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1. Decrease in Pediatric Invasive Pneumococcal Disease During the COVID-19 Pandemic

Author

Clemente, Adriana Sarmiento, Kaplan, Sheldon L, Barson, William J, Lin, Philana Ling, Romero, José R, Bradley, John S, Tan, Tina Q, Pannaraj, Pia S, Givner, Laurence B, and Hultén, Kristina G

Subjects
Pediatric Research Initiative, Vaccine Related, Infectious Diseases, Lung, Clinical Research, Pneumonia, Prevention, Clinical Trials and Supportive Activities, Pediatric, Pneumonia & Influenza, Aetiology, 2.2 Factors relating to the physical environment, Infection, Good Health and Well Being, COVID-19, Child, Humans, Incidence, Pandemics, Pneumococcal Infections, United States, children, invasive pneumococcal disease, pandemic
Abstract

Measures to limit SARS-CoV-2 transmission in 2020 reduced other viral infections. Among 7 US children's hospitals, invasive pneumococcal disease cumulative incidence decreased by 46% in 2020 vs 2017-2019. Limited droplet transmission of pneumococci and preceding viral pathogens may be responsible.

Published
2022

9. Contributors

Author

Abzug, Mark J., primary, Adderson, Elisabeth E., additional, Agwu, Allison L., additional, Alby, Kevin, additional, Aldrovandi, Grace M., additional, Allen, Upton D., additional, Alvarez-Hernández, Gerardo, additional, Ampofo, Krow, additional, Anderson, Evan J., additional, Anderson, Margot, additional, Antonara, Stella, additional, Ardura, Monica I., additional, Arguin, Paul M., additional, Arnold, John C., additional, Aronson, Naomi E., additional, Arvin, Ann M., additional, Ashkenazi, Shai, additional, Asturias, Edwin J., additional, Badalyan, Vahe, additional, Baker, Carol J., additional, Balakrishnan, Karthik, additional, Barros, Brittany S., additional, Barson, William J., additional, Bausch, Daniel G., additional, Bechtel, Kirsten, additional, Benjamin, Daniel K., additional, Berman, David M., additional, Blanco, David A., additional, Bloch, Karen C., additional, Blythe, Margaret J., additional, Bocchini, Joseph A., additional, Bowen, Anna, additional, Bowie, William R., additional, Boyce, Thomas G., additional, Bradley, John S., additional, Brady, Michael T., additional, Bratcher, Denise F., additional, Braverman, Paula K., additional, Bresee, Joseph, additional, Brook, Itzhak, additional, Brown, Kevin E., additional, Bryant, Kristina, additional, Buescher, E. Stephen, additional, Burns, Jane L., additional, Byington, Carrie L., additional, Camacho-Gonzalez, Andres F., additional, Cantey, Paul, additional, Carter, Bryan D., additional, Caserta, Mary T., additional, Castagnini, Luis A., additional, Cerini, Chiara, additional, Chadwick, Ellen Gould, additional, Chiang, Silvia S., additional, Christenson, John C., additional, Coffin, Susan E., additional, Collier, Melissa G., additional, Collins, Jennifer P., additional, Conklin, Laurie S., additional, Connelly, Beverly L., additional, Contopoulos-Ioannidis, Despina, additional, Conway, James H., additional, Cortese, Margaret M., additional, Cox, Elaine G., additional, Creech, C. Buddy, additional, Crews, Jonathan D., additional, Cunningham, Dennis J., additional, Curtis, Nigel, additional, Dailey, Natalie J.M., additional, Danziger-Isakov, Lara A., additional, Darville, Toni, additional, Dasch, Gregory A., additional, Daskalaki, Irini, additional, Daum, Robert S., additional, Davenport, Michael, additional, Davies, H. Dele, additional, Dawood, Fatimah S., additional, Day, J. Christopher, additional, de la Morena, Maite, additional, Demmler-Harrison, Gail J., additional, DeMuri, Gregory P., additional, Despommier, Dickson D., additional, Diefenbach, Karen A., additional, Edwards, Kathryn M., additional, Edwards, Morven S., additional, Eichenfield, Lawrence F., additional, Elston, Dirk M., additional, Emerson, Beth, additional, Ephros, Moshe, additional, Erdem, Guliz, additional, Eremeeva, Marina E., additional, Ericson, Jessica E., additional, Esposito, Douglas H., additional, Farley, Monica M., additional, Feingold, Anat R., additional, Feja, Kristina N., additional, Finn, Adam, additional, Fischer, Marc, additional, Flynn, Patricia M., additional, Fox, LeAnne M., additional, Frank, Michael M., additional, Fredrick, Douglas R., additional, Frenck, Robert W., additional, Friedlander, Sheila Fallon, additional, Gans, Hayley A., additional, Gauthier, Gregory M., additional, Gerber, Jeffrey S., additional, Gigliotti, Francis, additional, Gilger, Mark A., additional, Glaser, Carol A., additional, Goddard, Amanda F., additional, Gold, Benjamin D., additional, Gould, Jane M., additional, Green, Michael, additional, Greenberg, David, additional, Greywal, Tanya, additional, Griffin, Daniel, additional, Griffin, Patricia M., additional, Grom, Alexei A., additional, Gutierrez, Kathleen, additional, Gutman, Julie, additional, Guzman-Cottrill, Judith A., additional, Hall, Aron J., additional, Han, Jin-Young, additional, Harper, Marvin B., additional, Harris, Julie R., additional, Harrison, Christopher J., additional, Haslam, David B., additional, Hawkes, Sarah J., additional, Hendley, J. Owen, additional, Henry, Marion C.W., additional, Hilinski, Joseph A., additional, Hills, Susan L., additional, Holmberg, Scott D., additional, Holtzman, Deborah, additional, Hong, David K., additional, Hotez, Peter J., additional, Hsu, Katherine K., additional, Hunstad, David A., additional, Hwang, Loris Y., additional, Jackson, Mary Anne, additional, Jacobs, Richard F., additional, Jhaveri, Ravi, additional, Jirků-Pomajbíková, Kateřina, additional, Jones, Jeffrey L., additional, Karki, Mahima, additional, Karlowicz, M. Gary, additional, Katz, Ben Z., additional, Kaur, Ishminder, additional, Kersh, Gilbert J., additional, Keystone, Jay S., additional, Khan, Muhammad Ali, additional, Kimberlin, David W., additional, Kleiman, Martin B., additional, Klein, Bruce S., additional, Klontz, Karl, additional, Knust, Barbara, additional, Koh, Andrew Y., additional, Korgenski, E. Kent, additional, Krogstad, Paul, additional, Kutty, Preeta Krishnan, additional, Lauren, Christine T., additional, Lawrence, Hillary S., additional, Leber, Amy, additional, Lee, Grace