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ORIGINAL ARTICLE
Year : 2020  |  Volume : 12  |  Issue : 3  |  Page : 124-128

Morbidity and mortality due to pneumococcal disease in children in Ecuador from 2005 to 2015


1 Pontifical Catholic University of Ecuador, Graduate School of Family and Community Medicine, Quito, Ecuador; Alcalá De Henares University, Alcalá De Henares, España
2 Pontifical Catholic University of Ecuador, Graduate School of Family and Community Medicine, Quito, Ecuador

Correspondence Address:
Dr. Luciana Armijos-Acurio
Pontificia Universidad Católica Del Ecuador. Postgrado De Medicina Familiar Y Comunitaria, Avenue 12 De Octubre 1076, Quito
Ecuador
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jgid.jgid_125_19

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Introduction: Studies have shown that pneumococcal disease significantly increases morbidity and mortality rates in children 5 years old and under. These infections constitute the main cause of preventable deaths in the world, considering the availability of vaccination. Considering that Ecuador is in a high incidence region, despite the introduction of the vaccine, this study aims to describe the burden of hospitalized pneumococcal disease and related mortality in our country between 2005 and 2015, to help decision-making processes for the health authorities. Methods: This cross-sectional study analyzes morbidity, mortality, and the situation in Ecuador caused by pneumococcal disease in children 5 years old and under between 2005 and 2015 using national databases. Results: A total of 163,852 cases of children 5 years old and under were reported to have been hospitalized due to pneumococcal-related diseases. Males comprised 54.7% of the cases and females 45.3%. In 36% of the cases, the patients were 1 year old or under. The mortality rate due to pneumococcal disease in Ecuador in children aged 5 and under decreased in 48% during 2005–2015. Conclusion: The decrease in mortality can be related to the introduction of the vaccine and an increase in access to health care by the general population in the country. It is important to study the specific impact of the vaccine in the reduction of morbidity and mortality of children in Ecuador.


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2008 Journal of Global Infectious Diseases | Published by Wolters Kluwer - Medknow
Online since 10th December, 2008