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Published on: April 28, 2014
Safety and tolerability of pneumococcal vaccines in children
Susanna Esposito1, Nicola Principi1
1a Pediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation , Università degli Studi di Milano Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico , Milan , Italy.
Insights
Pneumococcal vaccines are safe and recommended for children. Pneumococcal conjugate vaccines (PCVs) are preferred for their effectiveness, though ongoing surveillance for rare adverse events is crucial.
Area of Science:
- Immunology
- Vaccinology
- Public Health
Background:
- Pneumococcal vaccines have historically reduced disease burden from Streptococcus pneumoniae.
- Established vaccines aim to mitigate medical, social, and economic impacts of pneumococcal diseases.
Purpose of the Study:
- To review the safety and tolerability of current and historical pneumococcal vaccines in children.
- To analyze the established doctrine on pneumococcal vaccine safety.
Main Methods:
- Literature review of safety and tolerability data.
- Analysis of post-marketing surveillance for adverse events.
Main Results:
- Pneumococcal vaccines are generally safe and recommended for clinical use.
- Pneumococcal conjugate vaccines (PCVs) are preferred in children due to superior immunogenicity and impact on nasopharyngeal carriage.
- Severe adverse events following PCVs are rare, but vigilance is necessary.
Conclusions:
- All marketed pneumococcal vaccines are safe and clinically recommended.
- PCVs are the vaccines of choice for children, offering significant benefits.
- Continued post-marketing surveillance is essential to monitor rare adverse events and ensure vaccine safety.
Introduction:
A number of pneumococcal vaccines have long been available and have been used to reduce the medical, social, and economic problems associated with Streptococcus pneumoniae-related diseases.
Areas Covered:
The main purpose of this review was to analyze what has been, until recently, the established doctrine regarding the safety and tolerability of pneumococcal vaccines that have been used in the past and are currently being used in children.
Expert Opinion:
Pneumococcal vaccines available on the market are all safe and are highly recommended in clinical practice. In children, pneumococcal conjugate vaccines (PCVs) are considered the preparations of choice because of their enhanced immunogenicity and superior ability to impact nasopharyngeal carriage. All PCVs are considered safe because the incidence of severe adverse events (AEs) is marginal. Nonetheless, evidence has emerged from post-marketing surveillance regarding the occurrence of very rare but significant potential AEs following PCV administration. Therefore, post-marketing surveillance should be maintained to confirm the existence of these AEs. Over the next few years, other pneumococcal vaccines will be developed. When these new products are licensed and reach the market, new technologies and innovative epidemiological methods will permit a more rapid and more effective evaluation of AEs.
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