4.5 Article

Otitis media: Prospects for prevention

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VACCINE
卷 26, 期 -, 页码 G20-G24

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ELSEVIER SCI LTD
DOI: 10.1016/j.vaccine.2008.11.009

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Otitis media; Vaccine efficacy; Vaccine effectiveness; Prevention; Policy

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Alternatives to vaccination for preventing the considerable morbidity of otitis media (OM) are limited. Non-typable Haemophilus influenzae (NTHi) and Streptococcus pneumoniae together account for approximately 80% of OM cases worldwide, so vaccines against these most serious pathogens should materially reduce the burden of OM. Early trial data for a vaccine prototype including NTHi and 11 pneumococcal serotypes, interpreted carefully in relation to other trials, suggest that OM can now be considered a vaccine-preventable disease. Despite differences of scenario according to healthcare and bacteriology circumstances of different countries, a provisional analysis of health-economic precedents and policy considerations favours vaccination. (C) 2008 Published by Elsevier Ltd.

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