M., additional, Leibovitz, Eugene, additional, Leshem, Eyal, additional, Levasseur, Stéphanie, additional, Lewis, David B., additional, Livingston, Robyn A., additional, Llata, Eloisa, additional, Long, Sarah S., additional, Lopman, Ben A., additional, Lucero, Yalda C., additional, Luján-Zilbermann, Jorge, additional, Luzuriaga, Katherine, additional, MacDonald, Noni E., additional, Maldonado, Yvonne A., additional, Manaloor, John, additional, Mani, Chitra S., additional, Manthiram, Kalpana, additional, Marshall, Gary S., additional, Martin, Stacey W., additional, Matanock, Almea, additional, Matiz, Catalina, additional, Mawle, Alison C., additional, Mazzulli, Tony, additional, McGann, Kathleen A., additional, McIntosh, Kenneth, additional, McNamara, Lucy A., additional, Meir, Michal, additional, Meislich, Debrah, additional, Meissner, H. Cody, additional, Meites, Elissa, additional, Mejías, Asunción, additional, Mertsola, Jussi, additional, Messacar, Kevin, additional, Mhaissen, Mohammed Nael, additional, Michaels, Marian G., additional, Miller, Melissa B., additional, Mintz, Eric D., additional, Modlin, John F., additional, Mohan, Parvathi, additional, Montgomery, Susan P., additional, Montoya, José G., additional, Moro, Pedro L., additional, Moscicki, Anna-Barbara, additional, Moss, R. Lawrence, additional, Myers, Angela L., additional, Nadel, Simon, additional, Neely, Michael N., additional, Neil, Karen P., additional, Nelson, Joanna, additional, Nelson, Noele P., additional, Nicholson, William L., additional, Nizet, Victor, additional, Nopper, Amy Jo, additional, Ochoa, Theresa J., additional, Orenstein, Walter A., additional, O'Ryan, Miguel, additional, Paddock, Christopher D., additional, Pall, Harpreet, additional, Panuganti, Suresh Kumar, additional, Pappas, Diane E., additional, Pass, Robert F., additional, Patterson, Thomas F., additional, Patton, Monica E., additional, Pelton, Stephen I., additional, Petersen, Brett W., additional, Pickering, Larry K., additional, Pinninti, Swetha, additional, Planet, Paul J., additional, Pollard, Andrew J., additional, Posfay-Barbe, Klara M., additional, Poulsen, Casper S., additional, Poutanen, Susan M., additional, Powers, Ann M., additional, Prober, Charles G., additional, Ramilo, Octavio, additional, Rangel, Shawn J., additional, Rao, Suchitra, additional, Rawstron, Sarah A., additional, Read, Jennifer S., additional, Reed, Michael D., additional, Relich, Ryan F., additional, Reller, Megan E., additional, Rellosa, Neil, additional, Rempe, Katherine A., additional, Reyes, Melissa A., additional, Rice-Townsend, Samuel E., additional, Richards, Frank O., additional, Romero, José R., additional, Rosen, David A., additional, Rostad, Christina A., additional, Rours, G. Ingrid J.G., additional, Routh, Janell A., additional, Rowley, Anne H., additional, Rubin, Lorry G., additional, Ryan, Edward T., additional, Saiman, Lisa, additional, Sammons, Julia S., additional, Sass, Laura, additional, Sauberan, Jason B., additional, Schillie, Sarah, additional, Schulert, Grant S., additional, Schuster, Jennifer E., additional, Schwartz, Kevin L., additional, Sederdahl, Bethany K., additional, Serpa, Jose A., additional, Shah, Kara N., additional, Shah, Samir S., additional, Shane, Andi L., additional, Shapiro, Eugene D., additional, Shaw, Jana, additional, Shetty, Avinash K., additional, Dairiki, Linda M., additional, Siberry, George Kelly, additional, Siegel, Jane D., additional, Siegel, Robert David, additional, Simonsen, Kari A., additional, Singh, Nalini, additional, Singh, Upinder, additional, Smith, P. Brian, additional, Snyder, John D., additional, Song, Eunkyung, additional, Sorrell, Jennifer L., additional, Souder, Emily, additional, St. Geme, Joseph W., additional, Staat, Mary Allen, additional, Staples, J. Erin, additional, Starke, Jeffrey R., additional, Steinbach, William J., additional, Stensvold, Christen R., additional, Stoner, Bradley P., additional, Strikas, Raymond A., additional, Strober, Jonathan B., additional, Sue, Paul K., additional, Sutton, Deanna A., additional, Swanson, Douglas, additional, Tate, Jacqueline E., additional, Tebruegge, Marc, additional, Teshale, Eyasu H., additional, Thompson, Amelia B., additional, Thompson, George R., additional, Thompson-Stone, Robert, additional, Thomson, Richard B., additional, Thorell, Emily A., additional, Tobin, Nicole H., additional, Toltzis, Philip, additional, Treat, James, additional, Troy, Stephanie B., additional, Van, Russell B., additional, Vaz, Louise Elaine, additional, Vodzak, Jennifer, additional, Wald, Ellen R., additional, Wallihan, Rebecca, additional, Wangu, Zoon, additional, Washam, Matthew, additional, Watson, Joshua R., additional, Wattier, Rachel L., additional, Weinberg, Geoffrey A., additional, White, A. Clinton, additional, Wiesenfeld, Harold C., additional, Williams, John V., additional, Willoughby, Rodney E., additional, Wingerter, Sarah L., additional, Wittler, Robert R., additional, Wong, Karen K., additional, Workowski, Kimberly A., additional, Wright, Terry W., additional, Yagupsky, Pablo, additional, Yen, Catherine, additional, Yi, Jumi, additional, Yoder, Jonathan S., additional, Young, Edward J., additional, Zaenglein, Andrea L., additional, and Zimmerman, Kanecia, additional

Published
2018
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14. Decrease in Pediatric Invasive Pneumococcal Disease During the COVID-19 Pandemic.

Author

Sarmiento Clemente, Adriana, Sarmiento Clemente, Adriana, Kaplan, Sheldon L, Barson, William J, Lin, Philana Ling, Romero, José R, Bradley, John S, Tan, Tina Q, Pannaraj, Pia S, Givner, Laurence B, Hultén, Kristina G, Sarmiento Clemente, Adriana, Sarmiento Clemente, Adriana, Kaplan, Sheldon L, Barson, William J, Lin, Philana Ling, Romero, José R, Bradley, John S, Tan, Tina Q, Pannaraj, Pia S, Givner, Laurence B, and Hultén, Kristina G

Abstract

Measures to limit SARS-CoV-2 transmission in 2020 reduced other viral infections. Among 7 US children's hospitals, invasive pneumococcal disease cumulative incidence decreased by 46% in 2020 vs 2017-2019. Limited droplet transmission of pneumococci and preceding viral pathogens may be responsible.

