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Volume 28, Number 11—November 2022
Dispatch

Effect of COVID-19 Pandemic on Invasive Pneumococcal Disease in Children, Catalonia, Spain

Pilar CiruelaComments to Author , Núria Soldevila, Juan José García-Garcia, Sebastià González-Peris, Alvaro Díaz-Conradi, Alba Redin, Belén Viñado, Conchita Izquierdo, Carmen Muñoz-Almagro, Angela Domínguez, and Barcino Working Group
Author affiliations: CIBER de Epidemiologia y Salud Pública, Madrid, Spain (P. Ciruela, N. Soldevila, J.J. García-García, C. Muñoz-Almagro, A. Dominguez); Agència de Salut Publica de Catalunya, Barcelona, Spain (P. Ciruela, C. Izquierdo); Universitat de Barcelona, Barcelona (N. Soldevila, J.J. García-García, A. Dominguez); Hospital Sant Joan de Déu, Esplugues de Llobregat, Spain (J.J. García-García, A. Redin, C. Muñoz-Almagro); Institut de recerca Sant Joan de Déu, Esplugues de Llobregat (J.J. García-García, C. Muñoz-Almagro); Hospital Vall d’ Hebron, Barcelona (S. González-Peris, B. Viñado); Hospital HM Nens, Barcelona (A. Díaz-Conradi); Universitat Internacional de Catalunya, Sant Cugat del Vallés, Spain (C. Muñoz-Almagro)

Main Article

Table 2

Healthcare activity and IPD incidence by quarter, Catalonia, Spain, 2018–19 and 2020*

Variable No. cases (incidence, cases/100,000 population)
 IRR (95% CI) p value
Mean 2018–2019 2020
1st quarter
Emergency department visits 61,590 (11,838.5) 54,430 (10,413.7) 0.88 (0.87–0.89) <0.0001
Hospital admissions 3,049 (586.1) 2,785 (532.8) 0.91 (0.86–0.96) 0.0003
Samples for culture, HSJD 1,968 (378.3) 2,192 (419.4) 1.11 (1.04–1.18) 0.0009
Samples for PCR, HSJD and VH 185 (35.6) 182 (34.8) 0.98 (0.80–1.20) 0.84
IPD cases 17 (3.3) 15 (2.9) 0.88 (0.43–1.77) 0.72
PCV13 serotypes 7 (1.3) 9 (1.7) 1.28 (0.47–3.62) 0.64
Serotype 3 5 (1.0) 8 (1.5) 1.59 (0.51–5.35) 0.43
Non-PCV13 serotypes
 10 (1.9)
 6 (1.1)
 0.60 (0.20–1.65)
 0.33
2nd quarter
Emergency department visits 55,519 (10,671.6) 23,025 (4,405.2) 0.41 (0.40–0.42) <0.0001
Hospital admissions 2,772 (532.8) 1,670 (319.5) 0.60 (0.56–0.64) <0.0001
Samples for culture, HSJD 1,891 (363.5) 1,633 (312.4) 0.86 (0.80–0.92) <0.0001
Samples for PCR, HSJD and VH 141 (27.1) 107 (20.5) 0.76 (0.59–0.97) 0.03
IPD cases 15 (2.9) 0 NA <0.0001
PCV13 serotypes 8 (1.5) 0 NA 0.008
Serotype 3 6 (1.2) 0 NA 0.03
Non-PCV13 serotypes
 6 (1.2)
 0
 NA
 0.03
3rd quarter
Emergency department visits 44,594 (8,571.6) 34,933 (6,683.5) 0.78 (0.77–0.79) <0.0001
Hospital admissions 2,171 (417.3) 1,810 (346.3) 0.83 (0.78–0.88) <0.0001
Samples for culture, HSJD 1,789 (343.9) 1,618 (309.6) 0.90 (0.84–0.96) 0.002
Samples for PCR, HSJD and VH 112 (21.5) 86 (16.5) 0.76 (0.58–1.01) 0.06
IPD cases 6 (1.2) 2 (0.4) 0.33 (0.05–1.57) 0.18
PCV13 serotypes 2 (0.4) 0 – 0.25
Serotype 3 1 (0.2) 0 – 0.50
Non-PCV13 serotypes
 3 (0.6)
 2 (0.4)
 0.66 (0.11–3.97)
 0.65
4th quarter
Emergency department visits 65,445 (12,579.5) 36,249 (6,935.3) 0.55 (0.54–0.56) <0.0001
Hospital admissions 3,321 (638.4) 2,158 (412.9) 0.65 (0.61–0.68) <0.0001
Samples for culture, HSJD 1,841 (353.9) 1,663 (318.2) 0.90 (0.84–0.96) 0.002
Samples for PCR, HSJD and VH 203 (39.0) 122 (23.3) 0.60 (0.48–0.75) <0.0001
IPD cases 19 (3.7) 3 (0.6) 0.16 (0.04–0.49) 0.001
PCV13 serotypes 8 (1.5) 1 (0.2) 0.12 (0.01–0.78) 0.02
Serotype 3 5 (1.0) 1 (0.2) 0.20 (0.01–1.44) 0.22
Non-PCV13 serotypes 10 (1.9) 2 (0.4) 0.20 (0.03–0.82) 0.02

*HSJD, Hospital Sant Joan de Dèu; HVH, Hospital Vall Hebron; IPD, invasive pneumococcal disease; IRR, incidence rate ratio; NA, not applicable; PCV13, 13-valent pneumococcal conjugate vaccine.

Main Article

Page created: September 22, 2022
Page updated: October 24, 2022
Page reviewed: October 24, 2022
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