MINNESOTA DEPARTMENT OF HEALTH EMERGING INFECTIONS PROGRAM REPORTED CASES OF INVASIVE BACTERIAL DISEASE JANUARY 1, 2002 - DECEMBER 31, 2003 1/1/200312/31/2003 Rate per No. 100,000* 1/1/200212/31/2002 Rate per No. 100,000* PATHOGEN Neisseria meningitidis Serogroup B Serogroup C Serogroup Y Serogroup W135 Serogroup X Not groupable Reported but isolate not available Haemophilus influenzae type a type b type c type d type e type f Non-typeable Reported but isolate not available 36 0.73 8 17 9 1 1 0 8 16 3 1 0 1 0 0 52 1.06 2 1 1 2 4 11 22 0 5 2 0 4 8 34 9 4 29 0.59 57 1.16 Group A streptococcus 147 2.99 181 3.68 Group B streptococcus 312 6.34 329 6.69 Streptococcus pneumoniae 598 12.16 607 12.34 *Annual rate using populations from the U.S. Bureau of the Census 2000 Note: Active surveillance for these pathogens began April 1, 1995. Previous reports have summarized data for 4/1/95-12/31/02. This current report can also be located via the MDH Web Page at: www.health.state.mn.us MDH Emerging Infections Program (612) 676-5414 TABLE 2 REPORTED CASES OF INVASIVE DISEASE ATTRIBUTED TO NEISSERIA MENINGITIDIS , JANUARY 1, 2002 - DECEMBER 31, 2003 1/1/200212/31/2002 1/1/200312/31/2003 1/1/200212/31/2002 RESIDENCE Residence Twin Cities Metro Area Greater Minnesota TOTAL No. (%) 8 (22) 28 (78) 36 (100) OUTCOME No. (%) 19 (66) 10 (34) 29 (100) Survived Yes No TOTAL AGE Age (Years) <1 1-4 5-9 10-19 20-29 30-39 40-49 50-59 60+ TOTAL No. (%) 31 (86) 5 (14) 36 (100) No. (%) 5 (14) 6 (17) 2 (6) 5 (14) 3 (8) 1 (3) 3 (8) 1 (3) 10 (28) 36 (100) No. (%) 2 (7) 2 (7) 2 (7) 9 (31) 5 (17) 3 (10) 6 (21) 0 (0) 0 (0) 29 (100) No. (%) 17 (47) 19 (53) 36 (100) No. (%) 15 (52) 14 (48) 29 (100) Site Blood CSF Other TOTAL No. (%) 22 (61) 13 (36) 1 (3) 36 (100) No. 15 2 No. (%) 15 (52) 9 (31) 5 (17) 29 (100) TYPE OF INFECTION Type Bacteremia Meningitis Pneumonia Septic arthritis Pericarditis Otitis Other TOTAL RACE Race White Only Black Only American Indian/ Alaskan Native Only Asian/Pacific Isl. Only > 2 Races Other Only Unknown TOTAL No. (%) 26 (90) 3 (10) 29 (100) SITE OF ISOLATE CULTURE GENDER Gender Male Female TOTAL 1/1/200312/31/2003 No. (%) 17 (47) 16 (44) 3 (8) 0 (0) 0 (0) 0 (0) 0 (0) 36 (100) No. (%) 4 (14) 17 (59) 2 (7) 1 (3) 1 (3) 0 (0) 4 (14) 29 (100) SEROGROUP (%) (42) (6) 1 (3) 0 (0) 0 (0) 3 (8) 15 (42) 36 (100) No. 12 3 (%) (41) (10) 0 (0) 0 (0) 0 (0) 1 (3) 13 (45) 29 (100) Serogroup B C Y W135 X Not groupable Unknown TOTAL No. (%) 8 (22) 17 (47) 9 (25) 1 (3) 1 (3) 0 (0) 0 (0) 36 (100) No. (%) 