Hospitalizations for pneumonia, invasive diseases and otitis in Tuscany (Italy), 2002-2014: Which was the impact of universal pneumococcal pediatric vaccination?

Streptococcus pneumoniae is the main causative organism of acute media otitis in children and meningitis and bacterial pneumonia in the community. Since 2008 in Tuscany, central Italy, the pneumococcal conjugate vaccine (7-valent vaccine, switched to 13-valent vaccine in 2010) was actively offered f...

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Main Authors: Sara Boccalini (Author), Ornella Varone (Author), Martina Chellini (Author), Luca Pieri (Author), Antonino Sala (Author), Cesare Berardi (Author), Paolo Bonanni (Author), Angela Bechini (Author)
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Published: Taylor & Francis Group, 2017-02-01T00:00:00Z.
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100 1 0 |a Sara Boccalini  |e author 
700 1 0 |a Ornella Varone  |e author 
700 1 0 |a Martina Chellini  |e author 
700 1 0 |a Luca Pieri  |e author 
700 1 0 |a Antonino Sala  |e author 
700 1 0 |a Cesare Berardi  |e author 
700 1 0 |a Paolo Bonanni  |e author 
700 1 0 |a Angela Bechini  |e author 
245 0 0 |a Hospitalizations for pneumonia, invasive diseases and otitis in Tuscany (Italy), 2002-2014: Which was the impact of universal pneumococcal pediatric vaccination? 
260 |b Taylor & Francis Group,   |c 2017-02-01T00:00:00Z. 
500 |a 2164-5515 
500 |a 2164-554X 
500 |a 10.1080/21645515.2017.1264796 
520 |a Streptococcus pneumoniae is the main causative organism of acute media otitis in children and meningitis and bacterial pneumonia in the community. Since 2008 in Tuscany, central Italy, the pneumococcal conjugate vaccine (7-valent vaccine, switched to 13-valent vaccine in 2010) was actively offered free of charge to all newborns. Aim of the study is to evaluate the impact of pneumococcal pediatric vaccination in the Tuscan population on hospitalizations potentially caused by S. pneumoniae, during pre-vaccination (PVP, 2002-2007) and vaccination period (VP, 2009-2014). We analyzed hospital discharge records (HDRs) of all hospitals in Tuscany from 2002 to 2014. Hospitalizations potentially due to pneumococcal diseases were 347, 221. The general hospitalization rate was 716/100,000 inhabitants during PVP and 753/100,000 in VP, with a decrease of 29.1% in the age-group 0-9 y ("target" of the vaccination program) and an increase of 75.7% in subjects >64 y of age. During VP, admission days and hospitalization costs increased (6.2% and 24.2%, respectively), especially in patients >64 y (12.9% and 33.8%, respectively); in children <10 y decreased by 21.2% and 12.8%, respectively. The pneumococcal pediatric vaccination resulted in the decrease of hospitalizations in younger but the expected indirect effect in the elderly was not reported, justifying the Tuscan recommendation to extend the vaccination to subjects > 64 y. 
546 |a EN 
690 |a hospitalization 
690 |a italy 
690 |a pcv13 
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690 |a pneumococcal diseases 
690 |a vaccination 
690 |a Immunologic diseases. Allergy 
690 |a RC581-607 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Human Vaccines & Immunotherapeutics, Vol 13, Iss 2, Pp 428-434 (2017) 
787 0 |n http://dx.doi.org/10.1080/21645515.2017.1264796 
787 0 |n https://doaj.org/toc/2164-5515 
787 0 |n https://doaj.org/toc/2164-554X 
856 4 1 |u https://doaj.org/article/6bfdf35ef46b4f9cacaefd60e0ce6f4d  |z Connect to this object online.