The pneumococcal conjugate vaccine had a sustained effect on Swedish children 8 years after its introduction

© 2024 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica..

AIM: The pneumococcal conjugate vaccine, which covered seven serotypes of Streptococcus pneumoniae (PCV7), was introduced in Stockholm, Sweden, in 2007. It was replaced by a 13-valent vaccine (PCV13) in 2011. We previously reported a decreased incidence of pneumonia and sinusitis among young children 4 years after the introduction of the PCV7. This study followed the incidence of pneumonia, sinusitis, mastoiditis and meningitis for four more years.

METHODS: We studied validated hospital registry data covering children up to 17 years of age, who were hospitalised in the Stockholm region from 2003 to 2016, when the child population peaked at 485 687. All 11 115 cases diagnosed with pneumonia, coded as bacterial pneumonia, sinusitis, mastoiditis, bacterial meningitis or empyema, were identified. The controls had viral pneumonia or pyelonephritis.

RESULTS: The incidence rates for children under 2 years of age hospitalised for sinusitis, mastoiditis and meningitis decreased significantly by 61%-79% during the eight-year post-vaccination period. Hospitalisations for bacterial pneumonia decreased by 19%-25% in the same age group. These changes were probably due to both the vaccines and changes in diagnosis routines.

CONCLUSION: The effect of vaccination on children under 2 years of age was sustained 8 years after the introduction of the pneumococcal conjugate vaccines.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:113

Enthalten in:

Acta paediatrica (Oslo, Norway : 1992) - 113(2024), 4 vom: 12. März, Seite 764-770

Sprache:

Englisch

Beteiligte Personen:

Alfvén, Tobias [VerfasserIn]
Bennet, Rutger [VerfasserIn]
Granath, Anna [VerfasserIn]
Dennison, Sofia Hultman [VerfasserIn]
Eriksson, Margareta [VerfasserIn]

Links:

Volltext

Themen:

Heptavalent Pneumococcal Conjugate Vaccine
Immunisation
Journal Article
Meningitis
Pneumococcal Vaccines
Pneumococcal conjugate vaccine
Pneumonia
Sinusitis
Vaccines, Conjugate

Anmerkungen:

Date Completed 12.03.2024

Date Revised 12.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/apa.17108

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367078112