Abstract
Pneumococcal polysaccharide vaccine is recommended in western countries for individuals at high risk of pneumococcal illness. We undertook a systematic review of randomised controlled trials of pneumococcal vaccine in adults, to determine the effects on clinical outcomes. Results: In industrialised populations, no benefit was detected for outcomes other than pneumococcal bacteraemia, and thin, did not reach statistical significance. In non-industrial populations, clear benefit was demonstrated for mortality and all-cause pneumonia. Conclusion: Benefit from pneumococcal vaccination depends on the baseline risk of infection and characteristics of a given population. Evidence from randomised trials for widespread adult vaccination in industrial countries is lacking. (C) 2002 Elsevier Science Ltd. All rights reserved.
Original language | English |
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Pages (from-to) | 2166-2173 |
Number of pages | 7 |
Journal | Vaccine |
Volume | 20 |
Issue number | 17-18 |
DOIs | |
Publication status | Published - 2002 |
Keywords
- vaccination
- pneumococcal
- review
- RANDOMIZED CONTROLLED TRIALS
- OBSTRUCTIVE PULMONARY-DISEASE
- PROTECTIVE EFFICACY
- ELDERLY PEOPLE
- PNEUMONIA
- QUALITY
- RECOMMENDATIONS
- METAANALYSIS
- PREVENTION
- SEROTYPE