Published
2022

16. Serotype 19A is the most common serotype causing invasive pneumococcal infections in children

Author

Kaplan, Sheldon L., Barson, William J., Lin, Philana L., Stovall, Stephanie H., Bradley, John S., Tan, Tina Q., Hoffman, Jill A., Givner, Laurence B., and Mason, Edward O., Jr.

Subjects
Pneumococcal infections -- Diagnosis, Pneumococcal infections -- Causes of, Pneumococcal infections -- Demographic aspects, Pneumococcal infections -- Research, Streptococcus pneumoniae -- Genetic aspects, Streptococcus pneumoniae -- Identification and classification, Pneumococcal vaccine -- Dosage and administration, Pneumococcal vaccine -- Research, Serology -- Research
Published
2010

18. Contributors

Author

Adderson, Elisabeth E., primary, Agarwal, Aarti, additional, Aldrovandi, Grace M., additional, Allen, Upton D., additional, Amieva, Manuel R., additional, Ampofo, Krow, additional, Anderson, Alicia D., additional, Anderson, Margot, additional, Arguin, Paul M., additional, Arnold, John C., additional, Arvin, Ann M., additional, Ashkenazi, Shai, additional, Baker, Carol J., additional, Barson, William J., additional, Bausch, Daniel G., additional, Bechtel, Kirsten, additional, Benjamin, Daniel K., additional, Berkowitz, Frank E., additional, Blythe, Margaret J., additional, Bocchini, Joseph A., additional, Boeckh, Michael, additional, Bowen, Anna, additional, Bowie, William R., additional, Boyce, Thomas G., additional, Bradley, John S., additional, Brady, Michael T., additional, Bratcher, Denise F., additional, Braverman, Paula K., additional, Hall, Caroline Breese, additional, Bresee, Joseph S., additional, Brook, Itzhak, additional, Bryant, Kristina, additional, Buescher, E. Stephen, additional, Burns, Jane L., additional, Burstein, Gale R., additional, Byington, Carrie L., additional, Byrd, Kathy K., additional, Cappello, Michael, additional, Carter, Bryan D., additional, Cartwright, Emily J., additional, Caserta, Mary T., additional, Cerini, Chiara, additional, Chadwick, Ellen Gould, additional, Cheesebrough, Beth, additional, Chesney, P. Joan, additional, Christenson, John C., additional, Cleary, Thomas G., additional, Coffin, Susan E., additional, Conklin, Laura M., additional, Conklin, Laurie S., additional, Connelly, Beverly L., additional, Contopoulos-Ioannidis, Despina, additional, Conway, James H., additional, Cortese, Margaret M., additional, Cotten, C. Michael, additional, Cox, Elaine, additional, Crockett, Maryanne E., additional, Crowe, James E., additional, Curtis, Nigel, additional, Cunningham, Dennis J., additional, Shortliffe, Linda Marie Dairiki, additional, Darville, Toni, additional, Dasch, Gregory A., additional, Daskalaki, Irini, additional, Daum, Robert S., additional, Dawood, Fatimah S., additional, Demmler, Gail J., additional, Despommier, Dickson D., additional, Diefenbach, Karen A., additional, Dvorak, Christopher C., additional, Edwards, Kathryn M., additional, Edwards, Morven S., additional, Eichenfield, Lawrence F., additional, Elston, Dirk M., additional, Englund, Janet A., additional, Erard, Veronique, additional, Eremeeva, Marina E., additional, Feingold, Anat R., additional, Finn, Adam, additional, Fiore, Anthony E., additional, Fischer, Marc, additional, Fitch, Sarah J., additional, Flynn, Patricia M., additional, Fox, LeAnne M., additional, Frank, Michael M., additional, Fredrick, Douglas R., additional, Friedlander, Sheila Fallon, additional, Gans, Hayley A., additional, Garcia, Carla G., additional, Garzon, Maria C., additional, Gerber, Jeffrey S., additional, Geschwind, Michael D., additional, Gieraltowski, Laura B., additional, Gigliotti, Francis, additional, Gilligan, Peter H., additional, Glaser, Carol, additional, Gold, Benjamin D., additional, Goldstein, Brahm, additional, Gould, Jane M., additional, Green, Michael, additional, Greenberg, David, additional, Griffin, Patricia M., additional, Grom, Alexei A., additional, Gutierrez, Kathleen, additional, Guzman-Cottrill, Judith A., additional, Hall, Aron J., additional, Harper, Marvin B., additional, Harrison, Christopher J., additional, Haslam, David B., additional, Hawkes, Sarah J., additional, Hayes, Edward B., additional, Hazra, Rohan, additional, Heilig, Sara Jane, additional, Hendley, J. Owen, additional, Henry, Marion C.W., additional, Hilinski, Joseph A., additional, Holmberg, Scott D., additional, Holtzman, Deborah, additional, Hotez, Peter J., additional, Hsu, Katherine K., additional, Hu, Dale J., additional, Hwang, Loris Y., additional, Hyun, David Y., additional, Jackson, Mary Anne, additional, Jacobs, Richard F., additional, Jones, Jeffrey L., additional, Kamili, Saleem, additional, Karlowicz, M. Gary, additional, Katz, Ben Z., additional, Kersh, Gilbert J., additional, Kester, Laura M., additional, Keystone, Jay S., additional, Kimberlin, David W., additional, Kleiman, Martin B., additional, Kline, Mark W., additional, Koh, Andrew Y., additional, Konstantopoulos, Andreas, additional, Koranyi, Katalin I., additional, Korgenski, E. Kent, additional, Kroger, Andrew T., additional, Krogstad, Paul, additional, Lauren, Christine T., additional, Lawrence, Hillary S., additional, Leibovitz, Eugene, additional, Levasseur, Stéphanie, additional, Lewis, David B., additional, Lieberman, Jay M., additional, Liu, Jen-Jane, additional, Livingston, Robyn A., additional, Llata, Eloisa, additional, Loharikar, Anagha R., additional, Long, Sarah S., additional, Lopman, Ben A., additional, Lorber, Bennett, additional, Low, Donald E., additional, Lucero, Yalda C., additional, Luján-Zilbermann, Jorge, additional, Luzuriaga, Katherine, additional, MacDonald, Noni E., additional, MacNeil, Adam, additional, Maldonado, Yvonne A., additional, Mani, Chitra S., additional, Marcon, Mario J., additional, Marshall, Gary S., additional, Martin, Stacey W., additional, Matiz, Catalina, additional, Mawle, Alison C., additional, Mazzulli, Tony, additional, McCracken, George H., additional, McDonald, Matthew B., additional, McGregor, Robert S., additional, McIntosh, Kenneth, additional, McMorrow, Meredith, additional, McNeil, Candice, additional, McQuiston, Jennifer H., additional, Meislich, Debrah, additional, Meissner, H. Cody, additional, Mejías, Asunción, additional, Menon, Manoj P., additional, Mertsola, Jussi, additional, Michaels, Marian G., additional, Miller, Melissa B., additional, Mintz, Eric D., additional, Modlin, John F., additional, Mohan, Parvathi, additional, Montgomery, Susan P., additional, Montoya, Jose G., additional, Moore, Zack S., additional, de la Morena, Maite, additional, Moro, Pedro L., additional, Moscicki, Anna-Barbara, additional, Moss, R. Lawrence, additional, Murphy, Trudy V., additional, Murray, Dennis L., additional, Myers, Angela L., additional, Nadel, Simon, additional, Nataro, James P., additional, Neely, Michael N., additional, Nicholson, William L., additional, Nizet, Victor, additional, Nopper, Amy Jo, additional, Norrby-Teglund, Anna, additional, Ochoa, Theresa J., additional, O’Ryan, Miguel, additional, Orenstein, Walter A., additional, Paddock, Christopher D., additional, Pappas, Diane E., additional, Pass, Robert F., additional, Patterson, Thomas F., additional, Pelton, Stephen I., additional, Pickering, Larry K., additional, Piggott, Caroline Diane Sarah, additional, Pizzo, Philip A., additional, Pollard, Andrew J., additional, Posfay-Barbe, Klara M., additional, Poutanen, Susan M., additional, Powell, Dwight A., additional, Prince, Alice S., additional, Prober, Charles G., additional, Ramilo, Octavio, additional, Rangel, Shawn J., additional, Rawstron, Sarah A., additional, Read, Jennifer S., additional, Reed, Michael D., additional, Regan, Joanna J., additional, Reller, Megan E., additional, Reyes, Melissa A., additional, Rice, Peter A., additional, Rice-Townsend, Samuel E., additional, Richards, Frank O., additional, Rodgers, Gail L., additional, Rollin, Pierre E., additional, Romero, José R., additional, Rours, G. Ingrid J.G., additional, Rowley, Anne H., additional, Roy, Sharon L., additional, Rubin, Lorry G., additional, Ruiz-Palacios, Guillermo M., additional, Saiman, Lisa, additional, Sass, Laura, additional, Sauberan, Jason B., additional, Schantz, Peter M., additional, Schneider, Eileen, additional, Schutze, Gordon E., additional, Schwartz, Benjamin, additional, Schwarzwald, Heidi, additional, Shah, Kara N., additional, Shah, Samir S., additional, Shane, Andi L., additional, Shapiro, Craig A., additional, Shapiro, Eugene D., additional, Sharapov, Umid M., additional, Shaw, Jana, additional, Siberry, George Kelly, additional, Siegel, Jane D., additional, Siegel, Robert David, additional, Singh, Nalini, additional, Singh, Upinder, additional, Smith, P. Brian, additional, Snyder, John D., additional, Soper, David E., additional, Staat, Mary Allen, additional, Staples, J. Erin, additional, Starke, Jeffrey R., additional, Steinbach, William J., additional, Stephens, Ina, additional, St. Geme, Joseph W., additional, Stoner, Bradley P., additional, Strober, Jonathan B., additional, Subbarao, Kanta, additional, Sutton, Deanna A., additional, Swanson, Douglas, additional, Takada, Leonel T., additional, Tate, Jacqueline E., additional, Tauxe, Robert V., additional, Tebruegge, Marc, additional, Teshale, Eyasu H., additional, Thompson, George R., additional, Thompson, Herbert A., additional, Thomson, Richard B., additional, Thorell, Emily A., additional, Tohme, Rania A., additional, Tolan, Robert W., additional, Toltzis, Philip, additional, Treat, James, additional, Troy, Stephanie B., additional, Van Dyke, Russell B., additional, Velarde, Jorge J., additional, Vodzak, Jennifer, additional, Wald, Ellen R., additional, Weinberg, Geoffrey A., additional, White, A. Clinton, additional, Widdowson, Marc-Alain, additional, Wiesenfeld, Harold C., additional, Williams, John V., additional, Williams, Roxanne E., additional, Willoughby, Rodney E., additional, Wilson, Craig M., additional, Wingerter, Sarah L., additional, Winkelstein, Jerry A., additional, Workowski, Kimberly A., additional, Wright, Terry W., additional, Yagupsky, Pablo, additional, Yazigi, Nada, additional, Yen, Catherine, additional, Young, Edward J., additional, Zaenglein, Andrea L., additional, and Zaoutis, Theoklis E., additional