8 (28) 16 (55) 3 (10) 1 (3) 0 (0) 1 (3) 0 (0) 29 (100) Cases of Neisseria meningitidis Invasive Disease by Culture Date, Minnesota January 1, 2002 - December 31, 2003 Serogroup B Serogroup C Serogroup Y Serogroup W135 Number of Cases 12 Serogroup X 10 Not Groupable/Unk Death 8 6 4 2 0 J F M A M J J A S O N D J F M A M J J A S O N D 2002 2003 Month of Culture TABLE 3 REPORTED CASES OF INVASIVE DISEASE ATTRIBUTED TO HAEMOPHILUS INFLUENZAE , JANUARY 1, 2002 - DECEMBER 31, 2003 1/1/200212/31/2002 1/1/200312/31/2003 1/1/200212/31/2002 RESIDENCE Residence Twin Cities Metro Area Greater Minnesota TOTAL OUTCOME No. (%) 24 (46) 28 (54) 52 (100) No. (%) 27 (47) 30 (53) 57 (100) AGE Age (Years) <1 1-4 5-9 10-19 20-29 30-39 40-49 50-59 60-69 70+ TOTAL No. (%) 8 (15) 0 (0) 1 (2) 3 (6) 4 (8) 2 (4) 0 (0) 11 (21) 4 (8) 19 (37) 52 (100) No. (%) 8 (14) 4 (7) 1 (2) 3 (5) 0 (0) 1 (2) 0 (0) 10 (18) 8 (14) 22 (39) 57 (100) No. (%) 49 (94) 3 (6) 52 (100) No. (%) 49 (86) 8 (14) 57 (100) No. (%) 31 (60) 21 (40) 52 (100) No. 23 3 Site Blood CSF Peritoneal Joint Pleural fluid Other TOTAL No. (%) 41 (79) 4 (8) 0 (0) 2 (4) 2 (4) 3 (6) 52 (100) No. (%) 49 (86) 3 (5) 1 (2) 1 (2) 0 (0) 3 (5) 57 (100) TYPE OF INFECTION No. (%) 29 (51) 28 (49) 57 (100) RACE Race White Only Black Only American Indian/ Alaskan Native Only Asian/Pacific Isl. Only > 2 Races Other Only Unknown TOTAL Survived Yes No TOTAL SITE OF ISOLATE CULTURE GENDER Gender Male Female TOTAL 1/1/200312/31/2003 (%) (44) (6) 3 (6) 1 (2) 1 (2) 2 (4) 19 (37) 52 (100) No. 32 5 (%) (56) (9) 1 (2) 0 (0) 0 (0) 1 (2) 18 (32) 57 (100) Type Bacteremia Pneumonia Meningitis Cellulitis Peritonitis Epiglottitis Chorioamnionitis Arthritis Sinusitis Other TOTAL No. (%) 17 (33) 17 (33) 7 (13) 1 (2) 0 (0) 1 (2) 0 (0) 1 (2) 0 (0) 8 (15) 52 (100) No. (%) 18 (32) 23 (40) 4 (7) 1 (2) 1 (2) 2 (4) 0 (0) 2 (4) 0 (0) 6 (11) 57 (100) TABLE 3 (CONTINUED) REPORTED CASES OF INVASIVE DISEASE ATTRIBUTED TO HAEMOPHILUS INFLUENZAE , JANUARY 1, 2002 - DECEMBER 31, 2003 1/1/200312/31/2003 1/1/200212/31/2002 ISOLATE SEROTYPE Type a b c d e f Non-typeable Missing TOTAL No. 2 1 1 2 4 11 22 9 52 (%) (4) (2) (2) (4) (8) (21) (42) (17) (100) No. 0 5 2 0 4 8 34 4 57 (%) (0) (9) (4) (0) (7) (14) (60) (7) (100) SEROTYPE B (Hib) CASES BY AGE Age (Years) <1 1-4 5-9 10-14 15-19 20-39 40-59 60+ TOTAL No. 1 0 0 0 0 0 0 0 1 (%) (100) (0) (0) (0) (0) (0) (0) (0) (100) No. 2 0 0 0 0 0 2 1 5 (%) (40) (0) (0) (0) (0) (0) (40) (20) (100) Cases of Haemophilus influenzae Invasive Disease by