Surveillance of Pediatric Invasive Bacterial Diseases in the Veneto Region: Epidemiological Trends and Outcomes over 17 Years (2007–2023)

<b>Introduction:</b> Invasive bacterial diseases (IBDs) such as meningitis and sepsis are significant public health concerns, particularly in pediatric populations. This study analyzes the incidence, outcomes, and bacterial serotype distribution of pediatric IBDs in the Veneto Region ove...

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Main Authors: Silvia Cocchio, Claudia Cozzolino, Andrea Cozza, Patrizia Furlan, Enrica Frasson, Sara Tarantino, Elisabetta Conte, Lorenzo Chiusaroli, Irene Amoruso, Francesca Zanella, Davide Gentili, Michele Tonon, Francesca Russo, Tatjana Baldovin, Vincenzo Baldo
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Vaccines
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Online Access:https://www.mdpi.com/2076-393X/13/3/230
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author Silvia Cocchio
Claudia Cozzolino
Andrea Cozza
Patrizia Furlan
Enrica Frasson
Sara Tarantino
Elisabetta Conte
Lorenzo Chiusaroli
Irene Amoruso
Francesca Zanella
Davide Gentili
Michele Tonon
Francesca Russo
Tatjana Baldovin
Vincenzo Baldo
author_facet Silvia Cocchio
Claudia Cozzolino
Andrea Cozza
Patrizia Furlan
Enrica Frasson
Sara Tarantino
Elisabetta Conte
Lorenzo Chiusaroli
Irene Amoruso
Francesca Zanella
Davide Gentili
Michele Tonon
Francesca Russo
Tatjana Baldovin
Vincenzo Baldo
author_sort Silvia Cocchio
collection DOAJ
description <b>Introduction:</b> Invasive bacterial diseases (IBDs) such as meningitis and sepsis are significant public health concerns, particularly in pediatric populations. This study analyzes the incidence, outcomes, and bacterial serotype distribution of pediatric IBDs in the Veneto Region over 17 years. <b>Methods:</b> An observational study was conducted using data (2007–2023) from the surveillance system of the Veneto Region, including microbiologically confirmed cases in individuals < 18 years. Differences by age groups and trends were statistically assessed. <b>Results:</b> A total of 535 pediatric IBD cases were reported, with <i>Streptococcus pneumoniae</i> (54.6%), <i>Neisseria meningitidis</i> (19.6%), and <i>Streptococcus agalactiae</i> (13.5%) being the most common pathogens. <i>Haemophilus influenzae</i> infections were more commonly represented in infants under 1 year (41.5%), whereas <i>S. pneumoniae</i> and <i>N. meningitidis</i> were more frequent in the 1–4-year age group (40.8% and 37.1%, respectively). Sepsis was the most common clinical presentation (57.2%), followed by meningitis (36.3%). Serotype analysis revealed that <i>S. pneumoniae</i> serotype 3 was the most prevalent, while serogroup B dominated <i>N. meningitidis</i> cases. Temporal trends generally showed a decline in cases until 2019, a drop during the COVID-19 pandemic, and a subsequent resurgence in 2022–2023. <b>Conclusions:</b> Our research underscores the value of evidence-based epidemiology through robust surveillance systems in tracking IBD trends and serotype shifts, essential for guiding vaccination strategies and public health interventions. These insights highlight the effectiveness of vaccination programs and the necessity of ongoing monitoring to inform public health policies. Improved data integration and completeness are recommended to enhance surveillance accuracy.