Published
2012
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19. Pneumococcal endocarditis in children

Author

Givner, Laurence B., Mason, Edward O., Jr., Tan, Tina Q., Barson, William J., Schutze, Gordon E., Wald, Ellen R., Bradley, John S., Hoffman, Jill, Yogev, Ram, and Kaplan, Sheldon L.

Subjects
Pneumococcal infections -- Research, Streptococcus pneumoniae -- Risk factors, Streptococcus pneumoniae -- Research, Children -- Health aspects, Endocarditis -- Causes of, Endocarditis -- Research, Health, Health care industry
Published
2004

20. Decrease of invasive pneumococcal infections in children among 8 children's hospitals in the United States after the introduction of the 7-valent pneumococcal conjugate vaccine

Author

Kaplan, Sheldon L., Mason, Jr., Edward O., Wald, Ellen R., Schutze, Gordon E., Bradley, John S., Tan, Tina Q., Hoffman, Jill A., Givner, Laurence B., Yogev, Ram, and Barson, William J.

Abstract

In the United States, Streptococcus pneumoniae has long been the most common organism associated with bacteremia and bacterial pneumonia in children. It became the most common cause of bacterial meningitis [...], Objective. To monitor clinical and microbiologic features including antimicrobial susceptibility and serogroup distribution of invasive infections caused by Streptococcus pneumoniae among children before and after the introduction of routine administration of the 7-valent pneumococcal conjugate vaccine (PCV7). Design. A 9-year (January 1, 1994 through December 31, 2002) prospective surveillance study of all invasive pneumococcal infections in children. Patients. Infants and children cared for at 8 children's hospitals in the United States with culture-proven invasive infections caused by S pneumoniae. Results. When compared with the mean of the years 1994 to 2000, the annual number of invasive pneumococcal infections for children ≤ 24 months of age declined 58% in 2001 and 66% in 2002. If only the serogroups in the PCV7 are considered, the number of cases in children ≤ 24 months old declined 63% and 77% in 2001 and 2002, respectively. The greatest decrease was observed for serogroup-14 isolates. The number of isolates in nonvaccine serogroups increased 28% in 2001 and 66% in 2002 for children ≤ 24 months old. Nonvaccine serogroup-15 and -33 isolates had the greatest increase in number. The proportion of all isolates nonsusceptible to penicillin increased yearly from 1994 to 2000, reached a plateau in 2001 at 45%, and declined to 33% in 2002. Decrease in nonsusceptibility to penicillin occurred entirely in the isolates with penicillin minimum inhibitory concentration ≥ 2 µg/mL. Nonsusceptibility to penicillin increased slightly among nonvaccine-serotype isolates. Most infections after at least 2 doses of PCV7 were caused by nonvaccine-serotype isolates. Conclusions. Since the introduction of the PCV7, the number of invasive pneumococcal infections caused by vaccine-serogroup isolates among 8 US children's hospitals has decreased >75% among children ≤ 24 months old. In addition, penicillin resistance decreased in 2002 for the first time since our surveillance began in 1993-1994. However, we have noted that replacement may be developing with serogroups 15 and 33. Furthermore, penicillin resistance seems to be increasing among nonvaccine serogroups. Surveillance must be continued to detect the emergence of changes in the distribution of serotypes as well as antibiotic susceptibility. Pediatrics 2004;113:443-449; Streptococcus pneumoniae, conjugate vaccine, surveillance. ABBREVIATIONS. PCV7, 7-valent pneumococcal conjugate vaccine; CDC, Centers for Disease Control and Prevention; ABC, Active Bacterial Core; HIV, human immunodeficiency virus.

