2005
DOI: 10.1016/s0140-6736(05)71876-6
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Efficacy of nine-valent pneumococcal conjugate vaccine against pneumonia and invasive pneumococcal disease in The Gambia: randomised, double-blind, placebo-controlled trial

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Cited by 815 publications
(651 citation statements)
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“…TD antigens have the advantage over TI antigens that immune response can be induced at or shortly after birth and they induce affinity maturation of antibodies and immunological memory (reviewed in [1]) all of which are important to generate strong and long-lasting immunity at an early age. Seven serotypes of PPS conjugated to CRM197, a non-toxic variant of diphtheria toxin [2] was licensed in the year 2000 (Prevnar) and is highly efficacious against invasive pneumococcal disease and pneumonia [3][4][5] and reduces otitis media [6,7], although it needs to be administrated several times before it yields protective antibody (Ab) levels in infants and young children. In many developing countries visits to health-care centres are scarce and vaccine coverage is higher in younger infants.…”
Section: Introductionmentioning
confidence: 99%
“…TD antigens have the advantage over TI antigens that immune response can be induced at or shortly after birth and they induce affinity maturation of antibodies and immunological memory (reviewed in [1]) all of which are important to generate strong and long-lasting immunity at an early age. Seven serotypes of PPS conjugated to CRM197, a non-toxic variant of diphtheria toxin [2] was licensed in the year 2000 (Prevnar) and is highly efficacious against invasive pneumococcal disease and pneumonia [3][4][5] and reduces otitis media [6,7], although it needs to be administrated several times before it yields protective antibody (Ab) levels in infants and young children. In many developing countries visits to health-care centres are scarce and vaccine coverage is higher in younger infants.…”
Section: Introductionmentioning
confidence: 99%
“…Figure 1 shows the results of studies which assessed the impact of conjugate pneumococcus serotypes (PS) and VST vaccines. 16,21,24,25 In a study conducted in the USA (Kaiser Permanent), the protection given against pneumonia with radiological confirmation was higher than 59%, and for clinically diagnosed pneumonias (without radiological confirmation), 11%. 16 It is important to emphasize that clinical and radiological definition of pneumonia is very difficult.…”
Section: Reduction Of Morbidity In Persons With Viral Infectionsmentioning
confidence: 99%
“…41 It is important to draw attention to the studies conducted in Africa demonstrating the effectiveness of conjugate pneumonia vaccine. 24,25 The Gambia study was randomized, with double-blind control and involved 22,000 children. The protection given by Pnc9 vaccine for radiologically confirmed pneumonia was 27%, and in comparison with the control group, there were 16% fewer deaths in vaccinated children.…”
Section: Reduction Of Morbidity In Persons With Viral Infectionsmentioning
confidence: 99%
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