Pediatric Pneumococcal Serotypes in 4 European Countries

After heptavalent pneumococcal conjugate vaccine (PCV7) was marketed in France, Spain, Belgium, and England and Wales (United Kingdom), invasive disease from non-PCV7 serotypes (NVT) increased. Adjusted serotype-specific incidences among children <15 years of age were compared between 1999–2002 (...

Full description

Bibliographic Details
Main Authors: Germaine Hanquet, Esther Kissling, Asuncion Fenoll, Robert C. George, Agnes Lepoutre, Tinne Lernout, David Tarragó, Emmanuelle Varon, Jan Verhaegen
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2010-09-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/16/9/10-0102_article
_version_ 1818180302759002112
author Germaine Hanquet
Esther Kissling
Asuncion Fenoll
Robert C. George
Agnes Lepoutre
Tinne Lernout
David Tarragó
Emmanuelle Varon
Jan Verhaegen
author_facet Germaine Hanquet
Esther Kissling
Asuncion Fenoll
Robert C. George
Agnes Lepoutre
Tinne Lernout
David Tarragó
Emmanuelle Varon
Jan Verhaegen
author_sort Germaine Hanquet
collection DOAJ
description After heptavalent pneumococcal conjugate vaccine (PCV7) was marketed in France, Spain, Belgium, and England and Wales (United Kingdom), invasive disease from non-PCV7 serotypes (NVT) increased. Adjusted serotype-specific incidences among children <15 years of age were compared between 1999–2002 (prevaccine) and 2005–2006 (postmarketing). Vaccine coverage increased to ≈32%–48% in France, Spain, and Belgium but remained <1% in England and Wales. Serotype 1 incidence rose in all age groups and countries (incidence rate ratio [IRR] 1.3–4.2; p<0.004), independently of PCV7 use, but incidence of serotypes 7F and 19A increased most in France, Spain, and Belgium (IRR 1.9–16.9 in children <5 years; p<0.001), where PCV7 coverage was greater. Vaccine-induced replacement of PCV7 serotypes possibly contributed to NVT increases, as did secular trends. New vaccines targeting these serotypes are available, but serotype dynamics needs further exploration that accounts for underreporting and prevaccine trends.
first_indexed 2024-12-11T21:17:37Z
format Article
id doaj.art-1c2588105caf4b39b5e83394aeee39d5
institution Directory Open Access Journal
issn 1080-6040
1080-6059
language English
last_indexed 2024-12-11T21:17:37Z
publishDate 2010-09-01
publisher Centers for Disease Control and Prevention
record_format Article
series Emerging Infectious Diseases
spelling doaj.art-1c2588105caf4b39b5e83394aeee39d52022-12-22T00:50:33ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592010-09-011691428143910.3201/eid1609.100102Pediatric Pneumococcal Serotypes in 4 European CountriesGermaine HanquetEsther KisslingAsuncion FenollRobert C. GeorgeAgnes LepoutreTinne LernoutDavid TarragóEmmanuelle VaronJan VerhaegenAfter heptavalent pneumococcal conjugate vaccine (PCV7) was marketed in France, Spain, Belgium, and England and Wales (United Kingdom), invasive disease from non-PCV7 serotypes (NVT) increased. Adjusted serotype-specific incidences among children <15 years of age were compared between 1999–2002 (prevaccine) and 2005–2006 (postmarketing). Vaccine coverage increased to ≈32%–48% in France, Spain, and Belgium but remained <1% in England and Wales. Serotype 1 incidence rose in all age groups and countries (incidence rate ratio [IRR] 1.3–4.2; p<0.004), independently of PCV7 use, but incidence of serotypes 7F and 19A increased most in France, Spain, and Belgium (IRR 1.9–16.9 in children <5 years; p<0.001), where PCV7 coverage was greater. Vaccine-induced replacement of PCV7 serotypes possibly contributed to NVT increases, as did secular trends. New vaccines targeting these serotypes are available, but serotype dynamics needs further exploration that accounts for underreporting and prevaccine trends.https://wwwnc.cdc.gov/eid/article/16/9/10-0102_articleInvasive pneumococcal diseasepneumococcal conjugate vaccinesserotypebacteriaFranceSpain
spellingShingle Germaine Hanquet
Esther Kissling
Asuncion Fenoll
Robert C. George
Agnes Lepoutre
Tinne Lernout
David Tarragó
Emmanuelle Varon
Jan Verhaegen
Pediatric Pneumococcal Serotypes in 4 European Countries
Emerging Infectious Diseases
Invasive pneumococcal disease
pneumococcal conjugate vaccines
serotype
bacteria
France
Spain
title Pediatric Pneumococcal Serotypes in 4 European Countries
title_full Pediatric Pneumococcal Serotypes in 4 European Countries
title_fullStr Pediatric Pneumococcal Serotypes in 4 European Countries
title_full_unstemmed Pediatric Pneumococcal Serotypes in 4 European Countries
title_short Pediatric Pneumococcal Serotypes in 4 European Countries
title_sort pediatric pneumococcal serotypes in 4 european countries
topic Invasive pneumococcal disease
pneumococcal conjugate vaccines
serotype
bacteria
France
Spain
url https://wwwnc.cdc.gov/eid/article/16/9/10-0102_article
work_keys_str_mv AT germainehanquet pediatricpneumococcalserotypesin4europeancountries
AT estherkissling pediatricpneumococcalserotypesin4europeancountries
AT asuncionfenoll pediatricpneumococcalserotypesin4europeancountries
AT robertcgeorge pediatricpneumococcalserotypesin4europeancountries
AT agneslepoutre pediatricpneumococcalserotypesin4europeancountries
AT tinnelernout pediatricpneumococcalserotypesin4europeancountries
AT davidtarrago pediatricpneumococcalserotypesin4europeancountries
AT emmanuellevaron pediatricpneumococcalserotypesin4europeancountries
AT janverhaegen pediatricpneumococcalserotypesin4europeancountries