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948263 名≥65 岁人群中 23 价肺炎球菌多糖疫苗对侵袭性肺炎球菌病的有效性:一项丹麦队列研究。

Effectiveness of the 23-valent pneumococcal polysaccharide vaccine against invasive pneumococcal disease among 948,263 individuals ≥ 65 years of age: a Danish cohort study.

机构信息

Department of Infectious Disease Epidemiology and Prevention, Statens Serum Institut, Copenhagen, Denmark.

Department of Bacteria, Parasites and Fungi, Statens Serum Institut, Copenhagen, Denmark.

出版信息

Eur J Clin Microbiol Infect Dis. 2022 Dec;41(12):1473-1477. doi: 10.1007/s10096-022-04513-5. Epub 2022 Oct 25.

DOI:10.1007/s10096-022-04513-5
PMID:36282341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9593971/
Abstract

This study aimed to estimate the effectiveness of the 23-valent pneumococcal polysaccharide vaccine (PPV23) against invasive pneumococcal disease (IPD) among individuals ≥ 65 years of age. We used Danish nationwide databases to obtain information on PPV23 vaccination, covariates, and IPD and linked data on an individual level using a unique personal identifier. A total of 948,263 individuals were included and followed between June 15, 2020, and September 18, 2021 (58.6% were vaccinated during follow-up). The adjusted vaccine effectiveness was 42% (95% confidence interval (CI): 9-63%) for all-serotype IPD and 58% (95% CI: 21-78%) for PPV23-serotype IPD, using no vaccination as the reference.

摘要

这项研究旨在评估 23 价肺炎球菌多糖疫苗(PPV23)对≥65 岁人群中侵袭性肺炎球菌病(IPD)的有效性。我们使用丹麦全国性数据库获取关于 PPV23 疫苗接种、协变量以及 IPD 的信息,并使用唯一的个人标识符在个体层面上对数据进行关联。共纳入 948263 名参与者,并于 2020 年 6 月 15 日至 2021 年 9 月 18 日期间进行随访(58.6%的参与者在随访期间接种了疫苗)。调整后的疫苗有效性为所有血清型 IPD 的 42%(95%置信区间(CI):9-63%)和 PPV23 血清型 IPD 的 58%(95% CI:21-78%),以未接种疫苗作为参照。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed0e/9633488/cda0059efc4a/10096_2022_4513_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed0e/9633488/cda0059efc4a/10096_2022_4513_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed0e/9633488/cda0059efc4a/10096_2022_4513_Fig1_HTML.jpg

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