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Pneumococcal serotypes before and after introduction of conjugate vaccines, United States, 1999-2011(1.)
Journal article   Open access   Peer reviewed

Pneumococcal serotypes before and after introduction of conjugate vaccines, United States, 1999-2011(1.)

Sandra S Richter, Kristopher P Heilmann, Cassie L Dohrn, Fathollah Riahi, Daniel J Diekema and Gary V Doern
Emerging infectious diseases, Vol.19(7), pp.1074-1083
07/2013
DOI: 10.3201/eid1907.121830
PMID: 23763847
url
https://doi.org/10.3201/eid1907.121830View
Published (Version of record) Open Access

Abstract

Serotyping data for pneumococci causing invasive and noninvasive disease in 2008-2009 and 2010-2011 from >43 US centers were compared with data from preconjugate vaccine (1999-2000) and postconjugate vaccine (2004-2005) periods. Prevalence of 7-valent pneumococcal conjugate vaccine serotypes decreased from 64% of invasive and 50% of noninvasive isolates in 1999-2000 to 3.8% and 4.2%, respectively, in 2010-2011. Increases in serotype 19A stopped after introduction of 13-valent pneumococcal vaccine (PCV13) in 2010. Prevalences of other predominant serotypes included in or related to PCV13 (3, 6C, 7F) also remained similar for 2008-2009 and 2010-2011. The only major serotype that increased from 2008-2009 to 2010-2011 was nonvaccine serotype 35B. These data show that introduction of the 7-valent vaccine has dramatically decreased prevalence of its serotypes and that addition of serotypes in PCV13 could provide coverage of 39% of isolates that continue to cause disease.
Streptococcus pneumoniae - classification Age Distribution Prevalence United States Humans Middle Aged Child, Preschool Infant Pneumococcal Vaccines Streptococcus pneumoniae - immunology Microbial Sensitivity Tests Young Adult Penicillin Resistance Adult Pneumococcal Infections - microbiology Vaccines, Conjugate Penicillins - pharmacology Child Serotyping Streptococcus pneumoniae - drug effects Pneumococcal Infections - epidemiology Adolescent Pneumococcal Infections - prevention & control Aged Anti-Bacterial Agents - pharmacology Cluster Analysis

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