Culture Date, Minnesota January 1, 2002 - December 31, 2003 Type b Death Number of Cases 12 10 8 6 4 2 0 J F M A M J J A S O N D J F M A M J J A S O N D 2003 2002 Month of Culture TABLE 4 REPORTED CASES OF INVASIVE DISEASE ATTRIBUTED TO GROUP A STREPTOCOCCUS, JANUARY 1, 2002 - DECEMBER 31, 2003 1/1/0212/31/2002 RESIDENCE Residence No. (%) Twin Cities Metro Area 82 (56) Greater Minnesota 65 (44) TOTAL 147 (100) 1/1/0312/31/2003 No. (%) 98 (54) 83 (46) 181 (100) AGE Age (Years) <1 1-4 5-9 10-19 20-29 30-39 40-49 50-59 60-69 70+ TOTAL No. 2 6 7 10 6 11 19 19 23 44 147 (%) (1) (4) (5) (7) (4) (7) (13) (13) (16) (30) (100) No. (%) 1 (1) 13 (7) 12 (7) 9 (5) 9 (5) 20 (11) 23 (13) 11 (6) 27 (15) 56 (31) 181 (100) (%) (50) (50) (100) No. (%) 90 (50) 91 (50) 181 (100) GENDER Gender Male Female TOTAL No. 73 74 147 RACE Race White Black American Indian/ Alaskan Native Asian/Pacific Islander Other Unknown TOTAL No. 99 5 (%) (67) (3) No. 129 6 (%) (71) (3) 5 1 0 37 147 (3) (1) (0) (25) 100 4 4 4 34 181 (2) (2) (2) (19) 100 1/1/0212/31/2002 1/1/0312/31/2003 SITE OF ISOLATE CULTURE Site No. (%) No. (%) Blood only 92 (63) 101 (56) CSF only 1 (1) 0 (0) Blood and other 5 (3) 22 (12) 11 (7) 19 (10) Joint Surgical Specimen 7 (5) 0 (0) Peritoneal 2 (1) 2 (1) Pleural 5 (3) 6 (3) Middle ear 1 (1) 0 (0) Bone 0 (0) 2 (1) Surgical Aspirate 5 (3) 0 (0) Muscle 8 (5) 8 (4) 1 (1) 5 (3) Internal Body Site Other sterile site 9 (6) 16 (9) TOTAL 147 (100) 181 (100) TYPE OF INFECTION Type No. (%) Bacteremia only 30 (20) Meningitis 1 (1) Pneumonia only 10 (7) Cellulitis only 36 (24) Necrotizing fasciitis (NF) only 8 (5) Peritonitis 1 (1) Arthritis only 7 (5) 1 (1) Osteomyelitis Endometritis 2 (1) Abscess 9 (6) Otitis Media 2 (1) Peurperal Sepsis 1 (1) STSS 4 (3) Pneumonia + other 3 (2) NF + other 5 (3) Cellulitis + other 10 (7) Abscess + other 3 (2) Other + Epiglot (2) 14 (10) TOTAL 147 (100) No. 45 0 12 41 (%) (25) (0) (7) (23) 9 (5) 3 (2) 6 (3) 3 (2) 1 (1) 8 (4) 0 (0) 0 (0) 4 (2) 9 (5) 8 (4) 13 (7) 2 (1) 17 (9) 181 (100) TABLE 4 (CONTINUED) REPORTED CASES OF INVASIVE DISEASE ATTRIBUTED TO GROUP A STREPTOCOCCUS, JANUARY 1, 2002 - DECEMBER 31, 2003 1/1/0212/31/2002 1/1/0312/31/2003 OUTCOME Survived Yes No Unknown TOTAL No. 123 24 0 147 (%) (84) (16) (0) (100) No. 159 22 0 181 (%) (88) (12) (0) (100) No. 8 0 0 2 0 1 6 1 0 1 0 0 1 0 0 1 1 22 (%) (36) (0) (0) (9) (0) (5) (27) (5) (0) (5) (0) (0) (5) (0) (0) (5) (5) (100) TYPE OF INFECTION RESULTING IN DEATH Type Bacteremia Meningitis Necrotizing fasciitis