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haemophilus vaccine efficacy in dallas county. 19892594459
staphylococcus aureus sinus infections in children.staphylococcus aureus can cause sinusitis in children. the predominant mrsa clone in the united states, usa300, has been associated with skin and soft tissue as well as invasive diseases. usa300 has increased among ca methicillin-susceptible s. aureus (ca-mssa) isolates. we describe the clinical characteristics of pediatric patients with s. aureus cultured from sinus specimens, treated at texas children's hospital (tch), and characterized their isolates by molecular methods.201021074863
associations between vaccination and childhood cancers in texas regions.to determine whether children born in texas regions with higher vaccination coverage had reduced risk of childhood cancer.201121227448
acute bacterial pneumonia is associated with the occurrence of acute coronary syndromes.a link between acute infections and the development of acute coronary syndromes (acs) has been proposed. we used retrospective cohort and self-controlled case series analyses to define the closeness of the association between acute bacterial pneumonia due to streptococcus pneumoniae or haemophilus influenzae and acs. for the retrospective cohort analysis we included a control group of patients with admission diagnoses other than pneumonia or acs. for the self-controlled case series analysis, we ...200919440118
children who have received no vaccines: who are they and where do they live?each year 2.1 million children 19 to 35 months of age are undervaccinated. among these are children who have received no vaccinations. unvaccinated children are at increased risk of acquiring and transmitting vaccine-preventable diseases.200415231927
assessing immunization registry data completeness in bexar county, texas.immunization information systems (or registries) are increasingly being used to promote and sustain high levels of vaccination coverage. however, the perception among many providers that registry data are too incomplete to be relied on when making immunization decisions has impeded the acceptance of registries.200211897463
molecular epidemiology of rabies epizootics in texas.texas is in the midst of two independent epizootics of rabies, involving coyotes (canis latrans) and domestic dogs (canis familiaris) in southern texas and grey foxes (urocyon cinereoargenteus) in west central texas. the domestic dog/coyote (ddc) and grey for (tf) rabies virus variants cannot be differentiated by antigenic typing with currently available monoclonal antibodies. these two variants also cannot be distinguished from a third variant, sonora dog (sd) rabies, that is not enzootic in te ...19979406651
efficacy of cefixime in the treatment of acute otitis media in children.to compare the efficacy of cefixime with amoxicillin in the treatment of acute otitis media in children.19938418608
declining incidence of haemophilus influenzae type b disease since introduction of vaccination.to determine the incidence of invasive haemophilus influenzae type b disease in children living in minnesota and dallas county, texas, before and since introduction of plain polysaccharide vaccine in 1985, and conjugate vaccine in 1988. initially, use of these vaccines was limited to infants 18 months of age and older.19938417244
the bacterial etiology and antibiotic management of septic arthritis in infants and children. 19724403468
haemophilus influenzae type b disease after rifampin prophylaxis in a day care center: possible reasons for its failure.five infants enrolled in a day care center (dcc) developed invasive disease due to haemophilus influenzae type b during a 25-week period. the isolates from four patients had identical outer membrane proteins and were biotype 1. although rifampin prophylaxis was recommended on two different occasions, retrospective surveys demonstrated that 39 and 60%, respectively, of infants failed to receive the agent for various reasons. pharyngeal cultures were obtained from infants, their families and dcc s ...19836602974
decreased haemophilus colonization in children vaccinated with haemophilus influenzae type b conjugate vaccine.the incidence of invasive haemophilus disease has unexpectedly decreased in unvaccinated children since the introduction of conjugate vaccine in the united states. the purpose of this study was to determine whether conjugate vaccination decreases colonization with haemophilus influenzae type b.19938463894
prospective surveillance of haemophilus influenzae type b disease in dallas county, texas, and in minnesota.among children less than 12 years of age residing in dallas county, texas, and in the state of minnesota we conducted prospective, active surveillance of invasive haemophilus influenzae disease. during 18 months, 616 cases were identified, of which 600 were caused by type b organisms. the annual incidence of disease was significantly greater in dallas than in minnesota (109 v 68/100,000 children younger than 5 years of age, p less than .001) and was greater in dallas, even when rates for white c ...19873492702
septic arthritis and osteomyelitis in children.most of the data for this paper were taken from a 30-year follow-up of septic arthritis and a 25 year series of osteomyelitis seen in dallas, texas. a specific bacterial aetiology was determined in about 70% of patients with septic arthritis, utilizing culture of multiple fluids. the aetiological agent was influenced by the age of the patient. in the newborn staph. aureus, group b streptococci and gram-negative organisms are found most commonly. in the older infant h. influenzae becomes a promin ...19863492327
septic arthritis in infants and children: a review of 117 cases. 19665297142
conservation of epitopes in the oligosaccharide portion of the lipooligosaccharide of haemophilus influenzae type b.the antigenic characteristics of the lipooligosaccharide (los) of haemophilus influenzae type b (hib) were examined in strains obtained over an extended period of time. these hib strains were isolated from patients with systemic hib disease in dallas, tex., over a 20-year period and in new york city between 1941 and 1956. the antigenic characteristics of the los of these hib strains were examined by using a set of four murine monoclonal antibodies directed against epitopes present in the oligosa ...19872434425
hib vaccine is available and soon to be required. 19911998163
