Has the incidence of empyema in Scottish children continued to increase beyond 2005?
Background The incidence of empyema increased dramatically in children during the 1990s and early 2000s. We investigated the relationship between changes in the incidence of childhood empyema in Scotland following the 2006 introduction of routine heptavalent conjugate pneumococcal vaccination (PCv-7...
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| Veröffentlicht in: | Archives of disease in childhood 2015-03, Vol.100 (3), p.255-258 |
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| creator | Nath, Stuart Thomas, Matt Spencer, David Turner, Steve |
| description | Background The incidence of empyema increased dramatically in children during the 1990s and early 2000s. We investigated the relationship between changes in the incidence of childhood empyema in Scotland following the 2006 introduction of routine heptavalent conjugate pneumococcal vaccination (PCv-7) and the 2010 introduction of the 13-valent (PCV-13) vaccine. Methods This was a whole-population study of Scottish hospital admissions between 1981 and 2013 using ICD (International Classification of Diseases)-9 and ICD-10 diagnostic codes for empyema. The number of admissions for pneumonia and croup was also captured to give insight into secular trends in admissions with other related and unrelated respiratory presentations. Results There were 217 admissions with empyema between 1981 and 2005 (mean incidence 9 cases/million/year) and 323 between 2006 and 2013 (mean incidence 47 cases/million/year), p |
| doi_str_mv | 10.1136/archdischild-2014-306525 |
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We investigated the relationship between changes in the incidence of childhood empyema in Scotland following the 2006 introduction of routine heptavalent conjugate pneumococcal vaccination (PCv-7) and the 2010 introduction of the 13-valent (PCV-13) vaccine. Methods This was a whole-population study of Scottish hospital admissions between 1981 and 2013 using ICD (International Classification of Diseases)-9 and ICD-10 diagnostic codes for empyema. The number of admissions for pneumonia and croup was also captured to give insight into secular trends in admissions with other related and unrelated respiratory presentations. Results There were 217 admissions with empyema between 1981 and 2005 (mean incidence 9 cases/million/year) and 323 between 2006 and 2013 (mean incidence 47 cases/million/year), p<0.001. The introduction of conjugate vaccines in 2006 was associated with an overall increase in admissions for empyema of 2.0 (95% CI 1.4 to 2.8) per 100 000 children, however, the incidence rate ratio for empyema admission between 2010 and 2013 was lower relative to 2006–2009 (0.78 (95% CI 0.63 to 0.98)). Secular changes in pneumonia, but not croup, were comparable with those for empyema. Conclusions The incidence of empyema in Scottish children initially rose in children aged 1 to 9 years after the introduction of routine conjugate pneumococcal vaccination, however, empyema incidence has fallen since 2010 when the PCV-13 was introduced.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/archdischild-2014-306525</identifier><identifier>PMID: 25260518</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Age groups ; Bacterial pneumonia ; Care and treatment ; Child ; Child, Preschool ; Children ; Coding ; Disease ; Empyema ; Empyema - epidemiology ; Empyema - prevention & control ; Female ; Heptavalent Pneumococcal Conjugate Vaccine ; Hospitals ; Humans ; Incidence ; Infant ; Information Services ; Male ; Pneumococcal vaccine ; Pneumococcal vaccines ; Pneumococcal Vaccines - administration & dosage ; Pneumonia ; Pneumonia, Pneumococcal - prevention & control ; Population studies ; Risk factors ; Scotland - epidemiology ; Streptococcus infections ; Streptococcus pneumoniae ; Studies ; Time series ; Vaccines ; Young Children</subject><ispartof>Archives of disease in childhood, 2015-03, Vol.100 (3), p.255-258</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Copyright: 2015 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b508t-b1dd2bc9bec409d584b412f22d35d58d523245446a4ddba101f56b9b75c8d5523</citedby><cites>FETCH-LOGICAL-b508t-b1dd2bc9bec409d584b412f22d35d58d523245446a4ddba101f56b9b75c8d5523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://adc.bmj.com/content/100/3/255.