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Effect of conjugate vaccines on bacterial meningitis infections

Effect of conjugate vaccines on bacterial meningitis infections
Incidence (left axis, bars) and average age at diagnosis (right axis, line) are shown for patients with bacterial meningitis in the United States from 1971 to 2007[1-4]. The decreasing proportion of disease caused by Haemophilus influenzae type b (Hib) and, later, Streptococcus pneumoniae (SP) and the increase in overall age of remaining cases show the effect of routine infant vaccination programs.
GBS: group B streptococcus; LM: Listeria monocytogenes; NM: Neisseria meningitidis.
References:
  1. Thigpen MC, Whitney CG, Messonnier NE, et al. Bacterial meningitis in the United States, 1998–2007. N Engl J Med 2011; 364:2016.
  2. Schuchat A, Hilger T, Farley MM, et al. Active bacterial core surveillance of the emerging infections program network. Emerg Infect Dis 2001; 7:92.
  3. Wenger JD, Hightower AW, Facklam RR, et al. Bacterial meningitis in the United States, 1986: report of a multistate surveillance study. J Infect Dis 1990; 162:1316.
  4. Fraser DW, Geil CC, Feldman RA. Bacterial meningitis in Bernalillo County, New Mexico: a comparison with three other American populations. Am J Epidemiol 1974; 100:29.
Reprinted by permission from Macmillan Publishers Ltd: Nature Reviews Disease Primers. Van de Beek D, Brouwer M, Hasbun R, et al. Community-acquired bacterial meningitis. Nat Rev Dis Primers 2016; 2:1. Copyright © 2016. https://www.nature.com/nrdp/.
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