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Published on: February 23, 2014
Risk of Pneumococcal Disease in US Adults by Age and Risk Profile.
Lindsay R Grant1, Aster Meche2, Leah McGrath2
1Medical Development & Scientific/Clinical Affairs, Pfizer Vaccines, Collegeville, Pennsylvania, USA.
Older adults and those with immunocompromising conditions face a significantly higher risk of pneumococcal disease. This study quantifies this increased risk in the US adult population.
Area of Science:
- Infectious Diseases
- Epidemiology
- Public Health
Background:
- Pneumococcal disease risk is influenced by age and pre-existing medical conditions in adults.
- Quantifying this risk is crucial for targeted prevention strategies.
Purpose of the Study:
- To assess the risk of pneumococcal disease in US adults between 2016-2019.
- To compare disease risk between adults with and without specific medical conditions.
Main Methods:
- Retrospective cohort study utilizing de-identified health claims data.
- Estimated incidence rates of pneumococcal disease (all-cause pneumonia, invasive pneumococcal disease, pneumococcal pneumonia) by age and medical condition.
- Calculated rate ratios comparing adults with risk conditions to healthy counterparts.
Main Results:
- Pneumococcal disease rates increased significantly with age.
- Adults with chronic medical conditions had 2.9-3.3 times higher risk compared to healthy adults.
- Adults with immunocompromising conditions had 4.2-5.8 times higher risk, with similar trends for invasive pneumococcal disease and pneumococcal pneumonia.
Conclusions:
- Pneumococcal disease poses a substantial risk to older adults and individuals with specific medical conditions.
- Immunocompromising conditions represent a particularly high-risk factor for pneumococcal disease.
- Conditions like obesity and sleep apnea also elevate pneumococcal disease risk.
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