关键词: Chronic respiratory disease Elderly Pneumococcal polysaccharide vaccine Pneumococcus Pneumonia Vaccine

Mesh : Aged Aged, 80 and over Case-Control Studies Chronic Disease Female Humans Logistic Models Male Odds Ratio Pneumococcal Vaccines / administration & dosage immunology Pneumonia, Pneumococcal / epidemiology prevention & control Respiration Disorders / complications Vaccination Vaccine Potency

来  源:   DOI:10.1186/s12890-021-01491-w   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
BACKGROUND: The effectiveness of the 23-valent pneumococcal polysaccharide vaccine (PPSV23) in preventing pneumococcal pneumonia has been controversial.
METHODS: To evaluate the effectiveness of the PPSV23 in elderly outpatients with chronic respiratory diseases, we carried out a case-control study, including 4128 outpatients aged ≥ 65 years, in the respiratory department.
RESULTS: There were 320 vaccinated patients, of which 164 were diagnosed with pneumococcal pneumonia. The adjusted odds ratio was 0.39 (95% confidence interval (CI), 0.17 to 0.89). In the subsets consisting of age groups ≥ 70 and ≥ 75 years, the adjusted odds ratio (95% CI) was respectively 0.16 (0.04 to 0.67) and 0.15 (0.02 to 1.12).
CONCLUSIONS: This real-world study suggests that PPSV23 can be useful in preventing pneumococcal pneumonia in the elderly with chronic respiratory diseases.
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