Invasive Pneumococcal Disease in Thailand

Documented pneumococcal
disease only “tip of the iceberg”
• Diagnostic challenges and limitations
– Many patients with indications not tested
– Fastidious organism; specimen handling
and transport issues
– Majority pneumonia cases not bacteremic
• Focus on pneumococcal bacteremia
requiring hospitalization
– Universe of invasive disease not
measured (e.g. meningitis, etc.)
– Outpatient burden not measured