Regional hemophilus influenzae type B immunization program: A success or a false sense of security?

Hassib Narchi, Naji Kulaylat

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Objectives: Assessment of the hemophilus influenzae type B (Hib) immunization program in our institution. Design: Comparing the change in the incidence of Hib meningitis with the Hib immunization program. Setting: Saudi Aramco Al Hasa Health Center, Kingdom of Saudi Arabia. Subjects: All 16 cases of Hib meningitis diagnosed between January 1983 and October 1995. Interventions: Institution of Hib immunization program. Main outcome measures: Incidence of Hib meningitis after the institution of the immunization program. Results: Eight cases occurred before the Hib immunization program and all survived. Three developed sequellae which included hydrocephalus, cerebral atrophy, transient seizures and sensorineural hearing loss. Eight cases occurred after the Hib immunization program and all survived without severe sequellae. All these 16 infants were non- or incompletely immunized in dispensaries outside Saudi Aramco, where Hib immunization is not offered. No child fully immunized with Hib had Hib meningitis, or any other systemic Hib infection. Conclusions: The efficacy of Hib immunization in preventing invasive Hib infections in infancy and childhood is highlighted as well as the vulnerability of non-immunized infants. The only realistic and long-term solution to protect all children is to have the Ministry of Health implement a compulsory nation-wide Hib immunization campaign.

Original languageEnglish
Pages (from-to)155-157
Number of pages3
JournalSaudi Medical Journal
Volume18
Issue number2
Publication statusPublished - Apr 25 1997
Externally publishedYes

Keywords

  • Haemophilus influenzae type b
  • immunization
  • meningitis
  • prevention

ASJC Scopus subject areas

  • Medicine(all)

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