Kawasaki Disease following administration of 13-valent pneumococcal conjugate vaccine in young children

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作者
Chee Fu Yung
Xiangmei Ma
Yin Bun Cheung
Bee Khiam Oh
Sally Soh
Koh Cheng Thoon
机构
[1] KK Women’s and Children’s Hospital,Infectious Disease Service
[2] Nanyang Technological University,Lee Kong Chian School of Medicine
[3] Duke-NUS Medical School,Centre for Quantitative Medicine
[4] Duke-NUS Medical School,Tampere Center for Child Health Research
[5] University of Tampere and Tampere University Hospital,Yong Loo Lin School of Medicine
[6] Vigilance Branch,undefined
[7] Health Products Regulation Group,undefined
[8] Health Sciences Authority,undefined
[9] National University of Singapore,undefined
[10] 1E Kent Ridge Road,undefined
[11] National University Health System Building (NUH),undefined
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Scientific Reports | / 9卷
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摘要
Kawasaki disease (KD) is a systemic vasculitis mainly affecting young children and the leading cause of acquired heart disease in developed countries. We performed a self-controlled case series analysis to investigate the association between PCV13 and KD. All hospitalized KD cases <2 y old from our hospital in Singapore from 2010 to 2014 were included. Complete KD cases were classified based on the definitions of the American Heart Association. During the study period, 288 KD cases were identified. A total of 21 KD cases (12 were classified as Complete KD) had date of onset within the risk interval of day 1 to day 28 post PCV13. The age-adjusted Relative Incidence (RI) for KD following PCV13 dose 1, dose 2 and dose 3 were 1.40 (95% CI, 0.72 to 2.71), 1.23 (95% CI, 0.62 to 2.44) and 0.34 (95% CI, 0.08 to 1.40) respectively. There were seven Complete KD cases with onset during the risk interval after dose 1 of PCV13 (age-adjusted RI 2.59, 95% confidence interval (CI), 1.16 to 5.81). We did not detect a significant increased risk for overall KD among PCV13 recipients.
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