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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La enfermedad neumoc&#243;cica es una causa frecuente de morbilidad y mortalidad entre la poblaci&#243;n infantil&#46; La reciente autorizaci&#243;n de la vacuna conjugada heptavalente ha incrementado el inter&#233;s cient&#237;fico que suscita esta enfermedad&#46; El objetivo de este estudio es conocer las caracter&#237;sticas epidemiol&#243;gicas y cl&#237;nicas&#44; as&#237; como la evoluci&#243;n de esta enfermedad invasiva en la poblaci&#243;n infantil de la Comunidad Valenciana&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los datos se han obtenido de las historias cl&#237;nicas de los ni&#241;os menores de 15 a&#241;os&#44; con aislamiento del neumococo&#44; atendidos en todos los hospitales p&#250;blicos de la Comunidad Valenciana durante el per&#237;odo 1996-2000&#46; La evoluci&#243;n de la incidencia se valor&#243; mediante la comparaci&#243;n de tasas&#44; los signos cl&#237;nicos y su evoluci&#243;n &#40;secuelas y letalidad&#41; mediante la evaluaci&#243;n de la frecuencia y su distribuci&#243;n por edades&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se registr&#243; un total de 127 casos&#44; lo que representa un promedio de tasa anual de 3&#44;89&#47;105 habitantes en los menores de 15 a&#241;os y de 20&#44;14 en los menores de 2 a&#241;os&#46; Presentaron antecedentes de problemas de salud un 29&#44;1&#37; de los pacientes&#46; Las manifestaciones cl&#237;nicas predominantes fueron sepsis&#47;bacteriemia &#40;38&#37;&#41;&#44; neumon&#237;a &#40;31&#37;&#41; y meningitis &#40;24&#37;&#41;&#46; Al alta&#44; presentaban secuelas 10 ni&#241;os&#44; de los que el 75&#37; eran menores de 2 a&#241;os&#46; Fallecieron 8 ni&#241;os &#40;letalidad del 6&#44;3&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En nuestro medio&#44; durante el per&#237;odo estudiado&#44; la infecci&#243;n neumoc&#243;cica se presenta sobre todo en los ni&#241;os menores de 2 a&#241;os&#44; as&#237; como en los mayores de esta edad con antecedentes de problemas de salud&#46; En estos &#250;ltimos se ha encontrado una mayor mortalidad&#46; Ser&#237;a conveniente introducir la enfermedad neumoc&#243;cica en el Sistema de Vigilancia Epidemiol&#243;gica&#44; lo que nos permitir&#237;a disponer de estimaciones m&#225;s precisas de su evoluci&#243;n epidemiol&#243;gica y valorar si la vacuna conjugada es la soluci&#243;n a los problemas que plantea esta bacteria en la actualidad&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Pneumococcal disease is an important cause of morbidity and mortality in children&#46; The recent authorization of the heptavalent conjugate vaccine has increased interest in this disease&#46; The objective of this study was to identify the epidemiological and clinical characteristics of this disease&#44; as well as its outcome in the pediatric population of the Autonomous Community of Valencia&#46;</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Data were obtained from the medical records of children aged less than 15 years who were positive for pneumococcus isolation on admission to hospital between 1996 and 2000&#46; All the public hospitals of the Autonomous Community of Valencia were included&#46; Changes in incidence were evaluated by comparing rates and outcomes &#40;sequelae and lethality&#41; through frequency and age distribution&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">One hundred twenty-seven cases were registered&#44; giving a mean annual rate of 3&#46;89&#47;105 inhabitants aged less than 15 years&#46; The rate was 20&#46;14 in children aged less than 2 years&#46; A total of 29&#46;1&#37; of the children had previous health problems&#46; The main clinical manifestations included sepsis&#47; bacteremia &#40;38&#37;&#41;&#44; pneumonia &#40;31&#37;&#41; and meningitis &#40;24&#37;&#41;&#46; At discharge sequelae were present in 10 children&#44; 75&#37; of whom were aged less than 2 years&#46; Eight children died &#40;6&#46;3&#37; lethality&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In the period and region studied&#44; pneumococcal infection was present mainly in children aged less than 2 years and in those with previous health problems&#46; In the last few years&#44; mortality has increased&#46; Thus&#44; inclusion of pneumococcal disease in the epidemiological surveillance system would be appropriate to achieve more precise estimations of its epidemiological patterns and to determine whether the conjugate vaccine represents a solution to the problems currently associated with this bacteria&#46;</p>"
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