Bacterial causes of empyema in children, Australia, 2007-2009

Strachan, Roxanne E., Cornelius, Anita, Gilbert, Gwendolyn L., Gulliver, Tanya, Martin, Andrew, McDonald, Tim, Nixon, Gillian M., Roseby, Rob, Ranganathan, Sarath, Selvadurai, Hiran, Smith, Greg, Soto-Martinez, Manuel, Suresh, Sadasivam, Teoh, Laurel, Thapa, Kiran, Wainwright, Claire E. and Jaffe, Adam (2011) Bacterial causes of empyema in children, Australia, 2007-2009. Emerging Infectious Diseases, 17 10: 1839-1845. doi:10.3201/eid1710.101825

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Author Strachan, Roxanne E.
Cornelius, Anita
Gilbert, Gwendolyn L.
Gulliver, Tanya
Martin, Andrew
McDonald, Tim
Nixon, Gillian M.
Roseby, Rob
Ranganathan, Sarath
Selvadurai, Hiran
Smith, Greg
Soto-Martinez, Manuel
Suresh, Sadasivam
Teoh, Laurel
Thapa, Kiran
Wainwright, Claire E.
Jaffe, Adam
Title Bacterial causes of empyema in children, Australia, 2007-2009
Journal name Emerging Infectious Diseases   Check publisher's open access policy
ISSN 1080-6040
Publication date 2011-10
Sub-type Article (original research)
DOI 10.3201/eid1710.101825
Open Access Status DOI
Volume 17
Issue 10
Start page 1839
End page 1845
Total pages 7
Place of publication Atlanta, GA, United States
Publisher U.S. Department of Health and Human Services
Collection year 2012
Language eng
Abstract An increase in the incidence of empyema worldwide could be related to invasive pneumococcal disease caused by emergent nonvaccine replacement serotypes. To determine bacterial pathogens and pneumococcal serotypes that cause empyema in children in Australia, we conducted a 2-year study of 174 children with empyema. Blood and pleural fluid samples were cultured, and pleural fluid was tested by PCR. Thirty-two (21.0%) of 152 blood and 53 (33.1%) of 160 pleural fluid cultures were positive for bacteria; Streptococcus pneumoniae was the most common organism identified. PCR identified S. pneumoniae in 74 (51.7%) and other bacteria in 19 (13.1%) of 145 pleural fluid specimens. Of 53 samples in which S. pneumoniae serotypes were identified, 2 (3.8%) had vaccine-related serotypes and 51 (96.2%) had nonvaccine serotypes; 19A (n = 20; 36.4%), 3 (n = 18; 32.7%), and 1 (n = 8; 14.5%) were the most common. High proportions of nonvaccine serotypes suggest the need to broaden vaccine coverage.
Keyword Adolescent
Bacterial Infections
Bacterial Proteins
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes on behalf of the Australian Research Network in Empyema

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 21 times in Thomson Reuters Web of Science Article | Citations
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Created: Fri, 28 Oct 2011, 10:29:36 EST by Matthew Lamb on behalf of School of Medicine