Volume 21, Number 9—September 2015
THEME ISSUE
Emerging Infections Program
Emerging Infections Program
Use of Pneumococcal Disease Epidemiology to Set Policy and Prevent Disease during 20 Years of the Emerging Infections Program
Table
Serotype |
Vaccine effectiveness/efficacy, % (95% CI) |
|
CDC/ABCs |
NCKP trial 2000 |
|
All PCV7 types | Healthy: 96 (93–98); underlying illness: 81 (57–92) | 94 (80–98) |
4 | 93 (65–99) | NA |
6B | 94 (77–98) | 86 (−11 to 100) |
9V | 100 (88–100) | 100 (−142 to 100) |
14 | 94 (81–98) | 100 (60–100) |
18C | 97 (85–99) | 100 (49–100) |
19F | 87 (65–95) | 85 (32–98) |
23F | 98 (80–100) | 100 (15–100) |
*PCV7, 7-valent pneumococcal conjugate vaccine; EIP, Emerging Infections Program; ABCs, Active Bacterial Core Surveillance; NCKP, Northern California Kaiser Permanente; CDC, Centers for Disease Control and Prevention; NA, not available.
References
- World Health Organization. Estimated Hib and pneumococcal deaths for children under 5 years of age, 2008. 2013 [cited 2015 Feb 11]. http://www.who.int/immunization/monitoring_surveillance/burden/estimates/Pneumo_hib/en/
- Breiman RF, Butler JC, Tenover FC, Elliott JA, Facklam RR. Emergence of drug-resistant pneumococcal infections in the United States. JAMA. 1994;271:1831–5 . DOIPubMedGoogle Scholar
- Langley G, Schaffner W, Farley MM, Lynfield R, Bennett NM, Reingold R, Twenty years of Active Bacterial Core surveillance. Emerg Infect Dis. 2015;21:1520–1528.
- Bartlett JG, Breiman RF, Mandell LA, File TM Jr. Community-acquired pneumonia in adults: guidelines for management. The Infectious Diseases Society of America. Clin Infect Dis. 1998;26:811–38. DOIPubMedGoogle Scholar
- Tunkel AR, Hartman BJ, Kaplan SL, Kaufman BA, Roos KL, Scheld WM, Practical guidelines for the management of bacterial meningitis. Clin Infect Dis. 2004;39:1267–84. DOIPubMedGoogle Scholar
- Robinson KA, Baughman W, Rothrock G, Barrett NL, Pass M, Lexau C, Epidemiology of invasive Streptococcus pneumoniae infections in the United States, 1995–1998: opportunities for prevention in the conjugate vaccine era. JAMA. 2001;285:1729–35. DOIPubMedGoogle Scholar
- Greene CM, Kyaw MH, Ray SM, Schaffner W, Lynfield R, Barrett NL, Preventability of invasive pneumococcal disease and assessment of current polysaccharide vaccine recommendations for adults: United States, 2001–2003. Clin Infect Dis. 2006;43:141–50. DOIPubMedGoogle Scholar
- Bridges CB, Winquist AG, Fukuda K, Cox NJ, Singleton JA, Strikas RA, Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2000;49:1–38 .PubMedGoogle Scholar
- Black S, Shinefield H, Fireman B, Lewis E, Ray P, Hansen JR, Efficacy, safety and immunogenicity of heptavalent pneumococcal conjugate vaccine in children. Northern California Kaiser Permanente Vaccine Study Center Group. Pediatr Infect Dis J. 2000;19:187–95. DOIPubMedGoogle Scholar
- Centers for Disease Control and Prevention. Preventing pneumococcal disease among infants and young children: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2000;49:1–35 .PubMedGoogle Scholar
- Committee on Infectious Diseases. Policy statement: recommendations for the prevention of pneumococcal infections, including the use of pneumococcal conjugate caccine (Prevnar), pneumococcal polysaccharide vaccine, and antibiotic prophylaxis. Pediatrics. 2000;106:362–6. DOIPubMedGoogle Scholar
