Invasive Pneumococcal Disease in New Zealand, 2010

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ACKNOWLEDGEMENTSPublic Health Unit staff for provision of notification data for their regions.Diagnostic microbiology laboratories throughout New Zealand who participate in the nationallaboratory-based surveillance of invasive pneumococcal disease by referring isolates to ESR.Barbara Bowen, Ushma Desai and Erin Higgins, ESR Antibiotic Reference Laboratory, forantimicrobial susceptibility testing; Heather Davies, ESR Invasive Pathogens Laboratory, forserotyping data; Esther Lim, ESR Health Group, for help with the invasive pneumococcaldisease notification data; and Tim Wood, ESR Health Group, for help with the analysis of theNational Immunisation Register data.Invasive pneumococcal disease September 2011in NZ, 2010
CONTENTSSUMMARY ................................................................................................................................ i1. INTRODUCTION ........................................................................................................... 12. METHODS ....................................................................................................................... 22.1 Surveillance methods ............................................................................................ 22.2 Laboratory methods .............................................................................................. 32.3 Case definition ...................................................................................................... 32.4 Abbreviations ........................................................................................................ 43. RESULTS ......................................................................................................................... 53.1 Laboratory criteria upon which diagnosis based ................................................... 53.2 Disease incidence by age ...................................................................................... 53.3 Disease incidence by season ................................................................................. 83.4 Disease incidence by ethnicity .............................................................................. 93.5 Disease incidence by deprivation ........................................................................ 103.6 Disease presentation, fatalities and hospitalisation ............................................. 113.7 Risk factors among IPD cases ............................................................................. 123.8 Immunisation status of cases ............................................................................... 133.9 Incidence by district health board ....................................................................... 143.10 Serotype distribution ........................................................................................... 153.11 Antimicrobial susceptibility ................................................................................ 194. DISCUSSION ................................................................................................................. 22REFERENCES ........................................................................................................................ 25Appendix 1.Appendix 2.Appendix 3.Appendix 4.Appendix 5.Laboratory criteria upon which invasive pneumococcal disease diagnosisbased, as recorded in the case notification, 2010 ............................................ 27Age distribution among invasive pneumococcal disease cases
Page 1 and 2: INVASIVE PNEUMOCOCCAL DISEASEIN NEW
Page 3: DISCLAIMERThis report or document (
Page 7 and 8: SUMMARYA 4-dose schedule of the 7-v
Page 9 and 10: 1. INTRODUCTIONPrior to 2009, the n
Page 11 and 12: Data analyses were performed with S
Page 13 and 14: 3. RESULTSIn 2010, 535 IPD cases we
Page 15 and 16: The all-age rate of IPD in 2010 (12
Page 17: 3.4 Disease incidence by ethnicityT
Page 20 and 21: 3.7 Risk factors among IPD casesThe
Page 23 and 24: 3.10 Serotype distributionTable 9.
Page 25 and 26: Rate per 100 000The rate of disease
Page 27 and 28: 3.11 Antimicrobial susceptibilityTa
Page 29 and 30: Percent of penicillin-resistant iso
Page 31 and 32: type most frequently reported to ha
Page 33 and 34: REFERENCES1 Green MJ, Cawley PFM. I
Page 35 and 36: Appendix 1. Laboratory criteria upo
Page 37 and 38: Appendix 3. Rates of invasive pneum
Page 39 and 40: Appendix 5.2010Risk factors among i
Page 41 and 42: Appendix 7. Serotypes among invasiv
Page 43 and 44: Appendix 9. Serotype 1 invasive pne
Page 45 and 46: Appendix 11. Trends in penicillin r
Page 47 and 48: Appendix 13. Penicillin and cefotax
Page 49: Appendix 15. Trends in penicillin r

Invasive Pneumococcal Disease in New Zealand, 2010

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