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|Is the 23-valent pneumococcal polysaccharide vaccine useful in preventing community-acquired pneumonia?
Salleras i Sanmartí, Lluís
Domínguez García, Àngela
Pneumònia adquirida a la comunitat
|Transworld Research Network
|Although bacteremic pneumococcal pneumonia is the most severe form of pneumonia, non-bacteremic forms are much more frequent. Laboratory methods for the diagnosis of nonbacteremic pneumococcal pneumonia have a low sensitivity and specificity, and therefore all-cause pneumonia has been proposed as a suitable outcome to evaluate vaccination effectiveness. This work reviews the epidemiology of community-acquired pneumonia (CAP) and evaluates the effectiveness of the 3-valent pneumococcal polysaccharide vaccine (PPV-23) in preventing CAP requiring hospitalization in people aged ≥65 years. We performed a case-control study in patients aged ≥65 years admitted through the emergency department who presented with clinical signs and symptoms compatible with pneumonia. We included 489 cases and 1,467 controls and it was obtained a vaccine efectiveness of 23.6 (0.9-41.0). Our results suggest that PPV-23 vaccination is effective and reduces hospital admissions due to pneumonia in the elderly, strengthening the rationale for vaccination programmes in this age group.
|Podeu consultar el llibre complet a: http://hdl.handle.net/2445/32393
|Reproducció del capítol 5 del llibre publicat a: http://www.trnres.com/ebookcontents.php?id=131
|It is part of:
|Recent Advances in Pharmaceutical Sciences II, 2012, Editor: Diego Muñoz-Torrero, Diego Haro and Joan Vallès, Chapter 5, p. 69-87.
|Appears in Collections:
|Llibres / Capítols de llibre (Medicina)
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