Serotype dynamics of invasive pneumococcal disease post-PCV7 and pre-PCV13 introduction in North East England

被引:18
|
作者
Chapman, K. E. [1 ]
Wilson, D. [2 ]
Gorton, R. [1 ]
机构
[1] Hlth Protect Agcy NE, NE Reg Epidemiol Unit, Newcastle Upon Tyne NE1 4WH, Tyne & Wear, England
[2] Hlth Protect Agcy NE, NE Hlth Protect Unit, Newcastle Upon Tyne NE1 4WH, Tyne & Wear, England
来源
EPIDEMIOLOGY AND INFECTION | 2013年 / 141卷 / 02期
关键词
Invasive pneumococcal disease; pneumococcal conjugate vaccine; Streptococcus pneumoniae (pneumococcus); CONJUGATE VACCINE; STREPTOCOCCUS-PNEUMONIAE; CARRIAGE; EPIDEMIOLOGY; REPLACEMENT;
D O I
10.1017/S0950268812000763
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The 7-valent pneumococcal conjugate vaccine (PCV7) has been included in the routine childhood immunization programme in the UK since September 2006. A population-based study of serotypes causing invasive pneumococcal disease (IPD) post-PCV7 in North East England was conducted using data from a regional enhanced IPD surveillance system. Overall, there was a 20% reduction [95% confidence interval (CI) 5-32] from 12.1 cases/100 000 population in 2006/2007 to 9.7 in 2009/2010. There was a fall in IPD caused by PCV7 serotypes in all age groups, with reductions of 90% (95% CI 61-99) in children aged <5 years, 50% (95% CI 4-75) in persons aged 5-64 years and 66% (95% CI 40-82) in adults aged >= 65 years. There was a non-significant increase in IPD caused by non-PCV7 serotypes in children aged <5 years of 88% (95% CI - 10 to 312) and adults aged >= 65 years of 12% (95% CI - 19 to 50), which was largely caused by serotypes 7F, 19A and 22F. Replacement disease appears to have reduced the benefits of PCV7 in North East England.
引用
收藏
页码:344 / 352
页数:9
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