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Table 2 Risk of invasive Streptococcus pneumoniae infection (IPI) associated with selected underlying conditions, Finland, 1995–2002.

From: Invasive pneumococcal infections among persons with and without underlying medical conditions: Implications for prevention strategies

Underlying conditiona

Number of IPI cases by age group (years)

Population at risk (person years)

Rate/100,000/year

95%CIb

Case fatality proportion at day 7/28/90

 

< 18

18–64

≥ 65

All (%)

    
 

N = 733

N = 2216

N = 1408

N = 4357

    

Chronic pulmonary diseasec

44

190

260

494 (11.3)

1,435,000

34.4

31.4–37.4

8/12/15

Cardiac failure

13

51

287

351 (8.1)

746,000

47.1

42.2–52.0

16/24/30

Diabetes mellitus

3

140

186

329 (7.5)

1,014,000

32.5

29.0–36.0

13/19/23

   Type 1 diabetesd

3

16

0

19 (0.4)

158,000

12.0

6.6–17.4

5/5/5

Immunodeficiency or rheumatic diseases

4

128

138

270 (6.2)

779,000

34.7

30.5–38.9

14/19/22

Alcohol-related diseases

0

241

10

251 (5.8)

1,117,000e

21.9f

19.1–24.6

21/28/33

Non-haematological malignancy

        

   < 1 year since diagnosis

2

46

58

106 (2.4)

208,000

50.9

41.2–60.6

22/29/41

   < 5 years since diagnosis

13

92

139

244 (5.6)

730,000

33.4

29.2–37.6

16/24/33

Haematological malignancy

        

   < 1 year since diagnosis

5

25

26

56 (1.3)

10,000

547.2

398.9–685.5

14/16/25

   < 5 years since diagnosis

23

68

72

163 (3.7)

38,000

434.5

367.8–501.2

10/13/21

Organ or bone marrow transplantation

5

26

3

34 (0.8)

21,000

163.7

108.7–218.7

3/6/9

Chronic renal failure

1

15

8

24 (0.6)

27,000

88.6

53.1–124.1

8/13/17

Chronic liver disease

0

15

5

20 (0.5)

NAg

NA

NA

15/30/35

HIV infection

0

10

0

10 (0.2)

8,000

129.7

49.3–210.1

10/20/30

  1. aPatient may have more than one underlying condition; bCI, confidence interval; cchronic obstructive pulmonary disease (COPD) and/or bronchial asthma; ddiabetes mellitus diagnosed at age < 30 years and insulin treatment; eextrapolation based on 12 month-prevalence of persons with alcohol use disorders from a representative sample of Finland's adult (≥ 30 years) population [21]; fIPI cases with alcohol-related diseases aged ≥ 30 years (N = 245); gNA, not available