differences in the immunogenicity of three haemophilus influenzae type b conjugate vaccines in infants.to compare the immunogenicity of three haemophilus influenzae type b (hib) conjugate vaccines in infants residing in different geographic areas.19921640282
invasive haemophilus influenzae type b disease in children less than 5 years of age in minnesota and in dallas county, texas, 1983-1984.during 1983 and 1984, 733 cases of invasive haemophilus influenzae type b disease in children less than 5 years of age were identified in minnesota and in dallas county, texas. the overall incidence of disease was lower in minnesota than in dallas county. however, among urban residents, the rates of disease for whites were similar in the two areas. a higher rate of disease among whites in urban minnesota compared with rural minnesota resulted from an increased rate of cases for diagnoses other t ...19921588181
haemophilus influenzae type b vaccine: use in the pediatric population.to assess the use of the haemophilus influenzae type b vaccine and the attitudes of health professionals regarding its use in the pediatric population, we conducted a study of community clinics, health department clinics, university-based teaching clinics, and private practice groups in the state of texas. whereas 59.6% of the private practice groups and 57.1% of the university-based teaching clinics administered the vaccine to more than 75% of their eligible children, 72.7% of community clinics ...19873670973
report of 65 cases of haemophilus influenzae b pneumonia.during a 14-year period there were 65 cases of pneumonia caused by haemophilus influenzae b; 83% were children less than 2 years of age and 80% of illness occurred in winter and spring. the roentgenographic picture was consolidative pneumonia in 75% and pleural effusions were present in 75% of all cases. ten patients had associated meningitis and three had purulent pericarditis. otitis media was diagnosed in 43% and h influenzae b was isolated from eight middle ear aspirates. three patients (5%) ...1979314622
haemophilus influenzae type b disease. incidence in a day-care center.haemophilus influenzae type b (hib) disease was observed during a 14-month period in seven of 48 infants attending a day-care center. surveillance studies showed that 28 (58%) infants had positive nasopharyngeal cultures for hib; four infants were colonized with hib for nine to 12 months. ampicillin trihydrate prophylaxis failed to reduce the hib carrier rate. haemophilus influenzae type b polysaccharide vaccine was administered to 34 of the children. sera obtained prior to immunization showed d ...1977301947
risk of subsequent disease among day-care contacts of patients with systemic hemophilus influenzae type b disease.there is controversy about whether to provide rifampin prophylaxis routinely to contacts in day-care facilities of a patient with a primary case of hemophilus influenzae type b disease. we prospectively investigated primary cases of h. influenzae type b disease in day-care facilities in dallas county, texas, to determine the rate of subsequent disease among contacts. ninety-one children with primary cases of h. influenzae type b disease who were attending day-care facilities were enrolled from o ...19873491319
variation in patient charges for vaccines and well-child care.several state and federal programs have attempted to boost immunization rates by reducing or eliminating provider vaccine costs. the relation between patient vaccine and well-child visit charges and vaccine financing systems is unknown.19968634739
antimicrobial resistance of bacterial pathogens at two tertiary-care centers, in riyadh and texas.antimicrobial resistance of bacterial pathogens usually varies from one geographic location to another. during the last 20 years, outbreaks of disease caused by multiresistant bacteria have occurred with higher frequency in developing countries. we investigated the antimicrobial resistance patterns of bacteria isolated in 1992 from two tertiary-care centers, in riyadh and texas. of the 8841 strains used, 5318 were isolated from clinical specimens of patients at king faisal specialist hospital an ...19947997964
management of bacterial meningitis in infants and children. current status and future prospects.outcome from bacterial meningitis in infants and children has not appreciably changed in a 14-year period from 1969 to 1982 at children's medical center and parkland memorial hospital, dallas, texas. overall, the case-fatality rate was 6.4 percent; it was 4.6 percent for 414 patients managed in 1969 to 1972 and 3.9% for 376 patients in 1981 and 1982. in neonatal meningitis due to group b streptococci or coliform bacilli, the fatality rates were comparable in 1969 to 1972 and 1981 and 1982; ampic ...19846372473
impact of the 13-valent pneumococcal conjugate vaccine on chronic sinusitis associated with streptococcus pneumoniae in children.the widespread use of the 7-valent pneumococcal conjugate vaccine has been associated with epidemiologic changes of mucosal and invasive pneumococcal disease. no study describes the impact of 13-valent pneumococcal conjugate vaccine (pcv13) on chronic sinusitis in children. we describe changes in epidemiology of streptococcus pneumoniae chronic sinusitis after the introduction of pcv13 at texas children's hospital.201424776520
seasonal evaluation of antigenic bacterial infections among working class in the inner city of houston.this paper evaluates the monthly, quarterly, and seasonal variation of antigenic bacterial infections among the working class in the inner city of houston using the wellcogen rapid test methods. one of the aims was to demonstrate how this method could be used effectively in screening patients at risk and preventing the spread of antigenic bacteria such as streptococcus pneumoniae, haemophilus influenzae b, streptococcus (strep b), and neisseria meningitidis (mainly group c and b). a total of 2,8 ...200415349517
incidence and etiology of septic meningitis in a metropolitan county hospital.from january 1, 1969 to december 31, 1974, 98,446 patients were admitted to ben taub general hospital, one of the harris county district hospitals and a major teaching institution for baylor college of medicine. spinal fluid specimens from 17,638 (17.9%) patients were cultured, and 787 (4.5%) cultures were positive for pathogenic microorganisms. haemophilus influenzae, type b, was most frequently isolated (23.8%), followed by streptococcus pneumoniae (16.0%), staphylococcus aureus (9%), neisseri ...1976817592
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