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Increase of invasive meningococcal serogroup W disease in Europe, 2013 to 2017

2019-04Journal article Open access
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dc.contributor.authorKrone, Manuel
dc.contributor.authorGray, Steve
dc.contributor.authorAbad, Raquel
dc.contributor.authorSkoczyńska, Anna
dc.contributor.authorStefanelli, Paola
dc.contributor.authorvan der Ende, Arie
dc.contributor.authorTzanakaki, Georgina
dc.contributor.authorMölling, Paula
dc.contributor.authorJoão Simões, Maria
dc.contributor.authorKřížová, Pavla
dc.contributor.authorEmonet, Stéphane
dc.contributor.authorCaugant, Dominique A.
dc.contributor.authorToropainen, Maija
dc.contributor.authorVazquez, Julio
dc.contributor.authorWaśko, Izabela
dc.contributor.authorKnol, Mirjam J.
dc.contributor.authorJacobsson, Susanne
dc.contributor.authorRodrigues Bettencourt, Célia
dc.contributor.authorMusilek, Martin
dc.contributor.authorBorn, Rita
dc.contributor.authorVogel, Ulrich
dc.contributor.authorBorrow, Ray
dc.date.accessioned2020-05-09T11:46:30Z
dc.date.available2020-05-09T11:46:30Z
dc.date.issued2019-04
dc.description.abstractBackground: The total incidence of invasive meningococcal disease (IMD) in Europe has been declining in recent years; however, a rising incidence due to serogroup W (MenW), predominantly sequence type 11 (ST-11), clonal complex 11 (cc11), was reported in some European countries. Aim: The aim of this study was to compile the most recent laboratory surveillance data on MenW IMD from several European countries to assess recent trends in Europe. Methods: In this observational, retrospective study, IMD surveillance data collected from 2013–17 by national reference laboratories and surveillance units from 13 European countries were analysed using descriptive statistics. Results: The overall incidence of IMD has been stable during the study period. Incidence of MenW IMD per 100,000 population (2013: 0.03; 2014: 0.05; 2015: 0.08; 2016: 0.11; 2017: 0.11) and the proportion of this serogroup among all invasive cases (2013: 5% (116/2,216); 2014: 9% (161/1,761); 2015: 13% (271/2,074); 2016: 17% (388/2,222); 2017: 19% (393/2,112)) continuously increased. The most affected countries were England, the Netherlands, Switzerland and Sweden. MenW was more frequent in older age groups (≥ 45 years), while the proportion in children (< 15 years) was lower than in other age groups. Of the culture-confirmed MenW IMD cases, 80% (615/767) were caused by hypervirulent cc11. Conclusion: During the years 2013–17, an increase in MenW IMD, mainly caused by MenW cc11, was observed in the majority of European countries. Given the unpredictable nature of meningococcal spread and the epidemiological potential of cc11, European countries may consider preventive strategies adapted to their contexts.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEuro Surveill. 2019 Apr;24(14):1800245. doi: 10.2807/1560-7917.ES.2019.24.14.1800245pt_PT
dc.identifier.doi10.2807/1560-7917.ES.2019.24.14.1800245pt_PT
dc.identifier.issn1560-7917
dc.identifier.urihttp://hdl.handle.net/10400.18/6629
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherEuropean Centre for Disease Prevention and Controlpt_PT
dc.relation.publisherversionhttps://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2019.24.14.1800245pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectNeisseria menigitidispt_PT
dc.subjectAirborne Infectionspt_PT
dc.subjectBacterial Infectionspt_PT
dc.subjectEpidemiologypt_PT
dc.subjectMeningococcal Diseasept_PT
dc.subjectSerogroup Wpt_PT
dc.subjectSurveillancept_PT
dc.subjectEuropept_PT
dc.subjectInfecções Respiratóriaspt_PT
dc.titleIncrease of invasive meningococcal serogroup W disease in Europe, 2013 to 2017pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue14pt_PT
oaire.citation.startPage1800245pt_PT
oaire.citation.titleEurosurveillancept_PT
oaire.citation.volume24pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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