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

来源：

EMERGING INFECTIOUS DISEASES | 2011年 / 17卷 / 04期

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

页码：584 / 591

页数：8

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