Pneumonia Abscess STSS Cellulitis Peritonitis + STSS Peurperal Sepsis Septic Arthritis Pneumonia + Cellulitis NF + Cellulitis Pneumonia + STSS NF + STSS Cellulitis + STSS Strep Pharyngitis/Inf Mediastinitis TOTAL No. 4 0 3 4 1 2 4 0 1 1 0 2 0 1 1 0 0 24 (%) (17) (0) (13) (17) (4) (8) (17) (0) (4) (4) (0) (8) (0) (4) (4) (0) (0) (100) Cases of Invasive Group A Streptococcal Disease by Date of Culture, Minnesota January 1, 2002 – December 31, 2003 Death 18 Number of Cases 16 14 12 10 8 6 4 2 0 Jan Feb Mar Apr May Jun July Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun July Aug Sept Oct Nov Dec 2002 2003 Date of Culture TABLE 5 REPORTED CASES OF INVASIVE DISEASE ATTRIBUTED TO GROUP B STREPTOCOCCUS, JANUARY 1, 2002 - DECEMBER 31, 2003 1/1/20031/1/200212/31/2002 12/31/2003 1/1/20021/1/200312/31/2002 12/31/2003 RESIDENCE Residence Twin Cities Metro Area Greater Minnesota TOTAL No. (%) 188 (60) 124 (40) 312 (100) OUTCOME No. (%) 175 (53) 154 (47) 329 (100) Survived Yes No Unknown TOTAL AGE Age <7 days 7-90 days 91 days-11 mos. 1-9 10-19 20-29 30-39 40-49 50-59 60-69 70+ TOTAL No. (%) 27 (9) 18 (6) 2 (1) 0 (0) 5 (2) 15 (5) 20 (6) 35 (11) 37 (12) 56 (18) 97 (31) 312 (100) No. (%) 166 (53) 146 (47) 312 (100) No. (%) 20 (6) 16 (5) 2 (1) 0 (0) 2 (1) 6 (2) 20 (6) 39 (12) 46 (14) 50 (15) 128 (39) 329 (100) Site Blood only CSF only Blood and CSF Pleural Joint Placenta Amniotic fluid Surgical Specimen Internal body site Peritoneal Bone Other TOTAL No. (%) 180 (58) 22 (7) 6 (2) 6 (2) 0 (0) 98 (31) 312 (100) No. (%) 240 (77) 13 (4) 0 (0) 3 (1) 22 (7) 8 (3) 0 (0) 1 (0) 0 (0) 8 (3) 17 (5) 0 (0) 312 (100) No. (%) 244 (74) 7 (2) 2 (1) 1 (0) 35 (11) 4 (1) 0 (0) 0 (0) 3 (1) 9 (3) 24 (7) 0 (0) 329 (100) TYPE OF INFECTION No. (%) 173 (53) 156 (47) 329 (100) RACE Race White Black Amer Indian/Alas Native Asian/Pacific Islander More than 1 race Other/Unknown TOTAL No. (%) 297 (90) 27 (8) 5 (2) 329 (100) SITE OF ISOLATE CULTURE GENDER Gender Male Female TOTAL No. (%) 288 (92) 24 (8) 0 (0) 312 (100) No. (%) 224 (68) 11 (3) 6 (2) 6 (2) 0 (0) 82 (25) 329 (100) Type Bacteremia Meningitis Pneumonia Cellulitis Arthritis Osteomyelitis Abscess Necrotizing fasciitis Peritonitis Septic abortion or stillbirth Other No. 139 9 23 46 20 13 10 3 8 6 (%) (45) (3) (7) (15) (6) (4) (3) (1) (3) (2) No. 154 9 21 40 24 25 12 4 8 2 (%) (47) (3) (6) (12) (7) (8) (4) (1) (2) (1) 35 (11) 30 (9) TOTAL 312 (100) 329 (100) TABLE 5 (CONTINUED) REPORTED CASES OF INVASIVE DISEASE ATTRIBUTED TO GROUP B STREPTOCOCCUS, JANUARY 