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Castro ALL, Camacho-Moreno G, Montañez-Ayala A, Varón-Vega F, Alvarez-Rodríguez JC, Valderrama-Beltrán S, Ariza BE, Pancha O, Santana AY, Flórez NS, Reyes P, Ruiz J, Beltran C, Prieto E, Rojas M, Urrego-Reyes J, Parellada CI. Invasive Pneumococcal Disease Characterization in Adults and Subgroups aged < 60 years and ≥ 60 years in Bogota, Colombia. IJID Regions 2022; 3:293-299. [PMID: 35774639 PMCID: PMC9231666 DOI: 10.1016/j.ijregi.2022.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 04/18/2022] [Accepted: 04/22/2022] [Indexed: 11/02/2022]
Abstract
The clinical burden of IPD is high in the elderly and adults with comorbidities IPD placed a high burden on healthcare resources in the adult population The most common types causing IPD in adults were similar to those found in children Policy makers should consider pneumococcal vaccination for populations at risk
Background Methods Results Conclusions
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Lucia Leal Castro A, Camacho Moreno G, Montañez Ayala A, Varon F, Alvarez Rodríguez C, Valderrama S, Elena Ariza B, Pancha O, Yadira Santana A, Sánchez Flórez N, Reyes Pabón P, Ruiz J, Beltrán C, Emilia P, Rojas Rojas MM. 1628. Clinical, Epidemiological and Microbiological Characterization of Invasive Streptococcus pneumoniae Disease in Hospitalized Adults from 5 Tertiary Hospitals in Bogotá, Colombia: A Descriptive Study. Open Forum Infect Dis 2019. [PMCID: PMC6808751 DOI: 10.1093/ofid/ofz360.1492] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background In Colombia, clinical characteristics related to invasive pneumococcal disease (IPD) and circulating pneumococcal serotypes (ST) in adults are scarce. We aimed to describe the clinical and microbiological characteristics of IPD in hospitalized adults ≥18 years old in 5 tertiary hospitals in Colombia from 2011 to 2017. Methods A descriptive, observational, retrospective study was conducted in 5 tertiary care hospitals during a 7-year period. Demographic, clinical data and in-hospital outcomes were collected through chart review from all culture-confirmed invasive S. pneumoniae cases in each hospital. The National Health Institute laboratory database was assessed to obtain information about ST (Quellung) and antimicrobial susceptibility (Broth microdilution). Results 128 cases of IPD were included in this interim analysis, 70(54.7%) were males. The median age was 58 ± 16.7 years. Main underlying conditions were cardiovascular disease (32%), smoking (27.9%), diabetes (20.3%), autoimmune diseases (18.8%), and cancer (18%). The main clinical presentation was bacteremic pneumonia (66.4%), followed by meningitis (14.8%), bacteremia (14.1%) and other (3.1%). Critical care management was required in more than half of the patients: ICU (60.2%), mechanical ventilation (53%) and inotropic support (51.6%). The overall in-hospital mortality rate was 43% and was 39%, 52.6% and 61% for pneumonia, meningitis and bacteremia, respectively. ST was known for 82(64%) cases, most frequent ST were: 3(10.9%), 14(7.3%), 19A(6,1%), 1(4.8%), 4/8/11A/22F (3.65% for each one). ST contained in 13-valent conjugate vaccine (PCV13), 23-valent pneumococcal vaccine (PPVS23) and non-vaccine serotypes accounted for 43.9%, 54.9%, and 40.2% of IPD cases, respectively (Figure 1). 83% and 80.7% strains were susceptible to penicillin and ceftriaxone, respectively. Conclusion Pneumonia is the most common clinical presentation of IPD among adults. The clinical outcome was severe with high mortality rate and need of critical care management. ST contained in PCV13 and PPVS23 accounted for 43.9% and 54.9% of IPD cases. This study highlights the importance to strengthen local surveillance and the implementation of pneumococcal immunization programs in high-risk population. ![]()
Disclosures All authors: No reported disclosures.
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Affiliation(s)
- Aura Lucia Leal Castro
- Grupo para el control de la resistencia bacteriana en Bogotá, GREBO, Bogotá, Colombia, Universidad Nacional de Colombia, Bogotá, Colombia; Asociación Colombiana de Infectología – Capítulo Central, Bogotá, Distrito Capital de Bogota, Colombia
| | - Germán Camacho Moreno
- Universidad Nacional de Colombia, Asociación Colombiana de Infectología – Capítulo Central, Fundación HOMI Hospital de la Misericordia, Fundación Hospital Infantil Universitario de San José, Bogota, Distrito Capital de Bogota, Colombia
| | - Anita Montañez Ayala
- Universidad Nacional de Colombia, Bogotá, Colombia; Asociación Colombiana de Infectología – Capítulo Central, Bogota, Distrito Capital de Bogota, Colombia
| | - Fabio Varon
- Fundación Neumológica Colombiana- Fundación Cardioinfantil- Universidad de Navarra, Bogotá, Distrito Capital de Bogota, Colombia
| | - Camilo Alvarez Rodríguez
- Hospital Universitario Clínica San Rafael, Universidad Nacional de Colombia, Bogotá, Distrito Capital de Bogota, Colombia
| | - Sandra Valderrama
- Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogota, Distrito Capital de Bogota, Colombia
| | - Beatriz Elena Ariza
- Hospital Universitario San Ignacio, Bogota, Distrito Capital de Bogota, Colombia
| | - Oscar Pancha
- Unidad de Servicios de Salud Santa Clara, Subred Centro Oriente, Bogotá, Distrito Capital de Bogota, Colombia
| | - Ana Yadira Santana
- Unidad de Servicios de Salud Santa Clara, Subred Centro Oriente, Bogotá, Distrito Capital de Bogota, Colombia
| | - Nella Sánchez Flórez
- Unidad de Servicios de Salud Santa Clara, Subred Centro Oriente, Bogotá, Distrito Capital de Bogota, Colombia
| | - Patricia Reyes Pabón
- Fundación Hospital Infantil Universitario de San José, Bogotá, Distrito Capital de Bogota, Colombia
| | - Jaime Ruiz
- MSD, Bogotá, Distrito Capital de Bogota, Colombia
| | | | - Prieto Emilia
- MSD Colombia, Bogotá, Distrito Capital de Bogota, Colombia
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