Impact of the introduction of pneumococcal conjugate vaccine on rates of community acquired pneumonia in children and adults

被引:121
作者
Nelson, Jennifer C. [1 ,2 ]
Jackson, Michael [1 ,3 ]
Yu, Onchee [1 ]
Whitney, Cynthia G. [4 ]
Bounds, Lora [1 ]
Bittner, Rachel [1 ,2 ]
Zavitkovsky, Ann [1 ]
Jackson, Lisa A. [1 ,3 ]
机构
[1] Grp Hlth Ctr Hlth Studies, Seattle, WA USA
[2] Univ Washington, Dept Biostat, Seattle, WA 98195 USA
[3] Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA
[4] Ctr Dis Control & Prevent, Atlanta, GA USA
关键词
pneumonia; heptavalent pneumococcal conjugate; vaccine; immunity herd;
D O I
10.1016/j.vaccine.2008.07.016
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Pneumococcal conjugate vaccine use among young children has led to significant declines in invasive pneumococcal disease in the United States, but the impact on community-acquired pneumonia is unknown. We conducted population-based pneumonia Surveillance among 794,282 Group Health members before and after infant vaccine introduction in 2000. We presumptively identified pneumonia episodes using diagnosis codes assigned to medical encounters and confirmed 17,513 Outpatient and 6318 hospitalized events by reviewing chest radiograph reports or hospitalization records. There was evidence for a decline in rates of both outpatient and hospitalized pneumonia in children less than I year of age following vaccine introduction but there were no consistent reductions in pneumonia rates among older children and adults. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:4947 / 4954
页数:8
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