title: [Invasive pneumococcal infections in children from Troms, Nordland and Sor-Trondelag 1980-95].
abstract: Invasive pneumococcal infections may be severe. We have examined epidemiology, risk factors and outcome of these infections. In the years 1980-95, 76 children below the age of 15 with invasive pneumococcal infections were admitted to the hospitals in the counties of Troms, Nordland and Sør-Trøndelag in Norway. The incidence rate in children 0-2 years old was 10.3 cases per 100,000 persons per year, and 1.8 in children 3-14 years. Of the patients 24 had meningitis and 52 bacteraemia. All bacteriological isolates were sensitive to benzylpenicillin. Seven patients died and five developed sequelae. Thirty-one of the children had risk factors prior to the infection. Children with hypo- or hyperventilation at the time of arrival, and/or impaired circulation fared worse than those with normal findings. Children with underlying risk factors have a much higher frequency of invasive pneumococcal infections than other children. Patients who had impaired circulation or ventilation on admission have a bad prognosis for healthy survival.
authors.affiliation: Det medisinske fakultet Universitetet i Tromsø.
authors.forename: K T
authors.initials: KT
authors.lastname: Jenssen
authors.forename: L D
authors.initials: LD
authors.lastname: Selnes
authors.forename: P E
authors.initials: PE
authors.lastname: Haereid
authors.forename: B B
authors.initials: BB
authors.lastname: Ellingsen
authors.forename: T
authors.initials: T
authors.lastname: Flaegstad
mesh_terms: D000293:Adolescent; D016470:Bacteremia / Q000453:epidemiology / Q000382:microbiology / Q000401:mortality; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D008586:Meningitis, Pneumococcal / Q000453:epidemiology* / Q000401:mortality; D009664:Norway / Q000453:epidemiology; D011008:Pneumococcal Infections / Q000453:epidemiology* / Q000401:mortality; D011379:Prognosis; D012307:Risk Factors