1. Incidence of paediatric pneumococcal meningitis and emergence of new serotypes: a time-series analysis of a 16-year French national survey
- Author
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Severine Haouisee, Sandrine Anne Martha, Elodie Blondel, Maxime Thouvenin, Fouad Madhi, Guilaine Barnaud, Sylvie Charachon, Jérémie Violette, Chrystèle Fabbro, Hubert Ythier, Marie Pierre Fos, Emmanuelle Varon, Danielle Roybet, Grégory Dubourg, Olivier Guilluy, Jean Marc Schneider, Stéphane Bonacorsi, Abdelmalek Belgaid, Anne Laure Roux, Alain Goudeau, Stéphane Dauger, Valérie Biran, Olivier Moquet, Anne Gougeon Jollivet, Alain Martinot, Bertrand Chevallier, Chantal Chaplain, Claude Bosi, Josette Jehan, Caroline Garandeau, Karen Milcent, Claire Plassart, Nicolas Kalach, Valérie Sivadon-Tardy, Pascal Bolot, Françoise Evreux, Ellia Mezgueldi, Mireille Cheron, Marie Françoise Prere, Nawal Nicola, Jacques Brouard, Ralph Epaud, Agnès Ferroni, Eric Moulene, Emmanuelle Dessioux, Sylvia Akitani, Aurélia Pitsch, Cyril Morisot, Danielle Landragin, Eterne Twizeyimana, François Angoulvant, Jean Sarlangue, Isabelle Glatz, Caroline Guyot, Anne Bertrou, Anne Chace, Stéphanie Honore Bouakline, Delphine Desbois, Philippe Labrune, Didier Moissenet, Sophie Boyer, Alain Barrans, Leila Lafendi, Françoise Cascarigny, Nathalie Bednarek, Albert Faye, Ahmed Sadik, Valérie Marcou, Daniele De Luca, Etienne Javouhey, Véronqiue Vernet-Garnier, Florence Doucet-Populaire, Josette Raymond, Leatitia Pantalone, Célestin M’Bamba, Jean Marc Chamouilli, Katherine Dieckmann, Mariane Marin, Philippe Lehours, Mathie Lorrot, Didier Pinquier, Hélène Garrec, Christian Herve, Martin Chalumeau, Naim Ouldali, François Gouraud, Marc Le Bideau, Laurence Eitenschenck, Emmanuel Grimprel, Hélène Biessy, Valérie Macchi, Véronique Duval, Ilhem Agha-Mir, Hakim Lahrach, H. Haas, Pierre Lureau, Farida Hamdad, Marie Hélène Pierre, Florent Girard, Valérie Asensio, Romain Basmaci, Marlène Amara, Maité Micaelo, Patricia Roussellier, Brigitte Zimmermann, Nathalie Hubert, Julie Toubiana, Mohamed Amine Yangui, Sylvie Ledru, Fréderic Tronc, Corinne Levy, Jean Gaschignard, Alain Goux, Catherine Glastre, Pierre Patoz, Francis Chomienne, Bernadette Cartier-Riviere, Stéphanie Eyssette-Gayraud, Robert M. Cohen, Rodrigue Dessein, Nicolas Soustelle, Anna Grando, Didier Jan, François Dubos, Huong Porcheret, Isabelle Savoy, Fanny Autret, Marie Noelle Adam, Marie Josée Dufour, Anne Charbonneau, Olivier Lemenand, Anne Dao-Dubremetz, Agnes Rey, Anne Cécile Hochart, Guillaume Arlet, Véronique Despert, Didier Eyer, Fabrice Lapeyre, Nevena Danekova, Olivier Sebag, Ali Khalfi, Emmanuel Jeannot, Joël Gaudelus, Marie Aliette Dommergues, Frédéric Wallet, Elodie Dorangeon, Christine Vervel, Marie Emmanuelle Juvin, Gery Courouble, Gael Guyon, Florence Richardin, Marion Decobert, Laurent Geniez, Nejib Lejri, Stéphane Béchet, Katia Barsotti, Christian Cattoen, Julien Baleine, Pierre Goumy, Laure Warin, Serge Gallet, Anthony Texier, Delphine Minette Brunel, Rachel Heyman Guenais, Grégoire Benoist, Béatrice Pellegrino, Muriel Halna, Vincent Laugel, André De Briel, Norbert Laisney, A. Vachée, Christophe De Champs, Patrick Daoud, Isabelle Haegy-Doehring, Jean-Philippe Lavigne, Simone Saumureau, Delphine Penel-Capelle, Véronique Blanc, Abdelaziz Oulepsir, Elise Launay, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Groupe de Pathologie Infectieuse Pédiatrique [Paris] (GPIP), Société Française de Pédiatrie (SFP), Urgences pédiatriques, Hôpital Necker Enfants Malades, Université Paris Descartes, Paris, France, parent, Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE UMR T9405), Université Claude Bernard Lyon 1 (UCBL), and Université de Lyon-Université de Lyon-Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR)
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Male ,Serotype ,Pediatrics ,medicine.medical_specialty ,Future studies ,Adolescent ,Population ,Serogroup ,03 medical and health sciences ,0302 clinical medicine ,030225 pediatrics ,medicine ,Humans ,030212 general & internal medicine ,Child ,education ,book ,Prospective survey ,National health ,education.field_of_study ,Meningitis, Pneumococcal ,business.industry ,Incidence ,Incidence (epidemiology) ,Streptococcal Vaccines ,Infant, Newborn ,Infant ,PNEUMOCOCCAL MENINGITIS ,medicine.disease ,Health Surveys ,3. Good health ,Streptococcus pneumoniae ,Infectious Diseases ,Child, Preschool ,Pediatric Infectious Disease ,book.journal ,Female ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,France ,business ,Meningitis ,Forecasting - Abstract
Successive implementation of seven-valent then 13-valent pneumococcal conjugate vaccines (PCVs) led to a marked decrease in pneumococcal disease burden, including pneumococcal meningitis. We assessed the long-term effect of implementation of PCVs on incidence of pneumococcal meningitis in children in France over a 16-year period.We did a quasi-experimental, population-based interrupted time-series analysis with a nationwide prospective survey over 16 years in France, recruiting children aged younger than 15 years from 227 paediatric wards from January, 2001, to December, 2016. The main outcome by the time-series model was the estimated incidence of pneumococcal meningitis per 100 000 children (of a population of 12·6 million children in 2017) before and after PCV7 and PCV13 implementation. The time-series model was based on segmented regression with autoregressive error.We enrolled 1778 children with pneumococcal meningitis. PCV13 implementation led to a significant reduction in monthly incidence of pneumococcal meningitis from 0·12 per 100 000 children before PCV13 to a nadir of 0·07 in December, 2014 (-38%, 95% CI -56·1 to -20·4; p0·0001). A sharp increase occurred during 2015 and 2016, (+2·3% per month, incidence of 0·13 per 100 000 children at the end of the study period, p=0·0002), mainly related to an increase of serotype 24F, which was frequently penicillin resistant.The early effect of PCV13 implementation greatly reduced the incidence of pneumococcal meningitis in children less than 15 years old. However, a sharp rebound in incidence linked to the emergence of serotype 24F compromised the long-term PCV efficacy. If confirmed in future studies and in other countries, pneumococcal meningitis incidence rebound and 24F emergence should be considered when developing next-generation PCVs.The French Pediatric Infectious Diseases Group, Association Clinique et Thérapeutique Infantile du Val de Marne, Pfizer, and for the National Reference Centre for Pneumococci, the French National Health Agency.
- Published
- 2018
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