1, 2002 - DECEMBER 31, 2003 EARLY ONSET CASES* 1/1/200212/31/2002 LATE ONSET CASES* 1/1/200212/31/2002 1/1/200312/31/2003 1/1/200312/31/2003 RESIDENCE Residence Twin Cities Metro Area Greater Minnesota TOTAL No. 19 8 27 (%) (70) (30) (100) No. 15 5 20 (%) (75) (25) (100) No. 11 7 18 (%) (61) (39) (100) No. 10 6 16 (%) (63) (38) (100) No. 8 10 18 (%) (44) (56) (100) No. 7 9 16 (%) (44) (56) (100) GENDER Gender Male Female TOTAL No. 11 16 27 (%) (41) (59) (100) No. 11 9 20 (%) (55) (45) (100) RACE Race White Black American Indian/ Alaskan Native More than 1 race Asian/Pacific Islander Other/Unknown TOTAL No. 21 1 (%) (78) (4) No. 12 2 (%) (60) (10) No. 13 5 (%) (72) (28) No. 12 1 (%) (75) (6) 2 (7) (0) (7) (4) (100) 1 0 1 4 20 (5) (0) (5) (20) (100) 0 0 0 18 (0) (0) (0) (0) (100) 2 0 0 1 16 (13) (0) (0) (6) (100) No. 17 1 0 18 (%) (94) (6) (0) (100) No. 16 0 0 16 (%) (100) (0) (0) (100) (%) (72) (22) (0) (6) (100) No. 12 4 0 0 16 (%) (75) (25) (0) (0) (100) 2 1 27 OUTCOME Survived Yes No Unknown TOTAL No. 26 1 0 27 (%) (96) (4) (0) (100) No. 20 0 0 20 (%) (100) (0) (0) (100) TYPE OF INFECTION Type Bacteremia Meningitis Pneumonia Other TOTAL No. 18 1 4 4 27 (%) (67) (4) (15) (15) (100) No. 16 1 3 0 20 (%) (80) (5) (15) (0) (100) No. 13 4 0 1 18 * Early onset is defined as occurring in the first 6 days, and late onset in the 7th-89th days of life. TABLE 5 (CONTINUED) REPORTED CASES OF INVASIVE DISEASE ATTRIBUTED TO GROUP B STREPTOCOCCUS, JANUARY 1, 2002 - DECEMBER 31, 2003 1/1/200212/31/2002 1/1/200312/31/2003 TYPE OF CASE Type of Case* Maternal case with miscarriage/ stillbirth Other maternal case Infant case - early onset Infant case - late onset Not pregnant/postpartum/infant case TOTAL No. (%) No. (%) 8 6 27 18 253 312 (3) (2) (9) (6) (81) (100) 3 1 20 16 289 329 (1) (0) (6) (5) (88) (100) *A maternal case is defined as invasive GBS infection during pregnancy or postpartum. An early onset infant case is defined as invasive disease occurring in the first 6 days, and late onset in the 7th - 90th days of life. TYPE OF INFECTION REPORTED FOR MATERNAL CASES Type Bacteremia without another focus of infection Septic abortion/ stillbirth Meningitis Chorioamnionitis Abscess Pyelonenephritis Unknown Bleeding on ultrasound TOTAL No. (%) No. (%) 1 8 0 1 0 1 2 1 14 (7) (57) (0) (7) (0) (7) (14) (7) (100) 1 3 0 0 0 0 0 0 4 (25) (75) (0) (0) (0) (0) (0) (0) (100) (%) (25) (0) (0) (0) (75) (0) (100) OUTCOME OF FETUS FOR MATERNAL CASES Outcome Survived, no apparent clinical