ArticleOpen forum infectious diseases2026
The Evolving Epidemiology of Invasive Pneumococcal Disease in Australian Children: A Multicentre Retrospective Observational Study.
Article in Open forum infectious diseases, 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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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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22 authors.
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Abstract
Background: In Australia, high pneumococcal conjugate vaccine (PCV) coverage has been achieved, yet invasive pneumococcal disease (IPD) continues to cause a significant burden of disease. The epidemiology of IPD was altered by the nonpharmaceutical interventions (NPIs) used to control the coronavirus disease (COVID-19) pandemic. We aimed to analyze this impact on the clinical characteristics associated with IPD in Australian children. Method: We systematically evaluated the clinical and microbiological characteristics of IPD in children (<18 years) presenting to 4 Australian children's hospitals 2 years before (2017-2018: prepandemic) and after (2021-2022: postpandemic) the implementation of NPIs to mitigate COVID-19. Case counts and proportions were used to compare clinical presentations. Results: We identified 220 cases of IPD: 116 in 2017-2018 and 104 in 2021-2022. Causative serotypes were available for 176 cases (80%), with serotype 3 most frequently identified (26% of serotyped IPD, 46/176). One-quarter of cases were due to serotypes included in newer PCVs. Postpandemic cases had a higher proportion of meningitis (13.5% vs 3.4%, Conclusions: Alternations in the prevalence of respiratory viral transmission influence the epidemiology and clinical presentation of IPD. Newer PCVs and the implementation of immunization programs that target viral pathogens associated with IPD may reduce the ongoing burden of IPD in children.
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