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://adc.bmj.com/content/100/3/255.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3196,23571,27924,27925,77600,77631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25260518$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nath, Stuart</creatorcontrib><creatorcontrib>Thomas, Matt</creatorcontrib><creatorcontrib>Spencer, David</creatorcontrib><creatorcontrib>Turner, Steve</creatorcontrib><title>Has the incidence of empyema in Scottish children continued to increase beyond 2005?</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>Background The incidence of empyema increased dramatically in children during the 1990s and early 2000s. We investigated the relationship between changes in the incidence of childhood empyema in Scotland following the 2006 introduction of routine heptavalent conjugate pneumococcal vaccination (PCv-7) and the 2010 introduction of the 13-valent (PCV-13) vaccine. Methods This was a whole-population study of Scottish hospital admissions between 1981 and 2013 using ICD (International Classification of Diseases)-9 and ICD-10 diagnostic codes for empyema. The number of admissions for pneumonia and croup was also captured to give insight into secular trends in admissions with other related and unrelated respiratory presentations. Results There were 217 admissions with empyema between 1981 and 2005 (mean incidence 9 cases/million/year) and 323 between 2006 and 2013 (mean incidence 47 cases/million/year), p<0.001. The introduction of conjugate vaccines in 2006 was associated with an overall increase in admissions for empyema of 2.0 (95% CI 1.4 to 2.8) per 100 000 children, however, the incidence rate ratio for empyema admission between 2010 and 2013 was lower relative to 2006–2009 (0.78 (95% CI 0.63 to 0.98)). Secular changes in pneumonia, but not croup, were comparable with those for empyema. Conclusions The incidence of empyema in Scottish children initially rose in children aged 1 to 9 years after the introduction of routine conjugate pneumococcal vaccination, however, empyema incidence has fallen since 2010 when the PCV-13 was introduced.</description><subject>Adolescent</subject><subject>Age groups</subject><subject>Bacterial pneumonia</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Coding</subject><subject>Disease</subject><subject>Empyema</subject><subject>Empyema - epidemiology</subject><subject>Empyema - prevention & control</subject><subject>Female</subject><subject>Heptavalent Pneumococcal Conjugate Vaccine</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Information Services</subject><subject>Male</subject><subject>Pneumococcal vaccine</subject><subject>Pneumococcal vaccines</subject><subject>Pneumococcal Vaccines - administration & dosage</subject><subject>Pneumonia</subject><subject>Pneumonia, Pneumococcal - prevention & control</subject><subject>Population studies</subject><subject>Risk factors</subject><subject>Scotland - epidemiology</subject><subject>Streptococcus infections</subject><subject>Streptococcus pneumoniae</subject><subject>Studies</subject><subject>Time series</subject><subject>Vaccines</subject><subject>Young Children</subject><issn>0003-9888</issn><issn>1468-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkU1v1DAQhi0EokvhLyBLXLgExp_rnFC1KhSpUg-Us-WPSTerJF7sRGL_PV5SEOICJ8szzzv2vC8hlME7xoR-73LYx76EfT_EhgOTjQCtuHpCNkxqU0tSPiUbABBNa4y5IC9KOQAwbox4Ti644hoUMxtyf-MKnfdI-yn0EaeANHUUx-MJR1eL9EtI89yXPf35WMaJhjTN_bRgpHM6yzK6gtTjKU2RcgD14SV51rmh4KvH85J8_Xh9v7tpbu8-fd5d3TZegZkbz2LkPrQeg4Q2KiO9ZLzjPApVb1FxwaWSUjsZo3cMWKe0b_1Whdqs3Uvydp17zOnbgmW2YzUFh8FNmJZimQGjhdIg_o1qtRXccNNW9M1f6CEteaqL1IHVQMMY05VqVurBDWirDdUV_D6HNAz4gLbuubuzVxJku91WpytvVj7kVErGzh5zP7p8sgzsOVT7Z6j2HKpdQ63S148fWvyI8bfwV4oVECvgx8P_j_0B6K2ubg</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Nath, Stuart</creator><creator>Thomas, Matt</creator><creator>Spencer, David</creator><creator>Turner, Steve</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88I</scope><scope>8A4</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>20150301</creationdate><title>Has the incidence of empyema in Scottish children continued to increase beyond 2005?