Effect of 10-valent pneumococcal vaccine on pneumonia among children, Brazil.

Autor: Afonso ET; Department of Pediatrics, Federal University of Goiás, Goiania, Goiás, Brazil., Minamisava R, Bierrenbach AL, Escalante JJ, Alencar AP, Domingues CM, Morais-Neto OL, Toscano CM, Andrade AL
Jazyk: angličtina
Zdroj: Emerging infectious diseases [Emerg Infect Dis] 2013 Apr; Vol. 19 (4), pp. 589-97.
DOI: 10.3201/eid1904.121198
Abstrakt: Pneumonia is most problematic for children in developing countries. In 2010, Brazil introduced a 10-valent pneumococcal conjugate vaccine (PCV10) to its National Immunization Program. To assess the vaccine's effectiveness for preventing pneumonia, we analyzed rates of hospitalization among children 2-24 months of age who had pneumonia from all causes from January 2005 through August 2011. We used data from the National Hospitalization Information System to conduct an interrupted time-series analysis for 5 cities in Brazil that had good data quality and high PCV10 vaccination coverage. Of the 197,975 hospitalizations analyzed, 30% were for pneumonia. Significant declines in hospitalizations for pneumonia were noted in Belo Horizonte (28.7%), Curitiba (23.3%), and Recife (27.4%) but not in São Paulo and Porto Alegre. However, in the latter 2 cities, vaccination coverage was less than that in the former 3. Overall, 1 year after introduction of PCV10, hospitalizations of children for pneumonia were reduced.
Databáze: MEDLINE
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