Published
2004

21. Streptococcus pneumoniae infections in the neonate

Author

Hoffman, Jill A., Mason, Edward O., Schutze, Gordon E., Tan, Tina Q., Barson, William J., Givner, Laurence B., Wald, Ellen R., Bradley, John S., Yogev, Ram, and Kaplan, Sheldon L.

Abstract

ABBREVIATIONS. PCV7, heptavalent pneumococcal conjugate vaccine; SPIN, Streptococcus pneumoniae infections in the neonate; GBS, group B Streptococcus; PROM, prolonged rupture of membranes; GA, gestational age; LBW, low birth weight; S, [...], Objective. Streptococcus pneumoniae infections in the neonate (SPIN) are relatively unusual events (1%-11% of neonatal sepsis) but are associated with substantial morbidity and mortality. Previous reports suggest that invasive SPIN is associated with prolonged rupture of membranes, maternal colonization/illness, prematurity, early-onset pneumonia presentation ( Methods. The US Pediatric Multicenter Pneumococcal Surveillance Group has been prospectively monitoring S pneumoniae infections since 1993 in 8 children's hospitals. For this report, data were gathered retrospectively from the charts of neonates who were 30 days of age and younger and had SPIN from September 1993 to February 2001. All pneumococcal isolates were sent to a central laboratory for serogrouping/typing and susceptibility testing. Results. Twenty-nine cases of SPIN were identified from a total of 4428 episodes of S pneumoniae infection in children. Sixty-six percent were male, and 55% were white; the mean age was 18.1 day (± 8.2). Ninety percent of infants were ≥ 38 weeks' gestation. Two mothers had bacterial infections at delivery; 1 had S pneumoniae isolated from both blood and cervix, and 1 had clinical amnionitis. The primary diagnoses in the neonates were bacteremia (8), meningitis (8), bacteremic pneumonia (4), septic arthritis/osteomyelitis (1), and otitis media (8). Thirty percent of infants with invasive SPIN presented with leukopenia/neutropenia, but this did not predict poor outcome. The infecting pneumococcal serogroups were 19 (32%); 9 (18%); 3 and 18 (11% each); 1, 6, and 14 (7% each); and 5 and 12 (3.5% each). Twenty-six percent of invasive neonatal infections were caused by serogroups 1, 3, 5, and 12, which are not contained in the heptavalent pneumococcal vaccine. In contrast, 6% of invasive nonneonatal disease was caused by these same nonvaccine serogroups. Susceptibility testing demonstrated that 21.4% of isolates were penicillin nonsusceptible and 3.6% were ceftriaxone nonsusceptible. Three (14.3%) neonates with invasive SPIN died; all deaths occurred within 36 hours of presentation. Deaths did not appear to be related to pneumococcal serogroup or susceptibilities. Conclusions. Compared with previous studies of neonates with pneumococcal infection, this series showed that infants with SPIN were usually 2 to 3 weeks of age at presentation; likely to be full term; and ill with pneumonia, meningitis, and otitis media. This late-onset presentation was associated with an overall mortality rate of 10.3% (14.3% for invasive disease). Pediatrics 2003;112: 1095-1102; Streptococcus pneumoniae, neonates, risk factors.

Published
2003

22. Clinical characteristics of children with complicated pneumonia caused by Streptococcus pneumoniae

Author

Tan, Tina Q., Mason, Jr, Edward O., Wald, Ellen R., Barson, William J., Schutze, Gordon E., Bradley, John S., Givner, Laurence B., Yogev, Ram, Kim, Kwang Sik, and Kaplan, Sheldon L.

Subjects
Health aspects, Streptococcus pneumoniae -- Health aspects, Pneumococcal pneumonia -- Health aspects, Pneumonia, Pneumococcal -- Health aspects
Abstract

Streptococcus pneumoniae is the most common bacterial pathogen that causes community-acquired pneumonia in both adults and children, accounting for an estimated 550 000 cases of pneumonia each year. (1-3) During [...], Objective. The frequency of children who are hospitalized with pneumococcal pneumonia complicated by necrosis, empyema/complicated parapneumonic effusion, and lung abscess seems to be increasing. The factors that contribute to this increase are unclear; therefore, the objective of this study was to describe and compare the relative frequency, clinical characteristics, and outcome of hospitalized children with complicated pneumonia with those of children with uncomplicated pneumonia caused by Streptococcus pneumoniae in the era of antibiotic resistance. Methods. A multicenter, retrospective study of 8 children's hospitals in the United States was undertaken. A total of 368 children who were hospitalized with pneumococcal pneumonia identified from patients enrolled in the US Pediatric Multicenter Pneumococcal Surveillance Study over the period from September 1, 1993, to January 31, 2000 were studied. Demographic and clinical variables, antibiotic susceptibility, pneumococcal serotypes, antimicrobial therapy, and clinical outcome in hospitalized children with complicated versus uncomplicated pneumococcal pneumonia were measured. Results. A total of 368 patients with pneumococcal pneumonia were identified. Of the 368 isolates, 47 (12.8%) were intermediate and 37 (10.1%) were resistant to penicillin; 18 (5%) were intermediate to ceftriaxone, and 9 (2.5%) were resistant to ceftriaxone. A total of 133 patients met the criteria for complicated pneumonia and had a chest tube placed; 56 of these patients subsequently underwent decortication. The proportion of hospitalized patients with complicated pneumococcal pneumonia increased progressively over the study period from 22.6% in 1994 to 53% in 1999. Patients with complicated disease were older (median age: 45 vs 27 months) and significantly more likely to be of white race and have chest pain on presentation compared with patients with uncomplicated disease. Patients who had complicated disease and underwent decortication were more likely to have pleural fluid lactate dehydrogenase levels of >7500 IU/L compared with those patients who had chest tube placement alone. Fifty-three percent of children who were ≥ 61 months of age and were hospitalized had complicated pneumonia. This group of children accounted overall for 42% of the patients with complicated pneumonia, 48.2% of the patients who subsequently underwent decortication, and 44% of the patients who had received a course of antibiotics before diagnosis. Pneumococcal serotypes 1, 6, 14, and 19 were the most prevalent serotypes causing disease, with serotype 1 causing 24.4% of the complicated cases versus 3.6% of the uncomplicated cases. Ninety-eight percent of the patients in both groups recovered from their pneumonia. Antibiotic resistance was not found to be more prevalent in those patients with complicated disease. Conclusions. The relative frequency of complicated disease in hospitalized children with pneumococcal pneumonia is increasing. Patients with complicated pneumococcal disease were older and significantly more likely to be of white race compared with those patients with uncomplicated disease. Pneumococcal serotype 1 caused significantly more disease in patients with complicated versus uncomplicated pneumonia. Patients with complicated disease were not more likely to be infected with an antibiotic-resistant isolate. Pediatrics 2002;110: 1-6; pneumococcal pneumonia, complicated pneumonia, pediatrics.

