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Vaccination rates and adherence in pneumococcal conjugate vaccination in mature born infants before and after
Maren Laurenz1, Christof von Eiff1, Kathrin Borchert2
1Pfizer Pharma GmbH, Linkstraße 10, 10785 Berlin, Germany.
Insights
The German pneumococcal conjugate vaccination (PCV) 2+1 schedule saw a slight increase in booster rates but nearly a quarter of infants remained unvaccinated. Adherence to timely vaccination remains a challenge.
Area of Science:
- Pediatrics
- Public Health
- Immunology
Background:
- In August 2015, Germany's STIKO updated the infant pneumococcal conjugate vaccination (PCV) schedule from 3+1 to 2+1 doses.
- This change aimed to improve vaccination acceptance by reducing the number of doses administered.
Purpose of the Study:
- To evaluate PCV vaccination rates and adherence in infants following the 2015 schedule change.
- To assess real-world data on infant vaccination uptake and timeliness.
Main Methods:
- Retrospective analysis of claims data from the InGef Research Database.
- Comparison of infant cohorts born in 2013 (3+1 schedule) and 2016 (2+1 schedule).
- 24-month follow-up for vaccination status, including hexavalent vaccination (HEXA) as a reference.
Main Results:
- PCV uptake at 24 months was high (90.9% for 2016 cohort).
- Booster dose rates increased slightly (75.6% in 2016 vs. 67.7% in 2013), but 24.4% of 2016 infants did not receive a booster.
- Timely booster vaccination rates remained low, with only 46.3% (2016) receiving it on schedule.
Conclusions:
- The 2+1 PCV schedule did not fully resolve the issue of incomplete vaccination, with a significant proportion of infants missing the booster dose.
- Vaccination delays persist, and the rate of unvaccinated infants remained unchanged.
- Further strategies are needed to improve timely and complete PCV vaccination coverage.
Background:
In August 2015, the German Standing Committee on Vaccination (STIKO) changed the pneumococcal conjugate vaccination (PCV) schedule for mature infants from a 3+1 scheme to a 2+1 scheme. It was expected that a reduction of doses would be associated with a higher acceptance of the vaccination. Aim of this study was to assess vaccination rates and adherence for PCV after the change of recommendation based on real-world data.
Methods:
A retrospective claims data analysis using the InGef Research Database was conducted. The study population consisted of all mature infants born in 2013 (last birth cohort completely under 3+1 recommendation) or 2016 (first birth cohort completely under 2+1 recommendation) with an individual follow-up of 24 months. Hexavalent combination vaccination (HEXA) with a consistent 3+1 recommendation was analyzed as reference.
Results:
After follow-up of 24 months, 90.9% (91.2%) of the 2016 (2013) cohort received at least one dose of PCV. At the same age, 67.7% of the 2013 cohort received a booster dose according to the 3+1 schedule and 75.6% of the 2016 cohort received a booster dose presumably either according to the 2+1 (71.7%) or 3+1 (3.9%) schedule. Of those receiving the booster dose, only 46.3% (2016) and 45.1% (2013) received the booster dose on time as recommended. The HEXA vaccination rate increased from 88.9% (2013) to 91.6% (2016) with a full series completion in 69.1% (2013) vs 72.9% (2016). The proportion of infants receiving the booster vaccination on time rose to 50.0% in 2016 (47.8% in 2013).
Conclusions:
Although the rate for the PCV booster dose slightly increased, nearly a quarter of the infants born in 2016 did not receive a booster dose at all. Furthermore, vaccinations were still frequently delayed, and the rate of unvaccinated infants remained constant.
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