학술논문

Changes in Serotype Distribution may Hamper Efficacy of Pneumococcal Conjugate Vaccines in Children.
Document Type
Article
Source
Scandinavian Journal of Infectious Diseases. Nov2001, Vol. 33 Issue 11, p848. 3p. 1 Chart.
Subject
*PNEUMOCOCCAL vaccines
*CHILDREN
*DRUG efficacy
Language
ISSN
0036-5548
Abstract
During the last 10 y we have observed an increased incidence of pneumococcal bacteremia in Sweden. In order to study the serotype distribution over time we collected 1136 invasive pneumococcal isolatesfrom 1987, 1992 and 1997 from Swedish microbiological laboratories. Currently, new pneumococcal conjugate vaccines are being considered for introduction in the general childhood vaccination program in severalcountries, including Sweden. We studied the potential vaccine coverage rate for the new conjugate vaccines among our Swedish invasive isolates. We found that the serotype distribution fluctuated with timeand observed a surprisingly low potential coverage rate for the 7-valent vaccine in Sweden, in contrast to other countries. Therefore we argue that pneumococcal conjugate vaccines have to be tailored tosuit current, local serotype patterns and most likely will need to be changed over time. [ABSTRACT FROM AUTHOR]