine: a multicenter study in Spain
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Published in |
European Journal of Clinical Microbiology & Infectious Diseases, May 2018
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DOI | 10.1007/s10096-018-3270-2 |
Pubmed ID | |
Authors |
Susanna Hernández-Bou, Borja Gómez, Santiago Mintegi, Juan J. García-García, On behalf of the Bacteraemia Study Working Group of the Infectious Diseases Working Group of the Spanish Society of Paediatric Emergencies (SEUP) |
Abstract |
Little is known about occult bacteremia (OB) in Spain following the introduction of the 13-valent pneumococcal conjugated vaccine (PCV13). Our aim was to describe the microbiologic characteristics and management of OB among children aged 3-36 months in Spain in the era of PCV13. Data were obtained from a multicenter registry of positive blood cultures collected at 22 Spanish emergency departments (ED). Positive blood cultures performed on patients aged 3-36 months from 2011 to 2015 were retrospectively identified. Immunocompetent infants with a final diagnosis of OB were included. Non-well-appearing patients and patients with fever > 72 h were excluded. We analyzed 67 cases (median age 12.5 months [IQR 8.7-19.4]). Thirty-seven (54.4%) had received ≥ 1 dose of PCV. Overall, 47 (70.1%) were initially managed as outpatients (38.3% of them with antibiotic treatment). Phone contact was established with 43 (91.5%) of them after receiving the blood culture result and 11 (23.4%) were hospitalized with parenteral antibiotic. All patients did well. Streptococcus pneumoniae was isolated in 79.1% of the patients (42.2% of the isolated serotypes were included in the PCV13). S. pneumoniae remains the first cause of OB in patients attended in the ED, mainly with non-PCV13 serotypes. Most of the patients with OB were initially managed as outpatients with no adverse outcome. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 3 | 38% |
Argentina | 1 | 13% |
Unknown | 4 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 6 | 75% |
Practitioners (doctors, other healthcare professionals) | 1 | 13% |
Scientists | 1 | 13% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 29 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 3 | 10% |
Other | 3 | 10% |
Student > Doctoral Student | 2 | 7% |
Student > Ph. D. Student | 2 | 7% |
Student > Master | 2 | 7% |
Other | 4 | 14% |
Unknown | 13 | 45% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 7 | 24% |
Agricultural and Biological Sciences | 4 | 14% |
Nursing and Health Professions | 2 | 7% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 7% |
Engineering | 1 | 3% |
Other | 0 | 0% |
Unknown | 13 | 45% |