Invasive Pneumococcal Disease in New Zealand, 2010

Invasive Pneumococcal Disease in New Zealand, 2010 Invasive Pneumococcal Disease in New Zealand, 2010

12.07.2015 Views

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

CONTENTSSUMMARY ................................................................................................................................ i1. INTRODUCTION ........................................................................................................... 12. METHODS ....................................................................................................................... 22.1 Surveillance methods ............................................................................................ 22.2 Laboratory methods .............................................................................................. 32.3 Case def<strong>in</strong>ition ...................................................................................................... 32.4 Abbreviations ........................................................................................................ 43. RESULTS ......................................................................................................................... 53.1 Laboratory criteria upon which diagnosis based ................................................... 53.2 <strong>Disease</strong> <strong>in</strong>cidence by age ...................................................................................... 53.3 <strong>Disease</strong> <strong>in</strong>cidence by season ................................................................................. 83.4 <strong>Disease</strong> <strong>in</strong>cidence by ethnicity .............................................................................. 93.5 <strong>Disease</strong> <strong>in</strong>cidence by deprivation ........................................................................ 103.6 <strong>Disease</strong> 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 <strong>in</strong>vasive pneumococcal disease diagnosisbased, as recorded <strong>in</strong> the case notification, <strong>2010</strong> ............................................ 27Age distribution among <strong>in</strong>vasive pneumococcal disease cases

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