Effect of 7 and 13-Valent Pneumococcal Conjugate Vaccines Different Number of Doses for Pneumonia Control in 2008 and 2010 Birth Cohort Children
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Affiliation(s)
1Basic Sciences Program, Montevideo, Uruguay.
2Statistics Department, Montevideo City Council, Montevideo, Uruguay.
3Radiology Unit, Children’s Hospital, Montevideo, Uruguay.
4Vaccination Department, Honorary Committee against Tuberculosis (CHLA), Montevideo, Uruguay.
5Honorary Committee against Tuberculosis (CHLA), Montevideo, Uruguay.
2Statistics Department, Montevideo City Council, Montevideo, Uruguay.
3Radiology Unit, Children’s Hospital, Montevideo, Uruguay.
4Vaccination Department, Honorary Committee against Tuberculosis (CHLA), Montevideo, Uruguay.
5Honorary Committee against Tuberculosis (CHLA), Montevideo, Uruguay.
ABSTRACT
The
7-valent pneumococcal conjugate vaccine (PCV) was introduced in Uruguay
in March 2008. In April 2010, it was replaced by PCV13. Surveillance of
both vaccines was performed on hospitalized children with consolidated
pneumonia. The effect of different number of vaccine doses was evaluated
in 2008 and 2010 birth cohorts vaccinated with PCV7 and PCV13
respectively. The study aims to estimate the effects of PCV7 and PCV13
different number of doses on consolidated pneumonia, through the study
of hospitalized children from 2008 and 2010 birth cohorts. Vaccination
records of every child were available providing precise vaccination
data; therefore a new approach was used to estimate PCVs effect.
Incidence rate was calculated for each year of the study and for the
different number of vaccine doses used each year. Exposure was
calculated as person per year and rate ratio values determined the
decrease of consolidated pneumonias. This decrease in percentage was
estimated as the difference between the incidence with no vaccine and
the incidence of every one of the doses. Incidence rate ratio revealed
significant values for the three vaccine doses of PCVs for both cohorts.
Upon comparing incidences, significant reduction percentages of
consolidated pneumonia admissions were found. The reduction percentage
of consolidated pneumonia for fully vaccinated (3 doses) patients was
69.3% and 84.6 % for PCV7 and PCV13, respectively. These results confirm
that PCV7 and PCV13 are highly effective for reducing pediatric
hospitalizations due to consolidated pneumonia, as reported by other
national publications and demonstrated by international researchers.
Cite this paper
References
Hortal,
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Doses for Pneumonia Control in 2008 and 2010 Birth Cohort Children. World Journal of Vaccines, 5, 37-42. doi: 10.4236/wjv.2015.51005.
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