Publications by authors named "Jennifer L Milucky"
Pneumococcal conjugate vaccines (PCVs) prevent nasopharyngeal colonization with vaccine serotypes of Streptococcus pneumoniae, leading to reduced transmission of pneumococci and stronger population-level impact of PCVs. In 2017 we conducted a cross-sectional pneumococcal carriage study in Indonesia among children aged <5 years before 13-valent PCV (PCV13) introduction. Nasopharyngeal swabs were collected during visits to community integrated health service posts at one peri-urban and one rural study site.
View Article and Find Full Text PDFBackground: Streptococcus pneumoniae, or pneumococcus, is a leading cause of morbidity and mortality in children worldwide. Pneumococcal conjugate vaccines (PCV) reduce carriage in the nasopharynx, preventing disease. We conducted a pneumococcal carriage study to estimate the prevalence of pneumococcal colonization, identify risk factors for colonization, and describe antimicrobial susceptibility patterns among pneumococci colonizing young children in Port-au-Prince, Haiti, before introduction of 13-valent PCV (PCV13).
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- Ghana implemented the 13-valent pneumococcal conjugate vaccine (PCV13) in 2012, achieving over 88% vaccination coverage, but still faced outbreaks of pneumococcal meningitis.
- A study surveyed patients at three hospitals to assess the economic impact of PCV13-type pneumonia and meningitis, finding significant costs incurred by families and healthcare systems.
- The estimated annual economic burden reached $5.2 million, disproportionately affecting costs related to deaths from these diseases, particularly in older children and adults.
Background: The primary cause of death in Burkina Faso is lower respiratory tract infections, accounting for 1 in 7 deaths. The Ministry of Health is building surveillance for severe acute respiratory infections (SARI) in four districts. This study sought to determine the catchment area of the Boussé district hospital and to describe disease burden of individuals hospitalized for SARI.
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- Kenya implemented the 10-valent pneumococcal conjugate vaccine (PCV10) for children under 1 year in 2011, along with catch-up vaccination for those aged 1-4 in certain areas, and a study examined the impact on pneumococcal carriage in both children and adults from 2009 to 2013.
- Surveys revealed significant reductions in PCV10-type carriage among children under 5 years and adults, with notable drops in carriage rates for both HIV-positive and HIV-negative adults, suggesting the vaccine's effectiveness.
- Despite the decline in PCV10-type carriage, the prevalence of penicillin nonsusceptible pneumococci (
Objectives: Communication between medical oncologists (MOs) and plastic surgeons (PSs) is important to optimize outcomes for patients with breast cancer seeking breast reconstruction. We sought to evaluate the knowledge MOs and PSs have of each others' fields, roles expected of each other, and frequency of communication.
Methods: A cross-sectional survey was conducted in a convenience sample of MOs and PSs.