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- Title
The epidemiology of hospitalized children with pneumococcal/lobar pneumonia and empyema from 1997 to 2004 in Taiwan.
- Authors
Ping-Sheng Wu; Li-Min Huang; I-Shou Chang; Chun-Yi Lu; Pei-Lan Shao; Fang-Yu Tsai; Luan-Yin Chang; Wu, Ping-Sheng; Huang, Li-Min; Chang, I-Shou; Lu, Chun-Yi; Shao, Pei-Lan; Tsai, Fang-Yu; Chang, Luan-Yin
- Abstract
Pneumococcal/lobar pneumonia and empyema have an important impact on the health of children worldwide. There has been no epidemiological study of pneumococcal/lobar pneumonia and empyema in Taiwan, a middle-income Asian population. Using Taiwan's National Health Insurance database, we collected and analyzed data obtain from medical care claims related to pneumococcal/lobar pneumonia and empyema for children below the 18 years old from 1997 to 2004. We found the annual population-based incidence to have significant year to year increases and the average annual incidences of pneumococcal/lobar pneumonia and empyema in children under five to be 44.9 and 10.5 episodes per 100,000 children-year, respectively. About 64% of children with pneumococcal/lobar pneumonia and empyema were under 5 years old. Children 4 to 5 years old had the highest incidences of both pneumococcal/lobar pneumonia and empyema. Incidence was the highest each spring. The odds ratio of the case fatality among pneumococcal/lobar pneumonia patients complicated with empyema to those without was 118 (95% confidence interval 28-492). In conclusion, the population-based incidences of pneumococcal/lobar pneumonia and empyema among children under five in Taiwan were 44.9 and 10.5 episodes per 100,000 children-year, respectively, and 4- to 5-year-old children had the highest incidences of both pneumococcal/lobar pneumonia and empyema. This population might benefit from a universal pneumococcal vaccination program which might cover about 70% of invasive pneumococcal diseases in Taiwanese children under 5 years old.
- Subjects
TAIWAN; EPIDEMIOLOGY; PNEUMOCOCCAL pneumonia; EMPYEMA; HOSPITAL care of children; PNEUMONIA-related mortality; COMPARATIVE studies; DEMOGRAPHY; HOSPITAL care; RESEARCH methodology; MEDICAL cooperation; PNEUMONIA; RESEARCH; SEASONS; EVALUATION research; DISEASE incidence
- Publication
European Journal of Pediatrics, 2010, Vol 169, Issue 7, p861
- ISSN
0340-6199
- Publication type
journal article
- DOI
10.1007/s00431-009-1132-8