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Impacts of the 13-Valent Pneumococcal Conjugate Vaccine in Children
Susanna Esposito1, Nicola Principi1
1Pediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Commenda 9, 20122 Milan, Italy.
Insights
The 13-valent pneumococcal conjugate vaccine (PCV13) offers broader protection against pneumococcal diseases than the 7-valent version (PCV7). PCV13 effectively reduces invasive pneumococcal diseases, mucosal infections, and carriage in children.
Area of Science:
- Pediatric infectious diseases
- Vaccinology
- Immunology
Background:
- Heptavalent pneumococcal conjugate vaccine (PCV7) significantly reduced pneumococcal diseases.
- Emerging non-PCV7 serotypes increased, necessitating broader vaccine coverage.
- New vaccines were developed to address serotype replacement.
Purpose of the Study:
- To review the impact of the 13-valent pneumococcal conjugate vaccine (PCV13) on pneumococcal disease control in children.
- To compare the efficacy of PCV13 with PCV7.
Main Methods:
- Review of global evaluation studies on PCV13 application in pediatric immunization schedules.
- Analysis of data on invasive pneumococcal diseases, mucosal pneumococcal diseases, and pneumococcal carriage.
Main Results:
- PCV13 covers 7 PCV7 serotypes plus 6 additional serotypes (1, 3, 5, 6A, 7F, 19A).
- PCV13 demonstrated wider coverage and more effective prevention against pneumococcal diseases compared to PCV7.
- Studies showed PCV13's efficacy in reducing invasive pneumococcal diseases, mucosal pneumococcal diseases, and pneumococcal carriage.
Conclusions:
- PCV13 provides enhanced protection against pneumococcal diseases in children.
- PCV13 is a valuable tool for controlling pneumococcal infections beyond the scope of PCV7.
- Continued surveillance and evaluation of PCV13 impact are essential.
Abstract:
Applications of the heptavalent pneumococcal conjugate vaccine (PCV7) in the pediatric immunization schedule have dramatically reduced the incidence of pneumococcal diseases in both vaccinated children and unvaccinated individuals of all ages. However, increased infections caused by non-PCV7 serotypes have been reported by several groups. To overcome this problem, new vaccines covering more serotypes including the emerging serotypes have been developed. The 13-valent pneumococcal conjugate vaccine (PCV13) currently covers the 7 PCV7 serotypes (4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional serotypes 1, 3, 5, 6A, 7F, and 19A. After the first year of PCV13 applications in the immunization schedule in young children, global evaluation studies demonstrated that PCV13 provided a wider coverage and more effective prevention than PCV7 against invasive pneumococcal diseases (IPDs), mucosal pneumococcal diseases, and pneumococcal carriage. We reviewed the effects of PCV13 in the control of pneumococcal diseases in children based on previous studies.
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