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Epidemiology of haemophilus influenzae invasive disease in Jamaica, 1990-1993
Barton Forbes, Miriam A; Samms Vaughan, Maureen E; Irons, B.
  • Barton Forbes, Miriam A; University of the West Indies in Mona. Department of Obstetrics and Gynaecology and Child Health.
  • Samms Vaughan, Maureen E; Ministry of Health, Jamaica.
  • Irons, B; PAHO.
West Indian med. j ; 49(3): 200-4, Sept. 2000. tab, graf
Artículo en Inglés | LILACS | ID: lil-291972
ABSTRACT
Haemophilus influenzae (H influenzae) invasive disease was studied retrospectively over a four-year period in children admitted to the Bustamante Hospital for Children in Kingston, Jamaica. A total of 86cases were identified. The mean estimated annual incidence of H influenzae invasive disease in Kingston and St. Andrew was 39 per 100,000 children under 5 years of age. The majority (77percent) of cases were in the under 2-year age group. A distinct seasonal pattern was noted, with a significantly higher proportion of patients (57-73percent) presenting in the cooler months. Meningitis was the most common clinical diagnosis, accounting for 76percent of the cases. Poor outcome was demonstrated in 21.5percent of patients with meningitis. Sensitivity testing of H influenzae isolates revealed a resistance rate of 26percent for ampicillin and 7percent for chloramphenicol. The epidemiological findings in this study provide reasonable guidelines for empiric antibiotic therapy and also support the need to seriously consider vaccine prophylaxis in Jamaican children.
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Índice: LILACS (Américas) Asunto principal: Haemophilus influenzae Tipo de estudio: Estudio diagnóstico / Guía de Práctica Clínica / Estudio observacional / Estudio pronóstico / Factores de riesgo / Estudio de tamizaje Límite: Child, preschool / Femenino / Humanos / Lactante País/Región como asunto: Caribe Inglés / Jamaica Idioma: Inglés Revista: West Indian med. j Asunto de la revista: Medicina Año: 2000 Tipo del documento: Artículo

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Índice: LILACS (Américas) Asunto principal: Haemophilus influenzae Tipo de estudio: Estudio diagnóstico / Guía de Práctica Clínica / Estudio observacional / Estudio pronóstico / Factores de riesgo / Estudio de tamizaje Límite: Child, preschool / Femenino / Humanos / Lactante País/Región como asunto: Caribe Inglés / Jamaica Idioma: Inglés Revista: West Indian med. j Asunto de la revista: Medicina Año: 2000 Tipo del documento: Artículo