Pneumonia Following Symptomatic Influenza Infection Among Nicaraguan Children Before and After Introduction of the Pneumococcal Conjugate Vaccine

被引：1

作者：

Kubale, John ^{[1
]}

Balmaseda, Angel ^{[2
]}

Sanchez, Nery ^{[3
]}

Lopez, Roger ^{[2
]}

Gresh, Lionel ^{[3
]}

Ojeda, Sergio ^{[3
]}

Harris, Eva ^{[4
]}

Kuan, Guillermina ^{[5
]}

Zelner, Jon ^{[1
]}

Gordon, Aubree ^{[1
]}

机构：

[1] Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA

[2] Minist Hlth, Ctr Nacl Diagnost & Referencia, Lab Nacl Virol, Managua, Nicaragua

[3] Sustainable Sci Inst, Managua, Nicaragua

[4] Univ Calif Berkeley, Sch Publ Hlth, Div Infect Dis & Vaccinol, Berkeley, CA 94720 USA

[5] Minist Hlth, Hlth Ctr Socrates Flores Vivas, Managua, Nicaragua

来源：

JOURNAL OF INFECTIOUS DISEASES | 2021年 / 224卷 / 04期

基金：

美国国家卫生研究院;

关键词：

influenza; pneumonia; child health; global health; Nicaragua;

D O I：

10.1093/infdis/jiaa776

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Influenza is associated with primary viral and secondary bacterial pneumonias; however, the dynamics of this relationship in populations with varied levels of pneumococcal vaccination remain unclear. We conducted nested matched case-control studies in 2 prospective cohorts of Nicaraguan children aged 2-14 years: 1 before pneumococcal conjugate vaccine introduction (2008-2010) and 1 following introduction and near universal adoption (2011-2018). The association between influenza and pneumonia was similar in both cohorts. Participants with influenza (across types/subtypes) had higher odds of developing pneumonia in the month following influenza infection. These findings underscore the importance of considering influenza in interventions to reduce global pneumonia burden.

引用

页码：643 / 647

页数：5

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