Published
2002

25. Contributors

Author

Adderson, Elisabeth E., primary, Adler-Shohet, Felice C., additional, Amieva, Manuel R., additional, Armstrong, Gregory L., additional, Arvelo, Wences, additional, Arvin, Ann M., additional, Asher, David M., additional, Ashkenazi, Shai, additional, Ault, Kevin A., additional, Baker, Carol J., additional, Barson, William J., additional, Bell, Beth P., additional, Bell, Michael J., additional, Benjamin, Daniel K., additional, Bialek, Stephanie R., additional, Blythe, Margaret J., additional, Bocchini, Joseph A., additional, Boeckh, Michael, additional, Bower, William A., additional, Boyer, Kenneth M., additional, Braden, Christopher R., additional, Bradley, John S., additional, Brady, Michael T., additional, Bratcher, Denise, additional, Braverman, Paula K., additional, Bresee, Joseph S., additional, Brook, Itzhak, additional, Brown, Kevin E., additional, Browning, John C., additional, Buckingham, Steven C., additional, Buescher, E. Stephen, additional, Burns, Jane L., additional, Cappello, Michael, additional, Carter, Bryan D., additional, Chadwick, Ellen Gould, additional, Chesney, Patricia Joan, additional, Childs, James E., additional, Christenson, John C., additional, Cleary, Thomas G., additional, Coffin, Susan E., additional, Connelly, Beverly L., additional, Cotton, C. Michael, additional, Cox, Elaine, additional, Cramer, Robert Andrew, additional, Crockett, Maryanne E., additional, Crowe, James E., additional, Cunningham, Dennis J., additional, Darville, Toni, additional, Dasch, Gregory A., additional, Daum, Robert S., additional, de la Morena, Maite, additional, Demmler, Gail J., additional, Despommier, Dickson D., additional, Diefenbach, Karen A., additional, Dominguez, Elidia, additional, Downs, Stephen M., additional, Dvorak, Christopher C., additional, Edwards, Kathryn, additional, Edwards, Morven S., additional, Englund, Janet A., additional, Erard, Véronique, additional, Eremeeva, Marina E., additional, Finelli, Lyn, additional, Finn, Adam, additional, Fiore, Anthony E., additional, Fischer, Marc, additional, Fitch, Sarah J., additional, Flynn, Patricia M., additional, Fortenberry, J. Dennis, additional, Fox, LeAnne M., additional, Freedman, David O., additional, Gans, Hayley A., additional, Gerber, Michael A., additional, Gigliotti, Francis, additional, Gilligan, Peter, additional, Gold, Benjamin D., additional, Goldman, David L., additional, Goldstein, Brahm, additional, Goldstein, Susan T., additional, Gould, Jane M., additional, Green, Michael, additional, Greene, Sharon K., additional, Greenwald, Mark J., additional, Grom, Alexei A., additional, Grossman, Leigh B., additional, Guerra, Marta A., additional, Gutierrez, Kathleen, additional, Guzman-Cottrill, Judith A., additional, Hall, Caroline Breese, additional, Harper, Marvin B., additional, Haslam, David B., additional, Hayes, Edward B., additional, Hendley, J. Owen, additional, Henrickson, Kelly J., additional, Henry, Marion C.W., additional, Hilinski, Joseph A., additional, Hotez, Peter J., additional, Ingram, David L., additional, Jackson, Mary Anne, additional, Jacobs, Richard F., additional, Karlowicz, M. Gary, additional, Katz, Ben Z., additional, Keystone, Jay S., additional, Kimberlin, David W., additional, Kleiman, Martin B., additional, Klein, Jerome O., additional, Kline, Mark W., additional, Koh, Andrew Y., additional, Koranyi, Katalin I., additional, Korgenski, E. Kent, additional, Leggiadro, Robert J., additional, Levy, Moise L., additional, Lewis, David B., additional, Lieberman, Jay M., additional, Limaye, Abhijit, additional, Lohr, Jacob A., additional, Lorber, Bennett, additional, Long, Sarah S., additional, Low, Donald E., additional, Lowell, Gina, additional, Lowenthal, Elizabeth, additional, Lujan-Zilbermann, Jorge, additional, Luzuriaga, Katherine, additional, MacDonald, Noni E., additional, Maldonado, Yvonne A., additional, Mani, Chitra S., additional, Marcinak, John F., additional, Marcon, Mario J., additional, Marshall, Gary S., additional, Martin, Stacey W., additional, Massung, Robert F., additional, Mast, Eric E., additional, Mazzulli, Tony, additional, McCracken, George H., additional, McGregor, Robert S., additional, McIntosh, Kenneth, additional, McLean, Catherine A., additional, McLeod, Rima, additional, McMillan, Julia A., additional, McQuiston, Jennifer H., additional, Meissner, H. Cody, additional, Menon, Manoj P., additional, Michaels, Marian G., additional, Miller, Melissa B., additional, Millon, Juan Carlos, additional, Modlin, John F., additional, Moore, Matthew R., additional, Moore, Zack S., additional, Moran, Mary M., additional, Moro, Pedro L., additional, Moss, R. Lawrence, additional, Murray, Dennis L., additional, Nadel, Simon, additional, Nataro, James P., additional, Neely, Michael N., additional, Nizet, Victor, additional, Norrby-Teglund, Anna, additional, Nyquist, Ann-Christine, additional, Ochoa, Theresa J., additional, O'Hara, Sara M., additional, Orenstein, Walter A., additional, Ortega-Barria, Eduardo, additional, Overturf, Gary D., additional, Paddock, Christopher D., additional, Painter, John A., additional, Pappas, Diane E., additional, Parise, Monica E., additional, Pass, Robert F., additional, Patterson, Thomas F., additional, Pavia, Andrew T., additional, Pelton, Stephen I., additional, Peter, Georges, additional, Peters, Timothy R., additional, Petri, William A., additional, Pickering, Larry K., additional, Pizzo, Philip A., additional, Pollard, Andrew J., additional, Poutanen, Susan M., additional, Powell, Dwight A., additional, Prince, Alice S., additional, Prober, Charles G., additional, Rangel, Shawn J., additional, Rawstron, Sarah Anne, additional, Reed, Michael D., additional, Reller, Megan E., additional, Richards, Frank O., additional, Rodgers, Gail L., additional, Romero, Luz I., additional, Rotbart, Harley A., additional, Rowley, Anne H., additional, Rubin, Lorry G., additional, Ruiz-Palacios, Guillermo M., additional, Sáez-Llorens, Xavier, additional, Saiman, Lisa, additional, Sauberan, Jason B., additional, Sawyer, Mark H., additional, Schantz, Peter M., additional, Schlager, Theresa A., additional, Schutze, Gordon E., additional, Schwartz, Benjamin, additional, Schwartz, Richard H., additional, Schwarzwald, Heidi, additional, Shah, Samir S., additional, Shane, Andi L., additional, Shapiro, Eugene D., additional, Shetty, Avinash K., additional, Siegel, Jane D., additional, Siegel, Robert D., additional, Sipe, Walter E.B., additional, Skarbinski, Jacek, additional, Smith, P. Brian, additional, Snyder, John D., additional, Solaymani-Mohammadi, Shahram, additional, Staat, Mary Allen, additional, Starke, Jeffrey R., additional, Steinbach, William J., additional, Stephens, Ina, additional, St. Geme, Joseph W., additional, Subbarao, Kanta, additional, Sullivan, John L., additional, Sutton, Deanna A., additional, Sutton, Madeline Y., additional, Swerdlow, David L., additional, Tauxe, Robert V., additional, Thompson, Herbert A., additional, Thomson, Richard B., additional, Thorell, Emily A., additional, Todd, James K., additional, Toltzis, Philip, additional, Tsai, Theodore F., additional, Wald, Ellen R., additional, Wallace, Richard J., additional, Weinberg, Geoffrey A., additional, Weiss, Avery H., additional, White, A. Clinton, additional, Widdowson, Marc-Alain, additional, Williams, Ian T., additional, Williams, John V., additional, Willoughby, Rodney E., additional, Wilson, Craig M., additional, Winkelstein, Jerry A., additional, Workowski, Kimberly, additional, Wright, Terry W., additional, Yazigi, Nada, additional, Yogev, Ram, additional, Young, Edward J., additional, and Zaoutis, Theoklis E., additional

