Serotype Replacement after Introduction of 10-Valent and 13-Valent Pneumococcal Conjugate Vaccines in 10 Countries, Europe

被引:55
|
作者
Hanquet, Germaine [1 ,2 ]
Krizova, Pavla [3 ]
Dalby, Tina [4 ]
Ladhani, Shamez N. [5 ]
Nuorti, J. Pekka [6 ,7 ]
Danis, Kostas [8 ]
Mereckiene, Jolita [9 ]
Knol, Mirjam J. [10 ]
Winje, Brita A. [11 ]
Ciruela, Pilar [12 ,13 ]
de Miguel, Sara [14 ]
Eugenia Portillo, Maria [15 ]
MacDonald, Laura [16 ]
Morfeldt, Eva [17 ]
Kozakova, Jana [3 ]
Valentiner-Branth, Palle [4 ]
Fry, Norman K. [5 ]
Rinta-Kokko, Hanna [7 ]
Varon, Emmanuelle [18 ]
Corcoran, Mary [19 ]
van der Ende, Arie [20 ]
Vestrheim, Didrik F. [11 ]
Munoz-Almagro, Carmen [13 ,21 ,22 ]
Sanz, Juan-Carlos [14 ]
Castilla, Jesus [13 ,23 ]
Smith, Andrew [24 ]
Henriques-Normark, Birgitta [25 ,26 ]
Colzani, Edoardo [27 ]
Pastore-Celentano, Lucia [27 ]
Savulescu, Camelia [1 ]
机构
[1] Epiconcept, 25 Rue Titon, F-75011 Paris, France
[2] Antwerp Univ, Antwerp, Belgium
[3] Natl Inst Publ Hlth, Prague, Czech Republic
[4] Statens Serum Inst, Copenhagen, Denmark
[5] Publ Hlth England, London, England
[6] Tampere Univ, Tampere, Finland
[7] Finnish Inst Hlth & Welf, Helsinki, Finland
[8] Natl Publ Hlth Agcy, Sante Publ France, St Maurice, France
[9] Hlth Protect Surveillance Ctr, Dublin, Ireland
[10] Natl Inst Publ Hlth & Environm, Bilthoven, Netherlands
[11] Norwegian Inst Publ Hlth, Oslo, Norway
[12] Publ Hlth Agcy Catalonia, Barcelona, Spain
[13] CIBER Epidemiol & Salud Publ, Madrid, Spain
[14] Gen Directorate Publ Hlth Madrid Reg, Madrid, Spain
[15] Navarra Hosp Complex IdiSNA, Pamplona, Spain
[16] Publ Hlth Scotland, Glasgow, Lanark, Scotland
[17] Publ Hlth Agcy Sweden, Stockholm, Sweden
[18] Ctr Rech Clin & Biol, Creteil, France
[19] Childrens Hlth Ireland CHI Temple St, Dublin, Ireland
[20] Acad Med Ctr, Amsterdam, Netherlands
[21] Hosp St Joan de Deu, Barcelona, Spain
[22] Univ Int Catalunya, Barcelona, Spain
[23] Publ Hlth Inst Navarra IdiSNA, Pamplona, Spain
[24] Univ Glasgow, Glasgow, Lanark, Scotland
[25] Karolinska Inst, Stockholm, Sweden
[26] Karolinska Univ Hosp, Solna, Sweden
[27] European Ctr Dis Prevent & Control, Stockholm, Sweden
基金
欧盟地平线“2020”;
关键词
DISEASE; IMPACT; VACCINATION; CHILDREN; ENGLAND; WALES; PCV13;
D O I
10.3201/eid2801.210734
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We evaluated invasive pneumococcal disease (IPD) during 8 years of infant pneumococcal conjugate vaccine (PCV) programs using 10-valent (PCV10) and 13-valent (PCV13) vaccines in 10 countries in Europe. IPD incidence declined during 2011-2014 but increased during 2015-2018 in all age groups. From the 7-valent PCV period to 2018, IPD incidence declined by 42% in children <5 years of age, 32% in persons 5-64 years of age, and 7% in persons >= 65 years of age; non-PCV13 serotype incidence increased by 111%, 63%, and 84%, respectively, for these groups. Trends were similar in countries using PCV13 or PCV10, despite different serotype distribution.Serotypes included in the 15-valent PCV represented one third of cases and those in the 20-valent PCVs two thirds of cases in children <5 years of age and in persons >65 years of age in 2018. Non-PCV13 serotype increases reduced the overall effect of childhood PCV10/PCV13 programs on IPD. New vaccines providing broader serotype protection are needed.
引用
收藏
页码:127 / 138
页数:12
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