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  1. The rationale for population-based surveillance for Haemophilus influenzae type b meningitis.

    Article, Communication - En anglais

    International Conference on Haemophilus influenzae type b infection in Asia. Bali, IDN, 1996/12/17.

    Although Haemophilus influenzae type b (Hib) conjugate vaccines have been spectacularly successful, nearly eradicating Hib disease in countries where used routinely, they are relatively expensive.

    In many countries the incidence of Haemophilus influenzae type b (Hib) disease is uncertain, and it is unclear whether the local burden of Hib disease warrants the costs of adding Hib vaccine to the routine immunization program.

    Population-based surveillance to assess the local burden of Hib disease can help decision makers with this process.

    Although pneumonia is more common than meningitis, surveillance for Hib meningitis and invasive disease is likely to be more feasible and efficient than surveillance for Hib pneumonia.

    Standardization of laboratory methods for the isolation and identification of H. influenzae from CSF specimens is essential to successful surveillance.

    Should a country decide to introduce Hib conjugate vaccine as a routine immunization, population-based surveillance data collected before and after the introduction of vaccine can be used to monitor its impact.

    Finally population-based surveillance for bacterial meningitis also can provide information on the incidence of pneumococcal and meningococcal infections and on serogroup or serotype distributions that will be important when evaluating the new vaccines for those pathogens that are being developed.

    Mots-clés Pascal : Méningite, Haemophilus influenzae, Pasteurellaceae, Bactérie, Bactériose, Infection, Surveillance, Population, Epidémiologie, Méthodologie, Exploration bactériologique, Identification, Technique, Vaccination, Aide décision, Programme sanitaire, Enfant, Homme, Nourrisson, Système nerveux pathologie, Système nerveux central pathologie, Exploration microbiologique, Haemophilus influenzae type b

    Mots-clés Pascal anglais : Meningitis, Haemophilus influenzae, Pasteurellaceae, Bacteria, Bacteriosis, Infection, Surveillance, Population, Epidemiology, Methodology, Bacteriological investigation, Identification, Technique, Vaccination, Decision aid, Sanitary program, Child, Human, Infant, Nervous system diseases, Central nervous system disease, Microbiological investigation

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0034646

    Code Inist : 002B05B02I. Création : 31/05/1999.