Published
2008
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29. Pediatric pneumococcal bone and joint infections

Author

Bradley, John S., Kaplan, Sheldon L., Tan, Tina Q., Barson, William J., Arditi, Moshe, Schutze, Gordon E., Wald, Ellen R., Givner, Laurence B., and Mason, Edward O.

Subjects
Care and treatment, Complications and side effects, Development and progression, Risk factors, Infectious bone diseases -- Risk factors -- Development and progression -- Care and treatment, Pediatric diseases -- Risk factors -- Development and progression -- Care and treatment, Pneumococcal pneumonia -- Complications and side effects, Children -- Diseases, Pneumonia, Pneumococcal -- Complications and side effects
Abstract

ABSTRACT. Objective. To describe the clinical and microbiological characteristics of infants and children with bone and joint infections caused by penicillin-susceptible and penicillin-nonsusceptible strains of Streptococcus pneumoniae. Design. Multicenter, prospective [...]

Published
1998

30. Clinical characteristics and outcome of children with pneumonia attributable to penicillin-susceptible and penicillin-nonsusceptible Streptococcus pneumoniae

Author

Tan, Tina Q., Mason, Jr., Edward O., Barson, William J., Wald, Ellen R., Schutze, Gordon E., Bradley, John S., Arditi, Moshe, Givner, Laurence B., Yogev, Ram, Kim, Kwang Sik, and Kaplan, Sheldon L.

Subjects
Care and treatment, Patient outcomes, Childhood pneumonia -- Patient outcomes -- Care and treatment, Pneumonia in children -- Patient outcomes -- Care and treatment
Abstract

ABSTRACT. Objective. To compare the clinical characteristics, treatment, and outcome of pediatric patients with pneumonia attributable to isolates of Streptococcus pneumoniae that were either susceptible or nonsusceptible to penicillin. Design. [...]

Published
1998

31. Three-year multicenter surveillance of pneumococcal meningitis in children: clinical characteristics, and outcome related to penicillin susceptibility and dexamethasone use

Author

Arditi, Moshe, Mason, Jr., Edward O., Bradley, John S., Tan, Tina Q., Barson, William J., Schutze, Gordon E., Wald, Ellen R., Givner, Laurence B., Kim, Kwang Sik, Yogev, Ram, and Kaplan, Sheldon L.

Subjects
Drug therapy, Evaluation, Complications and side effects, Analysis, Ceftriaxone -- Evaluation -- Complications and side effects -- Analysis, Penicillins -- Evaluation -- Complications and side effects -- Analysis, Pediatric diseases -- Drug therapy -- Complications and side effects -- Analysis, Meningitis -- Drug therapy -- Complications and side effects -- Analysis, Microbial drug resistance -- Analysis -- Complications and side effects -- Drug therapy, Dexamethasone -- Complications and side effects -- Evaluation -- Analysis, Children -- Diseases, Drug resistance in microorganisms -- Analysis -- Complications and side effects -- Drug therapy, Penicillin -- Evaluation -- Complications and side effects -- Analysis, Ceftriaxone sodium -- Evaluation -- Complications and side effects -- Analysis
Abstract

ABBREVIATIONS. CSF, cerebrospinal fluid; Hib, Haemophilus influenzae type b; MIC, minimum inhibitory concentration; COID, AAP Committee on Infectious Diseases; CNS, central nervous system. Meningitis caused by Streptococcus pneumoniae is associated [...]

Published
1998

32. Three-year multicenter surveillance of systemic pneumococcal infections in children

Author

Kaplan, Sheldon L., Mason, Jr., Edward O., Barson, William J., Wald, Ellen R., Arditi, Moshe, Tan, Tina Q., Schutze, Gordon E., Bradley, John S., Givner, Laurence B., Kim, Kwang Sik, and Yogev, Ram

Subjects
Drug therapy, Statistics, Streptococcus pneumoniae -- Statistics, Streptococcal infections -- Drug therapy, Microbial drug resistance -- Statistics -- Drug therapy, Drug resistance in microorganisms -- Statistics -- Drug therapy
Abstract

ABBREVIATIONS. MIC, minimal inhibitory concentration; CSF, cerebrospinal fluid; CDC, Centers for Disease Control and Prevention. During the past several years in the United States, as well as worldwide, isolates of [...]

