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Consequences of Missed Opportunities

GREGORY A. FILICE, MD

Arch Intern Med. 1990;150(7):1373-1375.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

It is a good time to ask what has been accomplished with pneumococcal vaccines, now 12 years after their licensure. Breiman et al¹ did just that by studying the incidence of pneumococcal bacteremia in Charleston County, South Carolina, for a second time. The first such study was done in the middle 1970s, a decade earlier.² Charleston is an isolated city with a self-contained medical community and is wellsuited to population-based epidemiologic studies. Pneumococcal bacteremia is a useful sentinel for most severe forms of pneumococcal disease. It is more accurately diagnosed than are most forms of pneumococcal disease and is easier to track.

See also p 1401.

Surprisingly, Breiman et al found that the annual incidence of pneumococcal bacteremia appeared to have increased 2.3-fold, from 8.5/10⁵ in the middle 1970s to 18.7/10⁵ more recently. The recent figure for Charleston County was higher than another estimate from the . . . [Full Text PDF of this Article]

Author Affiliations
Department of Medicine University of Minnesota Minneapolis, MN 55425

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