The evidence for using conjugate vaccines to protect HIV-infected children against pneumococcal disease

Summary Pneumococcal conjugate vaccines (PCVs) are a potentially useful complement to existing treatment strategies in HIV-infected children, for whom pneumococcal infections are common and serious. This Review summarises available data on the burden of pneumococcal disease and the safety and effica...

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Veröffentlicht in:The Lancet infectious diseases 2008, Vol.8 (1), p.67-80
Hauptverfasser: Bliss, Sandra J, Dr, O'Brien, Katherine L, MD, Janoff, Edward N, Prof, Cotton, Mark F, MBChB, Musoke, Philippa, MBChB, Coovadia, Hoosen, Prof, Levine, Orin S, PhD
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container_end_page 80
container_issue 1
container_start_page 67
container_title The Lancet infectious diseases
container_volume 8
creator Bliss, Sandra J, Dr
O'Brien, Katherine L, MD
Janoff, Edward N, Prof
Cotton, Mark F, MBChB
Musoke, Philippa, MBChB
Coovadia, Hoosen, Prof
Levine, Orin S, PhD
description Summary Pneumococcal conjugate vaccines (PCVs) are a potentially useful complement to existing treatment strategies in HIV-infected children, for whom pneumococcal infections are common and serious. This Review summarises available data on the burden of pneumococcal disease and the safety and efficacy of PCVs in HIV-infected children. The data demonstrate that children with HIV have significantly increased risk of pneumococcal disease compared with uninfected children; the serotypes included in currently licensed or near-licensure conjugate vaccines include most serotypes that cause invasive pneumococcal disease (IPD) in HIV-infected children and adults; PCVs provide substantial protection against IPD and clinical pneumonia when given to HIV-infected infants; and HIV-infected adults gain an indirect benefit when children in the community are vaccinated. PCV should be considered as an important intervention for improving the lives of HIV-infected children.
doi_str_mv 10.1016/S1473-3099(07)70242-6
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PCV should be considered as an important intervention for improving the lives of HIV-infected children.</description><identifier>ISSN: 1473-3099</identifier><identifier>EISSN: 1474-4457</identifier><identifier>DOI: 10.1016/S1473-3099(07)70242-6</identifier><identifier>PMID: 17974480</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>London: Elsevier Ltd</publisher><subject>AIDS-Related Opportunistic Infections - microbiology ; AIDS-Related Opportunistic Infections - prevention &amp; control ; Antiretroviral Therapy, Highly Active - methods ; Bacterial diseases ; Biological and medical sciences ; Child ; HIV ; HIV Infections - immunology ; HIV Infections - microbiology ; Human bacterial diseases ; Human viral diseases ; Humans ; Immunodeficiencies ; Immunodeficiencies. Immunoglobulinopathies ; Immunopathology ; Infectious Disease ; Infectious diseases ; Medical sciences ; Pneumococcal Infections - prevention &amp; control ; Pneumococcal Infections - virology ; Pneumococcal Vaccines - immunology ; Pneumococcal Vaccines - therapeutic use ; Staphylococcal infections, streptococcal infections, pneumococcal infections ; Streptococcus pneumoniae - immunology ; Vaccines ; Vaccines, Conjugate - immunology ; Vaccines, Conjugate - therapeutic use ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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This Review summarises available data on the burden of pneumococcal disease and the safety and efficacy of PCVs in HIV-infected children. The data demonstrate that children with HIV have significantly increased risk of pneumococcal disease compared with uninfected children; the serotypes included in currently licensed or near-licensure conjugate vaccines include most serotypes that cause invasive pneumococcal disease (IPD) in HIV-infected children and adults; PCVs provide substantial protection against IPD and clinical pneumonia when given to HIV-infected infants; and HIV-infected adults gain an indirect benefit when children in the community are vaccinated. 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subjects AIDS-Related Opportunistic Infections - microbiology
AIDS-Related Opportunistic Infections - prevention & control
Antiretroviral Therapy, Highly Active - methods
Bacterial diseases
Biological and medical sciences
Child
HIV
HIV Infections - immunology
HIV Infections - microbiology
Human bacterial diseases
Human viral diseases
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infectious Disease
Infectious diseases
Medical sciences
Pneumococcal Infections - prevention & control
Pneumococcal Infections - virology
Pneumococcal Vaccines - immunology
Pneumococcal Vaccines - therapeutic use
Staphylococcal infections, streptococcal infections, pneumococcal infections
Streptococcus pneumoniae - immunology
Vaccines
Vaccines, Conjugate - immunology
Vaccines, Conjugate - therapeutic use
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title The evidence for using conjugate vaccines to protect HIV-infected children against pneumococcal disease
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