- Centers for Disease Control and Prevention. Updated recommendations on the use of pneumococcal conjugate vaccine in a setting of vaccine shortage—Advisory Committee on Immunization Practices. JAMA. 2002;287:833–4. DOIPubMedGoogle Scholar
- Centers for Disease Control and Prevention. Updated recommendations on the use of pneumococcal conjugate vaccine: suspension of recommendation for third and fourth dose. MMWR Morb Mortal Wkly Rep. 2004;53:177–8 .PubMedGoogle Scholar
- Whitney CG, Pilishvili T, Farley MM, Schaffner W, Craig AS, Lynfield R, Effectiveness of seven-valent pneumococcal conjugate vaccine against invasive pneumococcal disease: a matched case–control study. Lancet. 2006;368:1495–502. DOIPubMedGoogle Scholar
- Centers for Disease Control and Prevention. Direct and indirect effects of routine vaccination of children with 7-valent pneumococcal conjugate vaccine on incidence of invasive pneumococcal disease—United States, 1998–2003. MMWR Morb Mortal Wkly Rep. 2005;54:893–7 .PubMedGoogle Scholar
- Bogaert D, De Groot R, Hermans PW. Streptococcus pneumoniae colonisation: the key to pneumococcal disease. Lancet Infect Dis. 2004;4:144–54. DOIPubMedGoogle Scholar
- Whitney CG, Farley MM, Hadler J, Harrison LH, Bennett NM, Lynfield R, Decline in invasive pneumococcal disease after the introduction of protein-polysaccharide conjugate vaccine. N Engl J Med. 2003;348:1737–46. DOIPubMedGoogle Scholar
- Lexau CA, Lynfield R, Danila R, Pilishvili T, Facklam R, Farley MM, Changing epidemiology of invasive pneumococcal disease among older adults in the era of pediatric pneumococcal conjugate vaccine. JAMA. 2005;294:2043–51. DOIPubMedGoogle Scholar
- Ray GT, Whitney CG, Fireman BH, Ciuryla V, Black SB. Cost-effectiveness of pneumococcal conjugate vaccine: evidence from the first 5 years of use in the United States incorporating herd effects. Pediatr Infect Dis J. 2006;25:494–501. DOIPubMedGoogle Scholar
- Ray GT, Pelton SI, Klugman KP, Strutton DR, Moore MR. Cost-effectiveness of pneumococcal conjugate vaccine: an update after 7 years of use in the United States. Vaccine. 2009;27:6483–94. DOIPubMedGoogle Scholar
- Stoecker C, Hampton LM, Link-Gelles R, Messonnier ML, Zhou F, Moore MR. Cost-effectiveness of using 2 vs 3 primary doses of 13-valent pneumococcal conjugate vaccine. Pediatrics. 2013;132:e324–32. DOIPubMedGoogle Scholar
- Bergman A, Hjelmgren J, Ortqvist A, Wisloff T, Kristiansen IS, Hogberg LD, Cost-effectiveness analysis of a universal vaccination programme with the 7-valent pneumococcal conjugate vaccine (PCV-7) in Sweden. Scand J Infect Dis. 2008;40:721–9. DOIPubMedGoogle Scholar
- Rozenbaum MH, van Hoek AJ, Fleming D, Trotter CL, Miller E, Edmunds WJ. Vaccination of risk groups in England using the 13 valent pneumococcal conjugate vaccine: economic analysis. BMJ. 2012;345:e6879. DOIPubMedGoogle Scholar
- Singleton RJ, Hennessy TW, Bulkow LR, Hammitt LL, Zulz T, Hurlburt DA, Invasive pneumococcal disease caused by nonvaccine serotypes among Alaska Native children with high levels of 7-valent pneumococcal conjugate vaccine coverage. JAMA. 2007;297:1784–92. DOIPubMedGoogle Scholar
- Feikin DR, Klugman KP. Historical changes in pneumococcal serogroup distribution: implications for the era of pneumococcal conjugate vaccines. Clin Infect Dis. 2002;35:547–55. DOIPubMedGoogle Scholar
- Hampton LM, Farley MM, Schaffner W, Thomas A, Reingold A, Harrison LH, Prevention of antibiotic-nonsusceptible Streptococcus pneumoniae with conjugate vaccines. J Infect Dis. 2012;205:401–11. DOIPubMedGoogle Scholar
