Effectiveness of rotavirus vaccination in prevention of hospital admissions for rotavirus gastroenteritis among young children in Belgium: case-control study
Identifieur interne : 000806 ( Main/Exploration ); précédent : 000805; suivant : 000807Effectiveness of rotavirus vaccination in prevention of hospital admissions for rotavirus gastroenteritis among young children in Belgium: case-control study
Auteurs : Tessa Braeckman [Belgique] ; Koen Van Herck [Belgique] ; Nadia Meyer [Belgique] ; Jean-Yves Pirçon [Belgique] ; Montse Soriano-Gabarr [Allemagne, Belgique] ; Elisabeth Heylen [Belgique] ; Mark Zeller [Belgique] ; Myriam Azou [Belgique] ; Heidi Capiau [Belgique] ; Jan De Koster [Belgique] ; Anne-Sophie Maernoudt [Belgique] ; Marc Raes [Belgique] ; Lutgard Verdonck [Belgique] ; Marc Verghote [Belgique] ; Anne Vergison [Belgique] ; Jelle Matthijnssens [Belgique] ; Marc Van Ranst [Belgique] ; Pierre Van Damme [Belgique]Source :
- BMJ : British Medical Journal [ 1756-1833 ] ; 2012.
Abstract
Objective To evaluate the effectiveness of rotavirus vaccination among young children in Belgium. Design Prospective case-control study. Setting Random sample of 39 Belgian hospitals, February 2008 to June 2010. Participants 215 children admitted to hospital with rotavirus gastroenteritis confirmed by polymerase chain reaction and 276 age and hospital matched controls. All children were of an eligible age to have received rotavirus vaccination (that is, born after 1 October 2006 and aged ≥14 weeks). Main outcome measure Vaccination status of children admitted to hospital with rotavirus gastroenteritis and matched controls. Results 99 children (48%) admitted with rotavirus gastroenteritis and 244 (91%) controls had received at least one dose of any rotavirus vaccine (P<0.001). The monovalent rotavirus vaccine accounted for 92% (n=594) of all rotavirus vaccine doses. With hospital admission as the outcome, the unadjusted effectiveness of two doses of the monovalent rotavirus vaccine was 90% (95% confidence interval 81% to 95%) overall, 91% (75% to 97%) in children aged 3-11 months, and 90% (76% to 96%) in those aged ≥12 months. The G2P[4] genotype accounted for 52% of cases confirmed by polymerase chain reaction with eligible matched controls. Vaccine effectiveness was 85% (64% to 94%) against G2P[4] and 95% (78% to 99%) against G1P[8]. In 25% of cases confirmed by polymerase chain reaction with eligible matched controls, there was reported co-infection with adenovirus, astrovirus and/or norovirus. Vaccine effectiveness against co-infected cases was 86% (52% to 96%). Effectiveness of at least one dose of any rotavirus vaccine (intention to vaccinate analysis) was 91% (82% to 95%). Conclusions Rotavirus vaccination is effective for the prevention of admission to hospital for rotavirus gastroenteritis among young children in Belgium, despite the high prevalence of G2P[4] and viral co-infection.
Url:
DOI: 10.1136/bmj.e4752
Affiliations:
- Allemagne, Belgique
- Berlin, Province d'Anvers, Région de Bruxelles-Capitale
- Anvers, Berlin, Bruxelles
- Université d'Anvers
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d'Anvers</region></placeName></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>Public Health Department, Ghent University, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation></author><author><name sortKey="Meyer, Nadia" sort="Meyer, Nadia" uniqKey="Meyer N" first="Nadia" last="Meyer">Nadia Meyer</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>GlaxoSmithKline Biologicals, Wavre</wicri:regionArea><wicri:noRegion>Wavre</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation></author><author><name sortKey="Pircon, Jean Yves" sort="Pircon, Jean Yves" uniqKey="Pircon J" first="Jean-Yves" last="Pirçon">Jean-Yves Pirçon</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>GlaxoSmithKline 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wicri:rule="url">Belgique</country></affiliation></author><author><name sortKey="Capiau, Heidi" sort="Capiau, Heidi" uniqKey="Capiau H" first="Heidi" last="Capiau">Heidi Capiau</name><affiliation></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation></author><author><name sortKey="De Koster, Jan" sort="De Koster, Jan" uniqKey="De Koster J" first="Jan" last="De Koster">Jan De Koster</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>ZOL (Ziekenhuis Oost-Limburg), Campus Sint-Jan, Department of Paediatrics, Genk</wicri:regionArea><wicri:noRegion>Genk</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation></author><author><name sortKey="Maernoudt, Anne Sophie" sort="Maernoudt, Anne Sophie" uniqKey="Maernoudt A" first="Anne-Sophie" last="Maernoudt">Anne-Sophie Maernoudt</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>Clinic St Pierre, Paediatric Department, Ottignies</wicri:regionArea><wicri:noRegion>Ottignies</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation></author><author><name sortKey="Raes, Marc" sort="Raes, Marc" uniqKey="Raes M" first="Marc" last="Raes">Marc Raes</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>Jessa Hospital, Paediatric Department, Hasselt</wicri:regionArea><wicri:noRegion>Hasselt</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation></author><author><name sortKey="Verdonck, Lutgard" sort="Verdonck, Lutgard" uniqKey="Verdonck L" first="Lutgard" last="Verdonck">Lutgard Verdonck</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>AZ Alma, Paediatric Department, Eeklo</wicri:regionArea><wicri:noRegion>Eeklo</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation></author><author><name sortKey="Verghote, Marc" sort="Verghote, Marc" uniqKey="Verghote M" first="Marc" last="Verghote">Marc Verghote</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>CHR Namur, Paediatric Department, Namur</wicri:regionArea><wicri:noRegion>Namur</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation></author><author><name sortKey="Vergison, Anne" sort="Vergison, Anne" uniqKey="Vergison A" first="Anne" last="Vergison">Anne Vergison</name><affiliation wicri:level="3"><country>Belgique</country><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName><wicri:orgArea>University Hospital for Children, Infectious Diseases Unit</wicri:orgArea></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation></author><author><name sortKey="Matthijnssens, Jelle" sort="Matthijnssens, Jelle" uniqKey="Matthijnssens J" first="Jelle" last="Matthijnssens">Jelle Matthijnssens</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>Clinical and Epidemiological Virology, KU Leuven</wicri:regionArea><wicri:noRegion>KU Leuven</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation></author><author><name sortKey="Van Ranst, Marc" sort="Van Ranst, Marc" uniqKey="Van Ranst M" first="Marc" last="Van Ranst">Marc Van Ranst</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>Clinical and Epidemiological Virology, KU Leuven</wicri:regionArea><wicri:noRegion>KU Leuven</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation></author><author><name sortKey="Van Damme, Pierre" sort="Van Damme, Pierre" uniqKey="Van Damme P" first="Pierre" last="Van Damme">Pierre Van Damme</name><affiliation wicri:level="4"><country xml:lang="fr">Belgique</country><wicri:regionArea>Centre for the Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Antwerp</wicri:regionArea><orgName type="university">Université d'Anvers</orgName><placeName><settlement type="city">Anvers</settlement><region type="district" nuts="2">Province d'Anvers</region></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation></author></analytic><monogr></monogr><series><title level="j">BMJ : British Medical Journal</title><title level="j" type="abbrev">BMJ</title><idno type="eISSN">1756-1833</idno><imprint><publisher>British Medical Journal Publishing Group</publisher><date type="published" when="2012">2012</date><biblScope unit="volume">345</biblScope></imprint></series><idno type="istex">8F10C8B6673159D0D86B882CD0FAC00B841677E3</idno><idno type="DOI">10.1136/bmj.e4752</idno><idno type="href">bmj-345-bmj-e4752.pdf</idno><idno type="ArticleID">brat001832</idno><idno type="local">bmj;345/aug08_1/e4752</idno></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Objective To evaluate the effectiveness of rotavirus vaccination among young children in Belgium. Design Prospective case-control study. Setting Random sample of 39 Belgian hospitals, February 2008 to June 2010. Participants 215 children admitted to hospital with rotavirus gastroenteritis confirmed by polymerase chain reaction and 276 age and hospital matched controls. All children were of an eligible age to have received rotavirus vaccination (that is, born after 1 October 2006 and aged ≥14 weeks). Main outcome measure Vaccination status of children admitted to hospital with rotavirus gastroenteritis and matched controls. Results 99 children (48%) admitted with rotavirus gastroenteritis and 244 (91%) controls had received at least one dose of any rotavirus vaccine (P<0.001). The monovalent rotavirus vaccine accounted for 92% (n=594) of all rotavirus vaccine doses. With hospital admission as the outcome, the unadjusted effectiveness of two doses of the monovalent rotavirus vaccine was 90% (95% confidence interval 81% to 95%) overall, 91% (75% to 97%) in children aged 3-11 months, and 90% (76% to 96%) in those aged ≥12 months. The G2P[4] genotype accounted for 52% of cases confirmed by polymerase chain reaction with eligible matched controls. Vaccine effectiveness was 85% (64% to 94%) against G2P[4] and 95% (78% to 99%) against G1P[8]. In 25% of cases confirmed by polymerase chain reaction with eligible matched controls, there was reported co-infection with adenovirus, astrovirus and/or norovirus. Vaccine effectiveness against co-infected cases was 86% (52% to 96%). Effectiveness of at least one dose of any rotavirus vaccine (intention to vaccinate analysis) was 91% (82% to 95%). Conclusions Rotavirus vaccination is effective for the prevention of admission to hospital for rotavirus gastroenteritis among young children in Belgium, despite the high prevalence of G2P[4] and viral co-infection.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Belgique</li></country><region><li>Berlin</li><li>Province d'Anvers</li><li>Région de Bruxelles-Capitale</li></region><settlement><li>Anvers</li><li>Berlin</li><li>Bruxelles</li></settlement><orgName><li>Université d'Anvers</li></orgName></list><tree><country name="Belgique"><region name="Province d'Anvers"><name sortKey="Braeckman, Tessa" sort="Braeckman, Tessa" uniqKey="Braeckman T" first="Tessa" last="Braeckman">Tessa Braeckman</name></region><name sortKey="Azou, Myriam" sort="Azou, Myriam" uniqKey="Azou M" first="Myriam" last="Azou">Myriam Azou</name><name sortKey="Azou, Myriam" sort="Azou, Myriam" uniqKey="Azou M" first="Myriam" last="Azou">Myriam Azou</name><name sortKey="Braeckman, Tessa" sort="Braeckman, Tessa" uniqKey="Braeckman T" first="Tessa" last="Braeckman">Tessa Braeckman</name><name sortKey="Capiau, Heidi" sort="Capiau, Heidi" uniqKey="Capiau H" first="Heidi" last="Capiau">Heidi Capiau</name><name sortKey="De Koster, Jan" sort="De Koster, Jan" uniqKey="De Koster J" first="Jan" last="De Koster">Jan De Koster</name><name sortKey="De Koster, Jan" sort="De Koster, Jan" uniqKey="De Koster J" first="Jan" last="De Koster">Jan De Koster</name><name sortKey="Heylen, Elisabeth" sort="Heylen, Elisabeth" uniqKey="Heylen E" first="Elisabeth" last="Heylen">Elisabeth Heylen</name><name sortKey="Heylen, Elisabeth" sort="Heylen, Elisabeth" uniqKey="Heylen E" first="Elisabeth" last="Heylen">Elisabeth Heylen</name><name sortKey="Maernoudt, Anne Sophie" sort="Maernoudt, Anne Sophie" uniqKey="Maernoudt A" first="Anne-Sophie" last="Maernoudt">Anne-Sophie Maernoudt</name><name sortKey="Maernoudt, Anne Sophie" sort="Maernoudt, Anne Sophie" uniqKey="Maernoudt A" first="Anne-Sophie" last="Maernoudt">Anne-Sophie Maernoudt</name><name sortKey="Matthijnssens, Jelle" sort="Matthijnssens, Jelle" uniqKey="Matthijnssens J" first="Jelle" last="Matthijnssens">Jelle Matthijnssens</name><name sortKey="Matthijnssens, Jelle" sort="Matthijnssens, Jelle" uniqKey="Matthijnssens J" first="Jelle" last="Matthijnssens">Jelle Matthijnssens</name><name sortKey="Meyer, Nadia" sort="Meyer, Nadia" uniqKey="Meyer N" first="Nadia" last="Meyer">Nadia Meyer</name><name sortKey="Meyer, Nadia" sort="Meyer, Nadia" uniqKey="Meyer N" first="Nadia" last="Meyer">Nadia Meyer</name><name sortKey="Pircon, Jean Yves" sort="Pircon, Jean Yves" uniqKey="Pircon J" first="Jean-Yves" last="Pirçon">Jean-Yves Pirçon</name><name sortKey="Pircon, Jean Yves" sort="Pircon, Jean Yves" uniqKey="Pircon J" first="Jean-Yves" last="Pirçon">Jean-Yves Pirçon</name><name sortKey="Raes, Marc" sort="Raes, Marc" uniqKey="Raes M" first="Marc" last="Raes">Marc Raes</name><name sortKey="Raes, Marc" sort="Raes, Marc" uniqKey="Raes M" first="Marc" last="Raes">Marc Raes</name><name sortKey="Soriano Gabarr, Montse" sort="Soriano Gabarr, Montse" uniqKey="Soriano Gabarr M" first="Montse" last="Soriano-Gabarr">Montse Soriano-Gabarr</name><name sortKey="Van Damme, Pierre" sort="Van Damme, Pierre" uniqKey="Van Damme P" first="Pierre" last="Van Damme">Pierre Van Damme</name><name sortKey="Van Damme, Pierre" sort="Van Damme, Pierre" uniqKey="Van Damme P" first="Pierre" last="Van Damme">Pierre Van Damme</name><name sortKey="Van Damme, Pierre" sort="Van Damme, Pierre" uniqKey="Van Damme P" first="Pierre" last="Van Damme">Pierre Van Damme</name><name sortKey="Van Herck, Koen" sort="Van Herck, Koen" uniqKey="Van Herck K" first="Koen" last="Van Herck">Koen Van Herck</name><name sortKey="Van Herck, Koen" sort="Van Herck, Koen" uniqKey="Van Herck K" first="Koen" last="Van Herck">Koen Van Herck</name><name sortKey="Van Herck, Koen" sort="Van Herck, Koen" uniqKey="Van Herck K" first="Koen" last="Van Herck">Koen Van Herck</name><name sortKey="Van Ranst, Marc" sort="Van Ranst, Marc" uniqKey="Van Ranst M" first="Marc" last="Van Ranst">Marc Van Ranst</name><name sortKey="Van Ranst, Marc" sort="Van Ranst, Marc" uniqKey="Van Ranst M" first="Marc" last="Van Ranst">Marc Van Ranst</name><name sortKey="Verdonck, Lutgard" sort="Verdonck, Lutgard" uniqKey="Verdonck L" first="Lutgard" last="Verdonck">Lutgard Verdonck</name><name sortKey="Verdonck, Lutgard" sort="Verdonck, Lutgard" uniqKey="Verdonck L" first="Lutgard" last="Verdonck">Lutgard Verdonck</name><name sortKey="Verghote, Marc" sort="Verghote, Marc" uniqKey="Verghote M" first="Marc" last="Verghote">Marc Verghote</name><name sortKey="Verghote, Marc" sort="Verghote, Marc" uniqKey="Verghote M" first="Marc" last="Verghote">Marc Verghote</name><name sortKey="Vergison, Anne" sort="Vergison, Anne" uniqKey="Vergison A" first="Anne" last="Vergison">Anne Vergison</name><name sortKey="Vergison, Anne" sort="Vergison, Anne" uniqKey="Vergison A" first="Anne" last="Vergison">Anne Vergison</name><name sortKey="Zeller, Mark" sort="Zeller, Mark" uniqKey="Zeller M" first="Mark" last="Zeller">Mark Zeller</name><name sortKey="Zeller, Mark" sort="Zeller, Mark" uniqKey="Zeller M" first="Mark" last="Zeller">Mark Zeller</name></country><country name="Allemagne"><region name="Berlin"><name sortKey="Soriano Gabarr, Montse" sort="Soriano Gabarr, Montse" uniqKey="Soriano Gabarr M" first="Montse" last="Soriano-Gabarr">Montse Soriano-Gabarr</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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