dc.creator | Hammes Varela, Fernanda | |
dc.creator | Costa, Eduardo | |
dc.creator | Comerlato Scotta, Marcelo | |
dc.creator | Tetelbom Stein, Renato | |
dc.date | 2023-03-03 | |
dc.date.accessioned | 2023-09-01T12:55:56Z | |
dc.date.available | 2023-09-01T12:55:56Z | |
dc.identifier | https://seer.ufrgs.br/index.php/hcpa/article/view/124378 | |
dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/8570899 | |
dc.description | Introduction: Pneumococcal pneumonia is a leading cause of severe disease, leading to approximately 2.2 million hospital admissions in 2019 in Brazil. Since 2010, the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine was introduced in Brazil as part of the National Immunization Program (NIP) with free-for-all access, approaching coverage of 91.4% in 2019. Although studies from many countries are available, there is still a need to understand the effect of the vaccine introduction on the incidence of pneumonia hospitalizations in Brazil.
Methodology: We accessed data on hospitalization associated with the diagnosis of pneumonia in the population assisted by the Brazilian Public Health system to fit a time series analysis testing the main hypothesis of the influence of vaccination on the trends for the incidence of pneumonia hospitalizations .
Results: The post-vaccination period showed a negative trend, reducing 1.75, 0.16, and 0.11 cases per 100,000 inhabitants per month for the groups <1 year, 1-4 year, and 5-9 year, respectively. In age groups larger than 20 years, the post-vaccination period has a positive trend, but not as great as compared trends before the vaccination period. These results point to a protective herd effect in the elderly population nine years after introducing the pneumococcal vaccine in the NIP.
Conclusions: The universal vaccination has been shown to reduce hospitalizations associated with pneumonia diagnosis both in the vaccinated and non-vaccinated population in a sustained and progressive manner. | en-US |
dc.format | application/pdf | |
dc.language | por | |
dc.publisher | HCPA/FAMED/UFRGS | pt-BR |
dc.relation | https://seer.ufrgs.br/index.php/hcpa/article/view/124378/88077 | |
dc.rights | Copyright (c) 2022 Fernanda Hammes Varela, Eduardo Costa, Marcelo Comerlato Scotta, Renato Tetelbom Stein | pt-BR |
dc.rights | https://creativecommons.org/licenses/by/4.0 | pt-BR |
dc.source | Clinical & Biomedical Research; Vol. 42 No. 4 (2022): Clinical & Biomedical Research | en-US |
dc.source | Clinical and Biomedical Research; v. 42 n. 4 (2022): Clinical & Biomedical Research | pt-BR |
dc.source | 2357-9730 | |
dc.subject | Conjugate vaccine | pt-BR |
dc.subject | pneumonia | pt-BR |
dc.subject | pneumococcal vaccine | pt-BR |
dc.subject | herd immunit | pt-BR |
dc.subject | PHiD-CV | pt-BR |
dc.title | Evaluation of the direct and indirect impact on pneumonia hospitalization after almost a decade of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine in Brazil: Evaluation of 10-valent pneumococcal vaccine on pneumonia hospitalization in Brazil | en-US |
dc.type | info:eu-repo/semantics/article | |
dc.type | info:eu-repo/semantics/publishedVersion | |
dc.type | Peer-reviewed Article | en-US |
dc.type | Avaliado por Pares | pt-BR |