Safety of varying dosages of 7-valent pneumococcal protein conjugate vaccine in seniors previously vaccinated with 23-valent pneumococcal polysaccharide vaccine

被引:17
作者
Jackson, LA
Neuzil, KM
Whitney, CG
Starkovich, P
Dunstan, M
Yu, OC
Nelson, JC
Feikin, DR
Shay, DK
Baggs, J
Carste, B
Nahm, MH
Carlone, G
机构
[1] Ctr Hlth Studies, Grp Hlth Cooperat, Seattle, WA 98101 USA
[2] Puget Sound Vet Affairs Med Ctr, Seattle, WA USA
[3] CDC, Atlanta, GA 30333 USA
[4] Univ Alabama, Birmingham, AL USA
关键词
pneumococcal vaccine; conjugate vaccine; vaccine safety;
D O I
10.1016/j.vaccine.2005.02.017
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
In a phase I/II dose escalation study, varying volumes (0.1 ml, 0.5 ml, 1.0 ml and 2.0 ml) of 7-valent pneumococcal conjugate vaccine (PCV) (Prevnar®) or 0.5 ml of 23-valent pneumococcal polysaccharide vaccine (PPV) were administered to 220 adults 70 through 79 years of age previously vaccinated with 0.5 ml PPV at age 65 years or above and at least 5 years previously. Fever was uncommon and did not vary by study group. The rate of local reactions increased with higher volumes of PCV and the rate following 2.0 ml of PCV was comparable to that following 0.5 ml PPV. © 2005 Elsevier Ltd. All rights reserved.
引用
收藏
页码:3697 / 3703
页数:7
相关论文
共 12 条
[1]   PNEUMOCOCCAL POLYSACCHARIDE VACCINE EFFICACY - AN EVALUATION OF CURRENT RECOMMENDATIONS [J].
BUTLER, JC ;
BREIMAN, RF ;
CAMPBELL, JF ;
LIPMAN, HB ;
BROOME, CV ;
FACKLAM, RR .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 270 (15) :1826-1831
[2]   Comparing potential benefits of new pneumococcal vaccines with the current polysaccharide vaccine in the elderly [J].
Fry, AM ;
Zell, ER ;
Schuchat, A ;
Butler, JC ;
Whitney, CG .
VACCINE, 2002, 21 (3-4) :303-311
[3]   Safety of revaccination with pneumococcal polysaccharide vaccine [J].
Jackson, L ;
Benson, P ;
Sneller, VP ;
Butler, JC ;
Thompson, RS ;
Chen, RT ;
Lewis, LS ;
Carlone, G ;
DeStefano, F ;
Holder, P ;
Lezhava, T ;
Williams, WW .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 281 (03) :243-248
[4]   Effectiveness of pneumococcal polysaccharide vaccine in older adults [J].
Jackson, LA ;
Neuzil, KM ;
Yu, OC ;
Benson, P ;
Barlow, WE ;
Adams, AL ;
Hanson, CA ;
Mahoney, LD ;
Shay, DK ;
Thompson, WW .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (18) :1747-1755
[5]   Clinical efficacy of pneumococcal vaccine in the elderly: A randomized, single-blind population-based trial [J].
Koivula, I ;
Sten, M ;
Leinonen, M ;
Makela, PH .
AMERICAN JOURNAL OF MEDICINE, 1997, 103 (04) :281-290
[6]   Randomised trial of 23-valent pneumococcal capsular polysaccharide vaccine in prevention of pneumonia in middle-aged and elderly people [J].
Örtqvist, Å ;
Hedlund, J ;
Burman, LÅ ;
Elbel, N ;
Höfer, M ;
Leinonen, M ;
Lindblad, I ;
Sundelöf, B ;
Kalin, M .
LANCET, 1998, 351 (9100) :399-403
[7]   Reactogenicity and immunogenicity of a protein-conjugated pneumococcal oligosaccharide vaccine in older adults [J].
Powers, DC ;
Anderson, EL ;
Lottenbach, K ;
Mink, CM .
JOURNAL OF INFECTIOUS DISEASES, 1996, 173 (04) :1014-1018
[8]   THE PROTECTIVE EFFICACY OF POLYVALENT PNEUMOCOCCAL POLYSACCHARIDE VACCINE [J].
SHAPIRO, ED ;
BERG, AT ;
AUSTRIAN, R ;
SCHROEDER, D ;
PARCELLS, V ;
MARGOLIS, A ;
ADAIR, RK ;
CLEMENS, JD .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 325 (21) :1453-1460
[9]   Comparison of pneumococcal polysaccharide and CRM(197) conjugated pneumococcal oligosaccharide vaccines in young and elderly adults [J].
Shelly, MA ;
Jacoby, H ;
Riley, GJ ;
Graves, BT ;
Pichichero, M ;
Treanor, JJ .
INFECTION AND IMMUNITY, 1997, 65 (01) :242-247
[10]  
SHELLY MA, 2003, 43 ICAAC