illness Survived, clinical infection Live birth, neonatal death-GBS related Miscarriage/stillbirth-likely GBS-related Induced abortion TOTAL No. 4 1 0 (%) (29) (7) (0) No. 1 0 0 8 1 14 (57) (7) (100) 3 0 4 TABLE 5 (CONTINUED) REPORTED CASES OF INVASIVE DISEASE ATTRIBUTED TO GROUP B STREPTOCOCCUS, JANUARY 1, 2002 - DECEMBER 31, 2003 1/1/200212/31/2002 1/1/200312/31/2003 SITE OF ISOLATE CULTURE FOR MISCARRIAGES/STILLBIRTHS Site Maternal blood Amniotic fluid Placenta only Autopsy only TOTAL No. 2 0 6 0 8 (%) (25) (0) (75) (0) (100) No. 1 0 2 0 3 (%) (33) (0) (67) (0) (100) WEEKS GESTATION AT TIME OF MISCARRIAGE/STILLBIRTH Age (weeks) <24 24-27 28-32 33-34 35-36 37+ Unknown TOTAL No. 0 0 0 0 0 0 8 8 (%) (0) (0) (0) (0) (0) (0) (100) (100) No. 0 0 0 0 0 0 3 3 (%) (0) (0) (0) (0) (0) (0) (100) (100) GESTATIONAL AGE OF EARLY ONSET CASES Age (weeks) <28 28-32 33-34 35-36 37+ Unknown TOTAL No. 6 1 1 2 17 1 28 (%) (21) (4) (4) (7) (61) (4) (100) No. 1 1 1 0 17 0 20 (%) (5) (5) (5) (0) (85) (0) (100) BIRTH WEIGHT OF EARLY ONSET CASES Weight (grams) <1000 1000-1999 2000-2999 >3000+ Unknown TOTAL No. 5 2 4 17 0 28 (%) (18) (7) (14) (61) (0) (100) No. 1 1 3 15 0 20 (%) (5) (5) (15) (75) (0) (100) Cases of Group B Streptococcal Disease by Date Cultured, Minnesota January 1, 2002 – December 31, 2003 20 Maternal Case Maternal Case with miscarriage/stillbirth Infant Case - Early Onset Infant Case - Late Onset Non-maternal/non-infant Case Death 18 Number of Cases 16 14 12 10 8 6 4 2 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2002 2003 Month of Culture TABLE 6 REPORTED CASES OF INVASIVE DISEASE ATTRIBUTED TO STREPTOCOCCUS PNEUMONIAE , JANUARY 1, 2002 - DECEMBER 31, 2003 1/1/2002- 1/1/200312/31/2002 12/31/2003 1/1/20021/1/200312/31/2002 12/31/2003 RESIDENCE Residence Twin Cities Metro Area Greater Minnesota TOTAL OUTCOME No. (%) 300 (50) 298 (50) 598 (100) No. (%) 314 (52) 293 (48) 607 (100) Survived Yes No TOTAL No. (%) 528 (88) 70 (12) 598 (100) No. (%) 535 (88) 72 (12) 607 (100) SITE OF ISOLATE CULTURE AGE Age (Years) <1 1 2-4 5-17 18-34 35-49 50-64 65-79 80+ TOTAL No. (%) 21 (4) 23 (4) 29 (5) 29 (5) 25 (4) 93 (16) 128 (21) 146 (24) 104 (17) 598 (100) No. (%) 28 (5) 26 (4) 20 (3) 28 (5) 38 (6) 102 (17) 110 (18) 125 (21) 130 (21) 607 (100) GENDER Gender Male Female TOTAL No. (%) 314 (53) 284 (47) 598 (100) No. (%) 312 (51) 295 (49) 607 (100) RACE Race White Only Black Only American Indian/ Alaskan Native Only Asian/Pacific Isl. Only 2 Races or More Other Only Unknown TOTAL No. 