7-valent pneumococcal conjugate vaccination in england and wales is it still beneficial despite high levels of serotype replacement关于7价肺炎球菌结合疫苗接种在英格兰和威尔士还有益尽管高水平的血清型替换.pdfVIP

7-valent pneumococcal conjugate vaccination in england and wales is it still beneficial despite high levels of serotype replacement关于7价肺炎球菌结合疫苗接种在英格兰和威尔士还有益尽管高水平的血清型替换.pdf

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7-valent pneumococcal conjugate vaccination in england and wales is it still beneficial despite high levels of serotype replacement关于7价肺炎球菌结合疫苗接种在英格兰和威尔士还有益尽管高水平的血清型替换

7-Valent Pneumococcal Conjugate Vaccination in England and Wales: Is It Still Beneficial Despite High Levels of Serotype Replacement? 1,2 2 3 4 1 5 Yoon Hong Choi *, Mark Jit , Nigel Gay , Nick Andrews , Pauline A. Waight , Alessia Melegaro , Robert George6, Elizabeth Miller1 1 Immunisation, Hepatitis and Blood Safety Department, Health Protection Agency, London, United Kingdom, 2 Modelling and Economics Unit, Health Protection Agency, London, United Kingdom, 3 Fu Consulting, Hungerford, Berkshire, United Kingdom, 4 Statistics Unit, Health Protection Agency, London, United Kingdom, 5 DONDENA Centre for Research on Social Dynamics, Bocconi University, Milan, Italy, 6 Respiratory and Systemic Infection Laboratory, Health Protection Agency, London, United Kingdom Abstract Background: The UK introduced the 7-valent pneumococcal conjugate vaccine (PCV7) into the national vaccination program in September 2006. Previous modelling assumed that the likely impact of PCV7 on invasive pneumococcal disease (IPD) would be similar to the US experience with PCV7. However, recent surveillance data show a more rapid replacement of PCV7 IPD cases by non-PCV7 IPD cases than was seen in the US. Methods and Findings: A previous model of pneumococcal vaccination was re-parameterised using data on vaccine coverage and IPD from England and Wales between 2006 and 2009. Disease incidence was adjusted for the increasing trend in reported IPD cases prior to vaccination. Using this data we estimated that individuals carrying PCV7 serotypes have much higher protection (96%;95% CI 72%-100%) against acquisition of NVT carriage than the 15% previously estimated from US data, which leads to greater replacem

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