Epidemiology and Infection

Original Papers

Bacteria

Incidence of invasive pneumococcal disease in the Czech Republic and serotype coverage by vaccines, 1997–2006

J. MOTLOVAa1a2, C. BENESa3 and P. KRIZa2 c1

a1 National Reference Laboratory for Streptococci and Enterococci, National Institute of Public Health, Prague, Czech Republic

a2 WHO Collaborating Centre for Reference and Research on Streptococci, National Institute of Public Health, Prague, Czech Republic

a3 National Reference Centre for Analysis of Epidemiological Data, National Institute of Public Health, Prague, Czech Republic

SUMMARY

We studied the incidence of invasive pneumococcal disease (IPD) in the Czech Republic by analysing two sources of data. The incidence of pneumococcal meningitis based on routine notification data varied between 0·4 and 0·6/100 000 population between 1997 and 2006. The incidence of IPD based on laboratory surveillance varied between 2·3 and 4·3/100 000 population between 2000 and 2006. The annual IPD incidence remained stable during the study period. Estimates of absolute IPD case-load in the entire country varied from 235 to 437 per year. The age-specific incidence was highest in the <1 year age group, reaching 4·3/100 000 for pneumococcal meningitis in routine notification and 15·7/100 000 for IPD in laboratory-based surveillance data, respectively. A total of 1236 Streptococcus pneumoniae isolates from cerebrospinal fluid and sterile body sites were investigated. The most frequent serotypes causing IPD in all ages were 3, 4, 14, 8 and 19F, accounting for 41·5% of all isolates. The most frequent serotypes by age group were: <1 year (6B and 19F); 1–4 years (14, 6B and 23F); 40–64 years (3, 8 and 4), and xs2A7E65 years (3, 4, 9N and 14). The coverage of serotypes in all age groups by pneumococcal vaccines ranged from 41·5% for 7-valent conjugate vaccine to 67·9% for 13-valent conjugate vaccine. The coverage of serotypes causing IPD is significantly different between infants/children and adults/elderly. PCV-7 coverage by age group was: <1 year (66·0%), 1–4 years (65·1%), 40–64 years (34·4%) and xs2A7E65 years (39·3%). Similar age differences between infants/children and adults/elderly were found in coverage by PCV-9, PCV-11 and PCV-13. The distribution of serotypes in the total population and individual age groups was stable during the period 2000–2006.

(Accepted August 12 2008)

(Online publication September 16 2008)

Correspondence:

c1 Author for correspondence: Dr P. Kriz, WHO Collaborating Centre for Reference and Research on Streptococci, National Institute of Public Health, Srobarova 48, 100 42 Prague 10, Czech Republic. (Email: pavla.krizova@szu.cz)

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