</title><author>Nath, Stuart ; Thomas, Matt ; Spencer, David ; Turner, Steve</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b508t-b1dd2bc9bec409d584b412f22d35d58d523245446a4ddba101f56b9b75c8d5523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Age groups</topic><topic>Bacterial pneumonia</topic><topic>Care and treatment</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Coding</topic><topic>Disease</topic><topic>Empyema</topic><topic>Empyema - epidemiology</topic><topic>Empyema - prevention & control</topic><topic>Female</topic><topic>Heptavalent Pneumococcal Conjugate Vaccine</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Information Services</topic><topic>Male</topic><topic>Pneumococcal vaccine</topic><topic>Pneumococcal vaccines</topic><topic>Pneumococcal Vaccines - administration & dosage</topic><topic>Pneumonia</topic><topic>Pneumonia, Pneumococcal - prevention & control</topic><topic>Population studies</topic><topic>Risk factors</topic><topic>Scotland - epidemiology</topic><topic>Streptococcus infections</topic><topic>Streptococcus pneumoniae</topic><topic>Studies</topic><topic>Time series</topic><topic>Vaccines</topic><topic>Young Children</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nath, Stuart</creatorcontrib><creatorcontrib>Thomas, Matt</creatorcontrib><creatorcontrib>Spencer, David</creatorcontrib><creatorcontrib>Turner, Steve</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Education Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Archives of disease in childhood</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nath, Stuart</au><au>Thomas, Matt</au><au>Spencer, David</au><au>Turner, Steve</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Has the incidence of empyema in Scottish children continued to increase beyond 2005?</atitle><jtitle>Archives of disease in childhood</jtitle><addtitle>Arch Dis Child</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>100</volume><issue>3</issue><spage>255</spage><epage>258</epage><pages>255-258</pages><issn>0003-9888</issn><eissn>1468-2044</eissn><coden>ADCHAK</coden><abstract>Background The incidence of empyema increased dramatically in children during the 1990s and early 2000s. We investigated the relationship between changes in the incidence of childhood empyema in Scotland following the 2006 introduction of routine heptavalent conjugate pneumococcal vaccination (PCv-7) and the 2010 introduction of the 13-valent (PCV-13) vaccine. Methods This was a whole-population study of Scottish hospital admissions between 1981 and 2013 using ICD (International Classification of Diseases)-9 and ICD-10 diagnostic codes for empyema. The number of admissions for pneumonia and croup was also captured to give insight into secular trends in admissions with other related and unrelated respiratory presentations. Results There were 217 admissions with empyema between 1981 and 2005 (mean incidence 9 cases/million/year) and 323 between 2006 and 2013 (mean incidence 47 cases/million/year), p<0.001. The introduction of conjugate vaccines in 2006 was associated with an overall increase in admissions for empyema of 2.0 (95% CI 1.4 to 2.8) per 100 000 children, however, the incidence rate ratio for empyema admission between 2010 and 2013 was lower relative to 2006–2009 (0.78 (95% CI 0.63 to 0.98)). Secular changes in pneumonia, but not croup, were comparable with those for empyema. Conclusions The incidence of empyema in Scottish children initially rose in children aged 1 to 9 years after the introduction of routine conjugate pneumococcal vaccination, however, empyema incidence has fallen since 2010 when the PCV-13 was introduced.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>25260518</pmid><doi>10.1136/archdischild-2014-306525</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Age groups Bacterial pneumonia Care and treatment Child Child, Preschool Children Coding Disease Empyema Empyema - epidemiology Empyema - prevention & control Female Heptavalent Pneumococcal Conjugate Vaccine Hospitals Humans Incidence Infant Information Services Male Pneumococcal vaccine Pneumococcal vaccines Pneumococcal Vaccines - administration & dosage Pneumonia Pneumonia, Pneumococcal - prevention & control Population studies Risk factors Scotland - epidemiology Streptococcus infections Streptococcus pneumoniae Studies Time series Vaccines Young Children |
| title | Has the incidence of empyema in Scottish children continued to increase beyond 2005? |
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