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spelling doaj-art-ca0ac7c3a0484c5c9e10791f0fdea0832025-08-20T03:43:55ZengMDPI AGVaccines2076-393X2025-02-0113323010.3390/vaccines13030230Surveillance of Pediatric Invasive Bacterial Diseases in the Veneto Region: Epidemiological Trends and Outcomes over 17 Years (2007–2023)Silvia Cocchio0Claudia Cozzolino1Andrea Cozza2Patrizia Furlan3Enrica Frasson4Sara Tarantino5Elisabetta Conte6Lorenzo Chiusaroli7Irene Amoruso8Francesca Zanella9Davide Gentili10Michele Tonon11Francesca Russo12Tatjana Baldovin13Vincenzo Baldo14Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, 35128 Padua, ItalyDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, 35128 Padua, ItalyDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, 35128 Padua, ItalyDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, 35128 Padua, ItalyDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, 35128 Padua, ItalyDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, 35128 Padua, ItalyDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, 35128 Padua, ItalyDivision of Pediatric Infectious Diseases, Department for Women’s and Children’s Health, University of Padua, 35128 Padua, ItalyDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, 35128 Padua, ItalyRegional Directorate of Prevention, Food Safety, Veterinary, Public Health—Veneto Region, 30123 Venice, ItalyRegional Directorate of Prevention, Food Safety, Veterinary, Public Health—Veneto Region, 30123 Venice, ItalyRegional Directorate of Prevention, Food Safety, Veterinary, Public Health—Veneto Region, 30123 Venice, ItalyRegional Directorate of Prevention, Food Safety, Veterinary, Public Health—Veneto Region, 30123 Venice, ItalyDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, 35128 Padua, ItalyDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, 35128 Padua, Italy<b>Introduction:</b> Invasive bacterial diseases (IBDs) such as meningitis and sepsis are significant public health concerns, particularly in pediatric populations. This study analyzes the incidence, outcomes, and bacterial serotype distribution of pediatric IBDs in the Veneto Region over 17 years. <b>Methods:</b> An observational study was conducted using data (2007–2023) from the surveillance system of the Veneto Region, including microbiologically confirmed cases in individuals < 18 years. Differences by age groups and trends were statistically assessed. <b>Results:</b> A total of 535 pediatric IBD cases were reported, with <i>Streptococcus pneumoniae</i> (54.6%), <i>Neisseria meningitidis</i> (19.6%), and <i>Streptococcus agalactiae</i> (13.5%) being the most common pathogens. <i>Haemophilus influenzae</i> infections were more commonly represented in infants under 1 year (41.5%), whereas <i>S. pneumoniae</i> and <i>N. meningitidis</i> were more frequent in the 1–4-year age group (40.8% and 37.1%, respectively). Sepsis was the most common clinical presentation (57.2%), followed by meningitis (36.3%). Serotype analysis revealed that <i>S. pneumoniae</i> serotype 3 was the most prevalent, while serogroup B dominated <i>N. meningitidis</i> cases. Temporal trends generally showed a decline in cases until 2019, a drop during the COVID-19 pandemic, and a subsequent resurgence in 2022–2023. <b>Conclusions:</b> Our research underscores the value of evidence-based epidemiology through robust surveillance systems in tracking IBD trends and serotype shifts, essential for guiding vaccination strategies and public health interventions. These insights highlight the effectiveness of vaccination programs and the necessity of ongoing monitoring to inform public health policies. Improved data integration and completeness are recommended to enhance surveillance accuracy.https://www.mdpi.com/2076-393X/13/3/230pediatricmeningitissepsissurveillance system<i>Neisseria meningitidis</i><i>Streptococcus pneumoniae</i>
spellingShingle Silvia Cocchio
Claudia Cozzolino
Andrea Cozza
Patrizia Furlan
Enrica Frasson
Sara Tarantino
Elisabetta Conte
Lorenzo Chiusaroli
Irene Amoruso
Francesca Zanella
Davide Gentili
Michele Tonon
Francesca Russo
Tatjana Baldovin
Vincenzo Baldo
Surveillance of Pediatric Invasive Bacterial Diseases in the Veneto Region: Epidemiological Trends and Outcomes over 17 Years (2007–2023)
Vaccines
pediatric
meningitis
sepsis
surveillance system
<i>Neisseria meningitidis</i>
<i>Streptococcus pneumoniae</i>
title Surveillance of Pediatric Invasive Bacterial Diseases in the Veneto Region: Epidemiological Trends and Outcomes over 17 Years (2007–2023)
title_full Surveillance of Pediatric Invasive Bacterial Diseases in the Veneto Region: Epidemiological Trends and Outcomes over 17 Years (2007–2023)
title_fullStr Surveillance of Pediatric Invasive Bacterial Diseases in the Veneto Region: Epidemiological Trends and Outcomes over 17 Years (2007–2023)
title_full_unstemmed Surveillance of Pediatric Invasive Bacterial Diseases in the Veneto Region: Epidemiological Trends and Outcomes over 17 Years (2007–2023)
title_short Surveillance of Pediatric Invasive Bacterial Diseases in the Veneto Region: Epidemiological Trends and Outcomes over 17 Years (2007–2023)
title_sort surveillance of pediatric invasive bacterial diseases in the veneto region epidemiological trends and outcomes over 17 years 2007 2023
topic pediatric
meningitis
sepsis
surveillance system
<i>Neisseria meningitidis</i>
<i>Streptococcus pneumoniae</i>
url https://www.mdpi.com/2076-393X/13/3/230
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