Pneumococcal vaccination reduced the risk of acute otitis media: Cohort study

Background Seven‐valent pneumococcal conjugate vaccine (PCV7) was introduced to Japan in 2009, and after that invasive pneumococcal disease has gradually decreased. There are few data, however, on the effectiveness of PCV7 against acute otitis media (AOM) in Japan. Methods From 10 daycare centers in...

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Veröffentlicht in:Pediatrics international 2015-08, Vol.57 (4), p.582-585
Hauptverfasser: Hasegawa, Junko, Mori, Mitsuru, Showa, Satoko, Matsushima, Aiko, Ohnishi, Hirofumi, Tsugawa, Takeshi, Yoto, Yuko, Tsutsumi, Hiroyuki
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container_end_page 585
container_issue 4
container_start_page 582
container_title Pediatrics international
container_volume 57
creator Hasegawa, Junko
Mori, Mitsuru
Showa, Satoko
Matsushima, Aiko
Ohnishi, Hirofumi
Tsugawa, Takeshi
Yoto, Yuko
Tsutsumi, Hiroyuki
description Background Seven‐valent pneumococcal conjugate vaccine (PCV7) was introduced to Japan in 2009, and after that invasive pneumococcal disease has gradually decreased. There are few data, however, on the effectiveness of PCV7 against acute otitis media (AOM) in Japan. Methods From 10 daycare centers in Sapporo, Japan, 614 parents participated in the survey. Each parent reported whether their child subject had received one or more doses of PCV7, and, if so, the exact dates of receiving PCV7 were verified by reviewing their maternal and child health handbooks marked by a pediatrician. AOM was diagnosed by otorhinolaryngologist or pediatrician. Cox's proportional hazard model was used for calculating the hazard ratio (HR) of AOM incidence reduced by PCV7 inoculation. Results Inoculation of PCV7 significantly reduced the risk of AOM (crude HR, 0.63; 95%CI: 0.50–0.79). Adjusting for potentially confounding variables reduced the risk further (adjusted HR, 0.32; 95%CI: 0.23–0.44). On stratification by subject age on 30 April 2012, PCV7 was significantly associated with a reduced risk of AOM in both infants
doi_str_mv 10.1111/ped.12587
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There are few data, however, on the effectiveness of PCV7 against acute otitis media (AOM) in Japan. Methods From 10 daycare centers in Sapporo, Japan, 614 parents participated in the survey. Each parent reported whether their child subject had received one or more doses of PCV7, and, if so, the exact dates of receiving PCV7 were verified by reviewing their maternal and child health handbooks marked by a pediatrician. AOM was diagnosed by otorhinolaryngologist or pediatrician. Cox's proportional hazard model was used for calculating the hazard ratio (HR) of AOM incidence reduced by PCV7 inoculation. Results Inoculation of PCV7 significantly reduced the risk of AOM (crude HR, 0.63; 95%CI: 0.50–0.79). Adjusting for potentially confounding variables reduced the risk further (adjusted HR, 0.32; 95%CI: 0.23–0.44). On stratification by subject age on 30 April 2012, PCV7 was significantly associated with a reduced risk of AOM in both infants &lt;3 years old, and in children ≥3 years. 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There are few data, however, on the effectiveness of PCV7 against acute otitis media (AOM) in Japan. Methods From 10 daycare centers in Sapporo, Japan, 614 parents participated in the survey. Each parent reported whether their child subject had received one or more doses of PCV7, and, if so, the exact dates of receiving PCV7 were verified by reviewing their maternal and child health handbooks marked by a pediatrician. AOM was diagnosed by otorhinolaryngologist or pediatrician. Cox's proportional hazard model was used for calculating the hazard ratio (HR) of AOM incidence reduced by PCV7 inoculation. Results Inoculation of PCV7 significantly reduced the risk of AOM (crude HR, 0.63; 95%CI: 0.50–0.79). Adjusting for potentially confounding variables reduced the risk further (adjusted HR, 0.32; 95%CI: 0.23–0.44). On stratification by subject age on 30 April 2012, PCV7 was significantly associated with a reduced risk of AOM in both infants &lt;3 years old, and in children ≥3 years. 