INCREASE IN INVASIVE GROUP A STREPTOCOCCAL INFECTIONS IN CHILDREN IN THE NETHERLANDS, A SURVEY AMONG 7 HOSPITALS IN 2022

Author:

van Kempen Evelien B.,Bruijning-Verhagen Patricia C.J.,Borensztajn Dorine,Vermont Clementien L.,Quaak Marjolijn S.W.,Janson Jo-Anne,Maat Ianthe,Stol Kim,Vlaminckx Bart J.M.,Wieringa Jantien W.,van Sorge Nina M.ORCID,Boeddha Navin P.,van Veen Mirjam

Abstract

AbstractBased on a survey sent to seven Dutch hospitals, we observed an substantial increase in invasive group A streptococcal infections in children in the Netherlands, comparing the pre-COVID-19 pandemic cohort of 2018-2019 to 2021-2022. The most affected age group were children between 0-5 years. Main diagnosis was pneumonia with empyema. Necrotizing fasciitis and streptococcal toxic shock syndrome were also reported in 11% and 7% respectively. A significant number was admitted to the Paediatric Intensive Care Unit. Vigilance is needed.

Publisher

Cold Spring Harbor Laboratory

Reference10 articles.

1. Dutch Society of Pediatrics (Nederlandse Vereniging voor Kindergeneeskunde). Communication: Increase in invasive group A streptococcal infections (“Toename invasieve infecties met groep A streptokokken”) [Internet, internal communication]. Available on: https://www.nvk.nl/nieuws/nieuwsbericht?newsitemid=188481537. [Published 2022 May 6]. [Accessed on 25th August 2022]

2. Dutch College of General Practitioners (Nederlands Huisartsen Genootschap). Communication: Increase in invasive group A streptococcal infections mainly in young children (Toename invasieve infecties groep A streptokokken vooral bij jonge kinderen) [Internet]. Available on: https://www.nhg.org/actueel/nieuws/toename-invasieve-infecties-groep-streptokokken-vooral-bij-jonge-kinderens. [Accessed on 25th August 2022].

3. De Gier B , de Beer-Schuurman I , de Melker H , van Sorge N. Abstract 511: Increase in invasive Streptococcus pyogenes disease among young children and adults, the Netherlands, March - July 2022. Proceedings of 2022 European Scientific Conference on Applied Infectious Disease Epidemiology (ESCAIDE 2022) 2022, 23-25 November 2022, Stockholm, Sweden. Available from: https://www.escaide.eu/sites/default/files/documents/ESCAIDE2022_AbstractBook.pdf.P.214.

4. Group A streptococcal bacteremia without a source is associated with less severe disease in children;Pediatr Infect Dis J,2015

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