Failures of 13-Valent Conjugated Pneumococcal Vaccine in Age-Appropriately Vaccinated Children 2-59 Months of Age, Spain.

Abstract:

:Vaccination with the 13-valent conjugated pneumococcal disease (PCV13) has reduced invasive pneumococcal disease (IPD), but there have been reports of vaccine failures. We performed a prospective study in children aged 2-59 months who received diagnoses of IPD during January 2012-June 2016 in 3 pediatric hospitals in Catalonia, Spain, a region with a PCV13 vaccination coverage of 63%. We analyzed patients who had been age-appropriately vaccinated but who developed IPD caused by PCV13 serotypes. We detected 24 vaccine failure cases. The serotypes involved were 3 (16 cases); 19A (5 cases); and 1, 6B, and 14 (1 case each). Cases were associated with children without underlying conditions, with complicated pneumonia (OR 6.65, 95% CI 1.91-23.21), and with diagnosis by PCR (OR 5.18, 95% CI 1.84-14.59). Vaccination coverage should be increased to reduce the circulation of vaccine serotypes. Continuous surveillance of cases of IPD using both culture and PCR to characterize vaccine failures is necessary.

journal_name

Emerg Infect Dis

authors

Hernández S,Moraga-Llop F,Díaz A,de Sevilla MF,Ciruela P,Muñoz-Almagro C,Codina G,Campins M,García-García JJ,Esteva C,Izquierdo C,González-Peris S,Martínez-Osorio J,Uriona S,Salleras L,Domínguez Á

doi

10.3201/eid2606.190951

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

1147-1155

issue

6

eissn

1080-6040

issn

1080-6059

journal_volume

26

pub_type

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