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control</subject><subject>Pneumonia</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><subject>Streptococcus pneumoniae - immunology</subject><subject>Vaccination - methods</subject><subject>Vaccines</subject><subject>Vaccines, Conjugate</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtKAzEUhoMo3he-gATc6GJsLpNJ6k5qvUDVCoriJmQyGYxOJzXJqH17o60uBM_mnMX3_xw-AHYwOsRpelNTHWLCBF8C6zjPSUYQelhONyUiE6jga2AjhGeEkOAiXwVrhBWYiZyug8txa7qJ005r1cA3pbVtVbSuhd5UnTYVjE8GehteoKuh0l000EUbbYATU1l1BAfuyfkIQ-yq2RZYqVUTzPZib4K70-Ht4DwbXZ9dDI5Hmc4F5plSmhZI0TKnhitBia5LRRnBrC8qIRjTlPRLIigvNU5fM6INzvt1WWtUoVrQTbA_751699qZEOXEBm2aRrXGdUFijgQuCM1ZQvf-oM-u82367oviAqM-Qok6mFPauxC8qeXU24nyM4mR_HIsk2P57Tixu4vGrkwOfskfqQnozYF325jZ_01yPDz5qczmCRui-fhNKP8iC045k_dXZxIVj-PxzehKjugnEtCTpg</recordid><startdate>201508</startdate><enddate>201508</enddate><creator>Hasegawa, Junko</creator><creator>Mori, Mitsuru</creator><creator>Showa, Satoko</creator><creator>Matsushima, Aiko</creator><creator>Ohnishi, Hirofumi</creator><creator>Tsugawa, Takeshi</creator><creator>Yoto, Yuko</creator><creator>Tsutsumi, Hiroyuki</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201508</creationdate><title>Pneumococcal vaccination reduced the risk of acute otitis media: Cohort study</title><author>Hasegawa, Junko ; 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control</topic><topic>Pediatrics</topic><topic>pneumococcal conjugate vaccine</topic><topic>Pneumococcal Infections - epidemiology</topic><topic>Pneumococcal Infections - prevention &amp; control</topic><topic>Pneumonia</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><topic>Streptococcus pneumoniae - immunology</topic><topic>Vaccination - methods</topic><topic>Vaccines</topic><topic>Vaccines, Conjugate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hasegawa, Junko</creatorcontrib><creatorcontrib>Mori, Mitsuru</creatorcontrib><creatorcontrib>Showa, Satoko</creatorcontrib><creatorcontrib>Matsushima, Aiko</creatorcontrib><creatorcontrib>Ohnishi, Hirofumi</creatorcontrib><creatorcontrib>Tsugawa, Takeshi</creatorcontrib><creatorcontrib>Yoto, Yuko</creatorcontrib><creatorcontrib>Tsutsumi, Hiroyuki</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hasegawa, Junko</au><au>Mori, Mitsuru</au><au>Showa, Satoko</au><au>Matsushima, Aiko</au><au>Ohnishi, Hirofumi</au><au>Tsugawa, Takeshi</au><au>Yoto, Yuko</au><au>Tsutsumi, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pneumococcal vaccination reduced the risk of acute otitis media: Cohort study</atitle><jtitle>Pediatrics international</jtitle><addtitle>Pediatr Int</addtitle><date>2015-08</date><risdate>2015</risdate><volume>57</volume><issue>4</issue><spage>582</spage><epage>585</epage><pages>582-585</pages><issn>1328-8067</issn><eissn>1442-200X</eissn><abstract>Background Seven‐valent pneumococcal conjugate vaccine (PCV7) was introduced to Japan in 2009, and after that invasive pneumococcal disease has gradually decreased. There are few data, however, on the effectiveness of PCV7 against acute otitis media (AOM) in Japan. Methods From 10 daycare centers in Sapporo, Japan, 614 parents participated in the survey. Each parent reported whether their child subject had received one or more doses of PCV7, and, if so, the exact dates of receiving PCV7 were verified by reviewing their maternal and child health handbooks marked by a pediatrician. AOM was diagnosed by otorhinolaryngologist or pediatrician. Cox's proportional hazard model was used for calculating the hazard ratio (HR) of AOM incidence reduced by PCV7 inoculation. Results Inoculation of PCV7 significantly reduced the risk of AOM (crude HR, 0.63; 95%CI: 0.50–0.79). Adjusting for potentially confounding variables reduced the risk further (adjusted HR, 0.32; 95%CI: 0.23–0.44). On stratification by subject age on 30 April 2012, PCV7 was significantly associated with a reduced risk of AOM in both infants &lt;3 years old, and in children ≥3 years. Conclusion PCV7 is effectiveness in reducing the risk of AOM both in infants &lt;3 years old, and in young children ≥3 years in Japan.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>25615843</pmid><doi>10.1111/ped.12587</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Acute Disease
acute otitis media
Child
Child, Preschool
children
cohort study
Ear diseases
effectiveness
Female
Follow-Up Studies
Heptavalent Pneumococcal Conjugate Vaccine - pharmacology
Humans
Incidence
Infant
Japan - epidemiology
Male
Maternal & child health
Otitis Media - epidemiology
Otitis Media - microbiology
Otitis Media - prevention & control
Pediatrics
pneumococcal conjugate vaccine
Pneumococcal Infections - epidemiology
Pneumococcal Infections - prevention & control
Pneumonia
Prospective Studies
Retrospective Studies
Streptococcus pneumoniae - immunology
Vaccination - methods
Vaccines
Vaccines, Conjugate
title Pneumococcal vaccination reduced the risk of acute otitis media: Cohort study
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