1. Carriage of Streptococcus pneumoniae 3 Years after Start of Vaccination Program, the Netherlands
- Author
-
Judith Spijkerman, Elske J.M. van Gils, Reinier H. Veenhoven, Eelko Hak, F. Yzerman, Arie van der Ende, Alienke J. Wijmenga-Monsuur, Germie P.J.M. van den Dobbelsteen, and Elisabeth A.M. Sanders
- Subjects
Streptococcus pneumoniae ,nasopharyngeal colonization ,heptavalent pneumococcal conjugate vaccine ,infectious disease transmission ,herd immunity ,parents ,Medicine ,Infectious and parasitic diseases ,RC109-216 - Abstract
To evaluate the effectiveness of the 7-valent pneumococcal conjugate vaccine (PCV7) program, we conducted a cross-sectional observational study on nasopharyngeal carriage of Streptococcus pneumoniae 3 years after implementation of the program in the Netherlands. We compared pneumococcal serotypes in 329 prebooster 11-month-old children, 330 fully vaccinated 24-month-old children, and 324 parents with age-matched pre-PCV7 (unvaccinated) controls (ages 12 and 24 months, n = 319 and n = 321, respectively) and 296 of their parents. PCV7 serotype prevalences before and after PCV7 implementation, respectively, were 38% and 8% among 11-month-old children, 36% and 4% among 24-month-old children, and 8% and 1% among parents. Non-PCV7 serotype prevalences were 29% and 39% among 11-month-old children, 30% and 45% among 24-month-old children, and 8% and 15% among parents, respectively; serotypes 11A and 19A were most frequently isolated. PCV7 serotypes were largely replaced by non-PCV7 serotypes. Disappearance of PCV7 serotypes in parents suggests strong transmission reduction through vaccination.
- Published
- 2011
- Full Text
- View/download PDF