مورد إلكتروني
Long-term impact of pneumococcal conjugate vaccines on invasive disease and pneumonia hospitalizations in indigenous and non-indigenous Australians
| العنوان: | Long-term impact of pneumococcal conjugate vaccines on invasive disease and pneumonia hospitalizations in indigenous and non-indigenous Australians |
|---|---|
| المصدر: | Clinical Infectious Diseases |
| بيانات النشر: | Oxford University Press 2020 |
| تفاصيل مُضافة: | Meder, Kelley Jayasinghe, Sanjay Beard, Frank Dey, Aditi Kirk, Martyn Cook, Heather Strachan, Janet Sintchenko, Vitali Smith, Helen Giele, Carolien Howden, Benjamin Krause, Vicki |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Background Universal pneumococcal conjugate vaccine (PCV) programs began in Indigenous Australian children in 2001 and all children in 2005, changing to 13-valent PCV (PCV13) in 2011. We used laboratory data for invasive pneumococcal disease (IPD) and coded hospitalizations for noninvasive pneumococcal community-acquired pneumonia (PnCAP) to evaluate long-term impact. Methods Annual incidence (per 100 000 population) was calculated for age-specific total IPD, PCV13 non-C7-valent PCV (PCV7) serotypes, and PnCAP by Indigenous status. Incidence in the pre-Cuniversal PCV7 (2002-2004), early PCV7 (2005-2007), pre-PCV13 (2008 to mid-2011), and post-PCV13 (mid-2011 to 2016) periods was used to calculate incidence rate ratios (IRRs). Results In the total population, all-age incidence of IPD declined from 11.8 pre-PCV7 to 7.1 post-PCV13 (IRR, 0.61 [95% confidence interval {CI}, .59-.63]) but for PnCAP declined among ages <1 year (IRR, 0.34 [95% CI, .25-.45]) and 1-C4 years (IRR, 0.50 [95% CI, .43-.57]) but increased significantly among age ≥5 years (IRRs, 1.08-1.14). In Indigenous people, baseline PCV13 non-PCV7 IPD incidence was 3-fold higher, amplified by a serotype 1 epidemic in 2011. By 2015-2016, although incidence of IPD and PnCAP in children aged <5 years decreased by 38%, neither decreased in people aged ≥5 years. Conclusions Fifteen years post-PCV and 5 years post-PCV13, direct and indirect impact on IPD and PnCAP differed by age and between Indigenous and non-Indigenous people, with potential implications for long-term PCV impact in comparable settings. Fifteen years after pneumococcal conjugate vaccine (PCV) introduction and 5 years post-PCV13, direct and indirect impact on invasive pneumococcal disease and pneumococcal community-acquired pneumonia differed by age and between Indigenous and non-Indigenous people, with potential implications for long-term PCV impact in comparable settings. |
| مصطلحات الفهرس: | Australia, pneumococcal conjugate vaccines, impact, invasive pneumococcal disease, pneumococcal pneumonia, Journal article |
| URL: | |
| الإتاحة: | Open access content. Open access content © The Author(s) 2019. Published by Oxford University Press for the Infectious Diseases Society of America |
| ملاحظة: | en_AU |
| أرقام أخرى: | AUANP oai:openresearch-repository.anu.edu.au:1885/274305 1058-4838 1347191809 |
| المصدر المساهم: | AUSTRALIAN NAT UNIV - PRINT REPOSITORY From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1347191809 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |