作者: Adriaan Blommaert , Joke Bilcke , Lander Willem , Jan Verhaegen , Herman Goossens
DOI: 10.1016/J.VACCINE.2016.03.003
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摘要: Abstract Background A recent trial demonstrated the 13 valent conjugate pneumococcal vaccine (PCV13) to be effective against invasive and non-invasive disease in healthy adults. PCV13 might therefore considered as an alternative 23 polysaccharide (PPV23). Aim To explore cost-effectiveness of vaccinating adults over 50, with either or PPV23 alone, a combined strategy using both PPV23. Methods static multi-cohort model was developed simulating consequences vaccination 50 from health care payer's perspective, for different scenarios duration protection serotype evolution. Results At currently expected prices, is unlikely cost-effective compared no combination versus only. Conclusion Further research needed on efficacy risk groups, well protection. Serotype evolutions under influence childhood PCV program should closely monitored.