353 33 (%) No. (59) 384 (6) 37 (%) (63) (6) 6 (1) 9 (1) 5 (1) 10 (2) 2 (<1) 1 (<1) 9 (2) 11 (2) 190 (32) 155 (26) 598 (100) 607 (100) Culture Site Blood Only Blood and CSF CSF Only Pericardial Fluid Pleural Joint Peritoneal Other TOTAL No. (%) 539 (90) 1 (<1) 35 (6) 1 (<1) 9 (2) 3 (1) 4 (1) 6 (1) 598 (100) No. (%) 558 (92) 5 (1) 15 (2) 0 (0) 17 (3) 3 (<1) 4 (1) 5 (1) 607 (100) TYPE OF INFECTION Type Bacteremia without focus Pneumonia Meningitis Otitis Cellulitis Other TOTAL No. (%) 186 (31) 333 (56) 46 (8) 2 (<1) 2 (<1) 29 (5) 598 (100) No. (%) 177 (29) 358 (59) 36 (6) 4 (1) 2 (<1) 30 (5) 607 (100) PENICILLIN SUSCEPTIBILITY Susceptibility Susceptible (MIC < 0.06) Intermediate No. 425 38 (%) (81) (7) No. 488 32 (%) (86) (6) (MIC = 0.12 - 1.0) Resistant (MIC > 2.0) TOTAL Not Tested 64 (12) 527 (100) 71 (12) 47 (8) 567 (100) 40 (7) TABLE 6 (CONTINUED) REPORTED CASES OF INVASIVE DISEASE ATTRIBUTED TO STREPTOCOCCUS PNEUMONIAE , JANUARY 1, 2002 - DECEMBER 31, 2003 PENICILLIN NON-SUSCEPTIBILITY* BY AGE 1/1/200212/31/2002 Age (Years) <1 1 2-4 5-17 18-34 35-49 50-64 65-79 80+ TOTAL Non-Susceptible Total (%) 6 / 21 (29) 5 / 23 (22) 3 / 29 (10) 4 / 29 (14) 3 / 25 (12) 14 / 93 (15) 21 / 128 (16) 28 / 146 (19) 18 / 104 (17) 102 / 598 (17) 1/1/200312/31/2003 Non-Susceptible Total (%) 2 / 28 (7) 3 / 26 (12) 3 / 20 (15) 5 / 28 (18) 3 / 38 (8) 5 / 102 (5) 12 / 110 (11) 24 / 125 (19) 22 / 130 (17) 79 / 607 (13) PENICILLIN NON-SUSCEPTIBILITY* BY TYPE OF INFECTION 1/1/200212/31/2002 Type Bacteremia Pneumonia Meningitis Other/Unknown TOTAL Non-Susceptible Total (%) 33 / 186 (18) 52 / 333 (16) 8 / 46 (17) 9 / 33 (27) 102 / 598 (17) 1/1/20039/30/2003 Non-Susceptible Total (%) 20 / 177 (11) 48 / 358 (13) 6 / 36 (17) 5 / 36 (14) 79 / 607 (13) *Penicillin non-susceptible includes isolates with a MIC > 0.12 µg/ml. Cases of S. pneumoniae by Week of Culture, Minnesota, January 1, 2002 - December 31, 2002 24 Penicillin Non-Susceptible* 22 Death 20 Number of Cases 18 16 14 12 10 8 6 4 2 0 Jan Feb Mar Apr May Jun Jul Aug 2002 - Week of Culture * Penicillin non-susceptible includes isolates with a MIC > 0.12 µg/ml Sep Oct Nov Dec Cases of S. pneumoniae by Week of Culture, Minnesota, January 1, 2003 - December 31, 2003 30 28 26 Penicillin Non-Susceptible* 24 Death 22 20 18 16 Number of Cases 14 12 10 8 6 4 2 0 Jan Feb Mar Apr May Jun Jul Aug 2003 - Week of Culture * Penicillin non-susceptible includes isolates with a MIC > 0.12 µg/ml Sep Oct Nov Dec
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