ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2026
Rising incidence of invasive bacterial infections in Belgium following the COVID-19 pandemic.
Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: To describe the evolution of invasive bacterial infections (IBIs) Haemophilus influenzae (Hi), Streptococcus pneumoniae (Spn), Streptococcus pyogenes (Spy) and Neisseria meningitidis (Nm), in Belgium over a 7-year time period (2017-2024). ; Methods: Case numbers and incidence rates were evaluated: pre-COVID (2017-2019), COVID (2020-2021) and post-COVID (2022-2024). ; Results: Incidence of IBIs was severely impacted during COVID in Belgium, respectively reductions of 45.1%, 59.1%, 69.8% and 80.5% for Hi, Spn, Spy and Nm, in 2020-2021 versus 2017-2019. Following lifting non-pharmaceutical interventions, IBIs increased towards end 2022. Spy and Hi infections decreased again in 2023-2024, however exceeding pre-COVID levels. Spn further increased in 2023-2024, while Nm is the only pathogen with lower cases in 2023-2024 than pre-COVID. ; Conclusion: While similarity for all IBIs was expected based on post-COVID immunity decrease, other factors like emerging bacterial clones and viral-bacterial interactions may have contributed.
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