Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10454
Title: Paediatric invasive Haemophilus influenzae in Queensland, Australia, 2002-2011: Young Indigenous children remain at highest risk.
Authors: Cleland, Gavin
Leung, Clare
Wan Sai Cheong, Jenny
Francis, Joshua
Heney, Claire
Nourse, Clare
Affiliation: Department of Paediatrics, Western Australian Country Health Service, Kimberley Region, Western Australia, Australia.. University of Western Australia, Perth, Western Australia, Australia..
Infection Management and Prevention Service, Lady Cilento Children's Hospital, Queensland, Australia.. University of Queensland, Brisbane, Queensland, Australia..
University of Queensland, Brisbane, Queensland, Australia.. Pathology Queensland, Brisbane, Queensland, Australia..
Department of Paediatrics, Royal Darwin Hospital, Australia.. Northern Territory Medical Program, Flinders University, Australia.. Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia..
Pathology Queensland, Brisbane, Queensland, Australia..
Infection Management and Prevention Service, Lady Cilento Children's Hospital, Queensland, Australia.. University of Queensland, Brisbane, Queensland, Australia..
Issue Date: Jan-2018
Citation: Journal of paediatrics and child health 2018-01; 54(1): 36-41
Abstract: Haemophilus influenzae continues to cause invasive disease in children despite widespread Hib immunisation. The significance of non-B serotypes continues to be investigated, with evidence of increased invasive non-typeable H. influenzae (NTHi) world-wide. The aim of this study was to examine the current epidemiological and clinical features of invasive H. influenzae disease in children in Queensland, Australia. A retrospective review was performed of all cases of invasive H. influenzae disease in children <18 years of age in Queensland between January 2002 and December 2011. Cases were identified from pathology records and data requested from treating hospitals. Laboratory data were obtained for 144 cases and clinical/demographic data for 123 cases. The majority (72%) of cases were children <5 years of age. Annual incidence rate for all children <5 years was 7.4/100 000, and for Aboriginal and Torres Strait Islander children <5 years was 10.2/100 000. Serotype was reported for 132 isolates, 69 NTHi and 63 encapsulated strains. The most common clinical diagnoses were pneumonia, meningitis and bacteraemia without clinical focus. Of the patients, 5 patients died, and 12 had significant morbidity at hospital discharge. While rates of invasive H. influenzae disease have decreased dramatically following the introduction of Hib vaccination, H. influenzae remains a cause of significant morbidity and mortality, and Aboriginal and Torres Strait Islander children remain particularly vulnerable.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10454
DOI: 10.1111/jpc.13662
Type: Journal Article
Subjects: Haemophilus influenzae infections
Queensland
immunisation
paediatric
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