Carriage of Streptococcus pneumoniae 3 Years after Start of Vaccination Program, the Netherlands

被引:84
|
作者
Spijkerman, Judith [1 ,2 ]
van Gils, Elske J. M. [1 ,2 ]
Veenhoven, Reinier H. [2 ]
Hak, Eelko [3 ]
Yzerman, Ed P. F. [4 ]
van der Ende, Arie [5 ]
Wijmenga-Monsuur, Alienke J. [6 ]
van den Dobbelsteen, Germie P. J. M. [6 ]
Sanders, Elisabeth A. M. [1 ]
机构
[1] Univ Med Ctr, Utrecht, Netherlands
[2] Spaarne Hosp, Hoofddorp, Netherlands
[3] Univ Groningen, Univ Med Ctr Groningen, NL-9713 AV Groningen, Netherlands
[4] Reg Publ Hlth Lab, Haarlem, Netherlands
[5] Univ Amsterdam, Acad Med Ctr, NL-1105 AZ Amsterdam, Netherlands
[6] Netherlands Vaccine Inst, Bilthoven, Netherlands
关键词
PNEUMOCOCCAL CONJUGATE VACCINE; ACUTE OTITIS-MEDIA; COMMUNITY-ACQUIRED PNEUMONIA; UNITED-STATES; SEROTYPE; 19A; NASOPHARYNGEAL COLONIZATION; INFANT IMMUNIZATION; INVASIVE DISEASE; CHILDREN YOUNGER; IMPACT;
D O I
10.3201/eid1704.101115
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
To evaluate the effectiveness of the 7-valent pneumococcal conjugate vaccine (PCV7) program, we conducted a cross-sectional observational study on nasopharyngeal carriage of Streptococcus pneumoniae 3 years after implementation of the program in the Netherlands. We compared pneumococcal serotypes in 329 prebooster 11-month-old children, 330 fully vaccinated 24-month-old children, and 324 parents with age-matched pre-PCV7 (unvaccinated) controls (ages 12 and 24 months, n = 319 and n = 321, respectively) and 296 of their parents. PCV7 serotype prevalences before and after PCV7 implementation, respectively, were 38% and 8% among 11-month-old children, 36% and 4% among 24-month-old children, and 8% and 1% among parents. Non-PCV7 serotype prevalences were 29% and 39% among 11-month-old children, 30% and 45% among 24-month-old children, and 8% and 15% among parents, respectively; serotypes 11A and 19A were most frequently isolated. PCV7 serotypes were largely replaced by non-PCV7 serotypes. Disappearance of PCV7 serotypes in parents suggests strong transmission reduction through vaccination.
引用
收藏
页码:584 / 591
页数:8
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