Volume 14, Number 1—January 2008
THEME ISSUE
International Polar Year
Dispatch
Population-based Survey of Invasive Bacterial Diseases, Greenland, 1995–2004
Table
Bacterial class | No. isolates | Median age, y (range) | Overall incidence* | Incidence* by sex |
Incidence* by ethnicity (place of birth) |
Incidence* by region (place of living) |
|||||
---|---|---|---|---|---|---|---|---|---|---|---|
M (n = 129) | F (n = 125) | Greenland (n = 235) | Denmark/other (n = 18) | Nuuk (n = 134) | Districts (n = 120) | ||||||
Streptococcus spp. | |||||||||||
S. pneumoniae† | 92 | 46 (0–76) | 16.4 | 15.7 | 17.2 | 17.6 | 8.0 | 39.9 | 8.7 | ||
Group A streptococci | 5 | 58 (37–76) | 0.9 | 1.3 | 0.4 | 1.0 | 0 | 0.7 | 0.9 | ||
Group B streptococci | 5 | 43 (12–70) | 0.9 | 1.0 | 0.8 | 1.0 | 0 | 2.9 | 0.2 | ||
Other‡ |
10 |
38
(6–67) |
1.8 |
2.7 |
0.8 |
1.8 |
1.6 |
5.1 |
0.7 |
||
Staphylococcus spp. | |||||||||||
S. aureus§ | 35 | 50 (0–90) | 6.2 | 4.7 | 8.0 | 6.5 | 4.8 | 13.8 | 3.8 | ||
Other¶ |
22 |
41
(0–70) |
3.9 |
4.7 |
3.1 |
4.1 |
3.2 |
7.3 |
2.8 |
||
Enterococcus faecalis | 8 | 45 (0–72) | 1.4 | 2.0 | 0.8 | 1.4 | 1.6 | 2.9 | 0.9 | ||
Neisseria meningitidis# | 15 | 5 (0–54) | 2.7 | 2.3 | 3.1 | 3.0 | 0 | 5.8 | 1.6 | ||
Moraxella catarrhalis |
2 |
18
(0–36) |
0.4 |
0 |
0.8 |
0.4 |
0 |
0.7 |
0.2 |
||
Haemophilus influenzae | |||||||||||
Type b | 4 | 0 (0–0) | 0.7 | 0.7 | 0.8 | 0.8 | 0 | 0.7 | 0.7 | ||
Non-b |
10 |
22
(0–71) |
1.8 |
1.3 |
2.3 |
2.0 |
0 |
2.9 |
1.4 |
||
Pseudomonas aeruginosa |
2 |
45
(36–55) |
0.4 |
0.7 |
0 |
0.4 |
0 |
1.5 |
0 |
||
Enterobacteriaceae spp. | |||||||||||
Escherichia coli | 44 | 58 (0–84) | 7.8 | 7.7 | 8.0 | 7.9 | 8.0 | 14.5 | 5.7 | ||
Klebsiella pneumoniae | 6 | 67 (22–74) | 1.1 | 1.0 | 1.1 | 1.0 | 1.6 | 2.9 | 0.5 | ||
Salmonella spp. | 5 | 42 (12–51) | 0.9 | 1.0 | 0.8 | 0.6 | 3.2 | 2.2 | 0.5 | ||
Enterobacter
cloacae |
1 |
72 |
0.2 |
0.3 |
0 |
0.2 |
0 |
0 |
0.2 |
||
Other | |||||||||||
Gram-positive cocci** | 5 | 46 (4–65) | 0.9 | 0.7 | 1.1 | 1.0 | 0 | 1.5 | 0.7 | ||
Gram-positive rods†† | 7 | 58 (13–72) | 1.2 | 1.3 | 1.1 | 1.4 | 0 | 2.2 | 0.9 | ||
Gram-negative
rods‡‡ |
3 |
54
(13–72) |
0.5 |
0 |
1.1 |
0.6 |
0 |
0.7 |
0.5 |
||
Total | 281 | 47 (0–90) | 50.0 | 49.0 | 51.1 | 52.9 | 32.1 | 108.1 | 31.1 |
*Per 100,000 population.
†Most numerous serotypes were 12F (9) and 22F (5); 41 isolates not were serotyped. Serotype distribution for 1996–2002 described in detail in (1).
‡Other hemolytic and nonhemolytic streptococci.
§None of the S. aureus isolates were methicillin-resistant strains.
¶S. epidermidis (6) and other non–S. aureus staphylococci.
#Two isolates in group B, 4 in group C, and 9 not grouped.
**S. mitis (1) and unspecified cocci.
††Bacillus sp. (1), corynebacterium (1), Clostridium perfringens (2), Listeria monocytogenes (1), and Propionebacterium sp. (1).
‡‡Bacteroides sp. (1) and unspecified rods.
References
- Christiansen J, Poulsen P, Ladefoged K. Invasive pneumococcal disease in Greenland. Scand J Infect Dis. 2004;36:325–9. DOIPubMedGoogle Scholar
- Singleton RJ, Butler JC, Bulkow LR, Hurlburt D, O’Brien KL, Doan W, Invasive pneumococcal disease epidemiology and effectiveness of 23-valent pneumococcal polysaccharide vaccine in Alaska native adults. Vaccine. 2007;25:2288–95. DOIPubMedGoogle Scholar
- Scheifele D, Law B, Vaudry W, Halperin S, Kellner J, King A, Invasive pneumococcal infections among Canadian aboriginal children. Can Commun Dis Rep. 2003;29:37–42.PubMedGoogle Scholar
- Davidson M, Parkinson AJ, Bulkow LR, Fitzgerald MA, Peters HV, Parks DJ. The epidemiology of invasive pneumococcal disease in Alaska, 1986–1990—ethnic differences and opportunities for prevention. J Infect Dis. 1994;170:368–76.PubMedGoogle Scholar
- Arctic Investigations Program. International Circumpolar Surveillance (ICS) summary report, year 2003 data. Atlanta: Centers for Disease Control and Prevention; 2003
- Pedersen CB, Gotzsche H, Moller JO, Mortensen PB. The Danish Civil Registration System. A cohort of eight million persons. Dan Med Bull. 2006;53:441–9.PubMedGoogle Scholar
- Statistics Greenland. Statbank Greenland. 2007 [cited 2007 Nov 1]. Available from http://www statgreen.gl
- Bearman GM, Wenzel RP. Bacteremias: a leading cause of death. Arch Med Res. 2005;36:646–59. DOIPubMedGoogle Scholar
- Koch A, Mølbak K, Homøe P, Sørensen P, Hjuler T, Olesen ME, Risk factors for acute respiratory tract infections in young Greenlandic children. Am J Epidemiol. 2003;158:374–84. DOIPubMedGoogle Scholar
- Schonheyder HC, Sorensen HT, Kristensen B, Korsager B. Reasons for increase in pneumococcal bacteraemia. Lancet. 1997;349:1554. DOIPubMedGoogle Scholar
Page created: July 08, 2010
Page updated: July 08, 2010
Page reviewed: July 08, 2010
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.