Published
1998

33. Dexamethasone therapy for children with bacterial meningitis

Author

Wald, Ellen R., Kaplan, Sheldon L., Mason, Edward O., Jr., Sabo, Diane, Ross, Lawrence, Arditi, Moshe, Wiedermann, Bernhard L., Barson, William, Kim, Kwang Sik, Yogev, Ram, and Hofkosh, Dena

Subjects
Meningitis -- Drug therapy, Dexamethasone -- Evaluation
Abstract

Dexamethasone does not appear to be effective in preventing neurological complications or hearing impairment in children with bacterial meningitis. Dexamethasone is a corticosteroid that works as an anti-inflammatory. A total of 143 children between eight weeks and 12 years old with bacterial meningitis were treated and evaluated. All children received the antibiotic ceftriaxone. Sixty-nine of the children also received four days of treatment with 0.15 milligrams of dexamethasone per kilogram of weight every six hours. Neurological and hearing exams were performed within 24 hours of admission and again at six weeks and one year after discharge. Twenty-two children had moderate-to-severe hearing loss in both ears at the time of the first exam. There was no significant difference in the number of children with hearing impairment between the dexamethasone-treated and the antibiotic-only treated children. There was also no significant difference in neurologic complications between the two groups., Objective. To determine whether treatment with dexamethasone and ceftriaxone for children with bacterial meningitis reduces the frequency of either sensorineural hearing loss or other neurologic sequelae. Design. This was a prospective, multicentered, placebo-controlled clinical trial. Subjects were followed for 1 year. Setting. The study was conducted in six children's hospitals located in Pittsburgh, Houston, Los Angeles, Chicago, Washington, D.C., and Columbus, Ohio. Patients. Enrolled were 173 children, 8 weeks to 12 years of age, with suspected bacterial meningitis; 143 children were evaluable. Eighty-seven percent of patients were followed for at least 6 weeks to 3 months, and 67% were followed for 1 year. Interventions. Subjects were randomized to receive ceftriaxone with or without dexamethasone (0.15 mg/kg every 6 hours for 4 days). Auditory brainstem responses (ABR) were measured within 24 hours of admission. Main outcome measures. Hearing, development, and neurologic sequelae were assessed at the time of discharge and 6 weeks and 1 year later. Main results. One hundred forty-three patients (69 received dexamethasone and 74 received placebo) with bacterial meningitis were evaluable: Haemophilus influenzae type b (83), Streptococcus pneumoniae (33), Neisseria meningitidis (24), and three others. Overall, there was no significant difference in auditory outcome between dexamethasone and placebo recipients. Twenty-two children had bilateral moderate or more severe hearing loss at the time of the first ABR. At follow-up, the resolution of hearing impairment was nearly identical for each group. Nine of ten children who remained persistently deaf were deaf at the time of the first ABR. There were no differences in neurologic or developmental outcome between groups. Conclusion. All but one child with persistent bilateral moderate or more severe hearing loss had demonstrable deafness at the time of the first ABR. Dexamethasone did not significantly improve audiologic, neurologic, or developmental outcome in children with bacterial meningitis. Pediatrics 1995;95:21-28; bacterial meningitis, steroids, dexamethasone, Haemophilus influenzae.

Published
1995

34. Pneumococcal Facial Cellulitis in Children

Author

Givner, Laurence B., Mason, Edward O., Jr, Barson, William J., Tan, Tina Q., Wald, Ellen R., Schutze, Gordon E., Kim, Kwang Sik, Bradley, John S., Yogev, Ram, and Kaplan, Sheldon L.

Published
2000

35. Pneumococcal Mastoiditis in Children

Author

Kaplan, Sheldon L., Mason, Edward O., Jr, Wald, Ellen R., Kim, Kwang Sik, Givner, Laurence B., Bradley, John S., Barson, William J., Tan, Tina Q., Schutze, Gordon E., and Yogev, Ram

Published
2000

43. Invasive Serotype 35B Pneumococci Including an Expanding Serotype Switch Lineage

Author

Olarte, Liset, Kaplan, Sheldon L., Barson, William J., Romero, Jose R., Lin, Philana Ling, Tan, Tina Q., Hoffman, Jill A., Bradley, John S., Givner, Laurence B., Mason, Edward O., and Hulten, Kristina G.

Abstract

To the Editor: We read with interest the article by Chochua et al. from the Centers for Disease Control and Prevention (1). We appreciate that the authors cited our recent [...]

Published
2018

44. Invasive Pneumococcal Disease in Infants Aged 0–60 Days in the United States in the 13-Valent Pneumococcal Conjugate Vaccine Era

Author

Olarte, Liset, primary, Barson, William J, additional, Bradley, John S, additional, Tan, Tina Q, additional, Lin, Philana Ling, additional, Romero, José R, additional, Givner, Laurence B, additional, Hoffman, Jill A, additional, Hultén, Kristina G, additional, Mason, Edward O, additional, and Kaplan, Sheldon L, additional

Published
2017
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46. Pneumococcal Infections in Children after Transplantation

Author

Schutze, Gordon E., Mason Jr., Edward O., Wald, Ellen R., Barson, William J., Bradley, John S., Tan, Tina Q., Kim, Kwang Sik, Givner, Laurence B., Yogev, Ram, and Kaplan, Sheldon L.

Subjects
Organ transplant recipients -- Diseases, Pneumococcal infections -- Causes of, Transplantation of organs, tissues, etc. -- Health aspects, Health, Health care industry
Published
2001

48. Invasive pneumococcal infections in children following transplantation in the pneumococcal conjugate vaccine era

Author

Olarte, Liset, primary, Lin, Philana Ling, additional, Barson, William J., additional, Romero, Jose R., additional, Tan, Tina Q., additional, Givner, Laurence B., additional, Hoffman, Jill A., additional, Bradley, John S., additional, Hultén, Kristina G., additional, Mason, Edward O., additional, and Kaplan, Sheldon L., additional

Published
2016
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49. Invasive Pneumococcal Disease in Infants Aged 0–60 Days in the United States in the 13-Valent Pneumococcal Conjugate Vaccine Era.

Author

Olarte, Liset, Barson, William J, Bradley, John S, Tan, Tina Q, Lin, Philana Ling, Romero, José R, Givner, Laurence B, Hoffman, Jill A, Hultén, Kristina G, and Mason, Edward O

Subjects
*CHILDREN'S hospitals, *PNEUMOCOCCAL vaccines, *STREPTOCOCCAL diseases, *SEROTYPES, *CHILDREN
Abstract

We identified 53 infants aged 0–60 days with invasive pneumococcal disease (IPD) at 8 children’s hospitals in the United States (2005–2015). After the introduction of 13-valent pneumococcal conjugate vaccine (PCV13), IPD caused by PCV13 serotypes decreased ~30% providing some evidence of indirect protection. However, approximately 60% of IPD was still caused by PCV13 serotypes. [ABSTRACT FROM AUTHOR]

Published
2018
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