M. A. Fletcher, “More Severe Pneumococcal Pneumonia in Hospitalized Uruguayan Children,” Journal of Pediatrics, Vol. 154, No. 2, 2009, pp. 307-3028. doi:10.1016/j.jpeds.2008.09.020

has been cited by the following article:

• TITLE: Persistence of Pleural Effusions and Empyemas after Pneumococcal Conjugate Vaccine Implementation in Uruguay

  AUTHORS: Miguel Estevan, Luis Martínez, Edith Arreisengor, Maria Hortal

  KEYWORDS: Pneumonia; Pleural Effusion; Pneumococcal Infections; Conjugate Vaccine

  JOURNAL NAME: World Journal of Vaccines, Vol.2 No.4, November 28, 2012

  ABSTRACT: In Uruguay a post pneumococcal conjugate vaccine implementation surveillance of hospitalized children with pneumonia showed an increase of complicated pneumonias, while uncomplicated pneumonias decreased. Out of 151 pleural effusions, 62 were empyemas requiring drainage, the rest of cases were treated with antibiotics with a favorable outcome. Patient’s vaccinated status varied. Pneumococcal etiology was poorly documented. The few identified sero-types were 1 and 3, a fact that urges PCV13 use for their control.