- Pai R, Moore MR, Pilishvili T, Gertz RE, Whitney CG, Beall B. Postvaccine genetic structure of Streptococcus pneumoniae serotype 19A from children in the United States. J Infect Dis. 2005;192:1988–95. DOIPubMedGoogle Scholar
- Brueggemann AB, Pai R, Crook D, Beall B. Vaccine escape recombinants emerge after pneumococcal vaccination in the United States. PLoS Pathog. 2007;3:e168. DOIPubMedGoogle Scholar
- Feikin DR, Kagucia EW, Loo JD, Link-Gelles R, Puhan MA, Cherian T, Serotype-specific changes in invasive pneumococcal disease after pneumococcal conjugate vaccine introduction: a pooled analysis of multiple surveillance sites. PLoS Med. 2013;10:e1001517. DOIPubMedGoogle Scholar
- Porat N, Benisty R, Trefler R, Givon-Lavi N, Dagan R. Clonal distribution of common pneumococcal serotypes not included in the 7-valent conjugate vaccine (PCV7): marked differences between two ethnic populations in southern Israel. J Clin Microbiol. 2012;50:3472–7. DOIPubMedGoogle Scholar
- Song JH, Dagan R, Klugman KP, Fritzell B. The relationship between pneumococcal serotypes and antibiotic resistance. Vaccine. 2012;30:2728–37. DOIPubMedGoogle Scholar
- Hanquet G, Valenciano M, Simondon F, Moren A. Vaccine effects and impact of vaccination programmes in post-licensure studies. Vaccine. 2013;31:5634–42. DOIPubMedGoogle Scholar
- Nuorti JP, Whitney CG. Prevention of pneumococcal disease among infants and children—use of 13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine—recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2010;59:1–18 .PubMedGoogle Scholar
- Moore MR, Link-Gelles R, Schaffner W, Lynfield R, Lexau C, Bennett NM, Effect of use of 13-valent pneumococcal conjugate vaccine in children on invasive pneumococcal disease in children and adults in the USA: analysis of multisite, population-based surveillance. Lancet Infect Dis. 2015;15:301–9 and. DOIPubMedGoogle Scholar
- Centers for Disease Control and Prevention. Licensure of 13-valent pneumococcal conjugate vaccine for adults aged 50 years and older. MMWR Morb Mortal Wkly Rep. 2012;61:394–5 .PubMedGoogle Scholar
- Cohen AL, Harrison LH, Farley MM, Reingold AL, Hadler J, Schaffner W, Prevention of invasive pneumococcal disease among HIV-infected adults in the era of childhood pneumococcal immunization. AIDS. 2010;24:2253–62. DOIPubMedGoogle Scholar
- Centers for Disease Control and Prevention. Use of 13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine for adults with immunocompromising conditions: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep. 2012;61:816–9 .PubMedGoogle Scholar
- Centers for Disease Control and Prevention. Use of 13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine among children aged 6–18 years with immunocompromising conditions: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep. 2013;62:521–4 .PubMedGoogle Scholar
- Tomczyk S, Bennett NM, Stoecker C, Gierke R, Moore MR, Whitney CG, Use of 13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine among adults aged ≥65 years: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep. 2014;63:822–5 .PubMedGoogle Scholar
- Bonten M, Bolkenbaas M, Huijts S, Webber C, Gault S, Gruber W, Community-acquired pneumonia immunisation trial in adults (CAPITA) [abstract]. Pneumonia. 2014;3:95 [cited 2015 May 21]. https://pneumonia.org.au/index.php/pneumonia/pages/view/isppd
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