Effectiveness of the monovalent G1P[8] human rotavirus vaccine against hospitalization for severe G2P[4] rotavirus gastroenteritis in Belém, Brazil. Justino, M. C. A, Linhares, A. C, Lanzieri, T. M, Miranda, Y., Mascarenhas, J. D. P, Abreu, E., Guerra, S. F S, Oliveira, A. S L, da Silva, V. B, Sanchez, N., Meyer, N., Shafi, F., Ortega-Barria, E., Soriano-Gabarró, M., & Colindres, R. E The Pediatric Infectious Disease Journal, 30(5):396–401, May, 2011.
Effectiveness of the monovalent G1P[8] human rotavirus vaccine against hospitalization for severe G2P[4] rotavirus gastroenteritis in Belém, Brazil [link]Paper  doi  abstract   bibtex   
BACKGROUND Brazil initiated universal immunization of infants with the G1P[8] human rotavirus (RV) vaccine in March 2006. This study evaluated vaccine effectiveness (VE) against severe rotavirus gastroenteritis (RVGE) hospitalizations. METHODS Matched case-control study conducted at 4 hospitals in Belém from May 2008 to May 2009. Cases were children hospitalized with RVGE age-eligible to have received 2 doses of the human RV vaccine (≥ 12 weeks of age and born after March 6, 2006). For each case, 1 neighborhood and 1 hospital control without gastroenteritis was selected, matching by birth date (± 8 and ± 6 weeks, respectively). Matched odds ratio of 2-dose RV vaccination in cases versus controls was used to estimate VE (1 - odds ratio × 100%). RESULTS Of 538 RVGE cases, 507 hospital controls and 346 neighborhood controls included, 54%, 61%, and 74% had received both RV vaccine doses. VE against RVGE hospitalization was 75.8% (95% confidence interval [CI]: 58.1-86.0) using neighborhood controls and 40.0% (95% CI: 14.2-58.1) using hospital controls. VE in children 3 to 11 months and ≥ 12 months of age was 95.7% (95% CI: 67.8-99.4) and 65.1% (95% CI: 37.2-80.6) using neighborhood controls, and 55.6% (95% CI: 12.3-77.5) and 32.1% (95% CI: -3.7-55.5) using hospital controls. G2P[4] accounted for 82.0% of RVGE hospitalizations. G2P[4]-specific VE was 75.4% (95% CI: 56.7-86.0) using neighborhood controls and 38.9% (95% CI: 11.1-58.0) using hospital controls. CONCLUSIONS Although fully heterotypic G2P[4] was the predominant RV strain, good VE was demonstrated. VE was highest in children aged 3 to 11 months. However, protection in children ≥ 12 months of age, important for optimal public health impact, was significantly sustained based on estimates obtained using neighborhood controls.
@article{justino_effectiveness_2011,
	title = {Effectiveness of the monovalent {G1P}[8] human rotavirus vaccine against hospitalization for severe {G2P}[4] rotavirus gastroenteritis in {Belém}, {Brazil}},
	volume = {30},
	issn = {1532-0987},
	url = {http://www.ncbi.nlm.nih.gov/pubmed/21150692},
	doi = {10.1097/INF.0b013e3182055cc2},
	abstract = {BACKGROUND

Brazil initiated universal immunization of infants with the G1P[8] human rotavirus (RV) vaccine in March 2006. This study evaluated vaccine effectiveness (VE) against severe rotavirus gastroenteritis (RVGE) hospitalizations.


METHODS

Matched case-control study conducted at 4 hospitals in Belém from May 2008 to May 2009. Cases were children hospitalized with RVGE age-eligible to have received 2 doses of the human RV vaccine (≥ 12 weeks of age and born after March 6, 2006). For each case, 1 neighborhood and 1 hospital control without gastroenteritis was selected, matching by birth date (± 8 and ± 6 weeks, respectively). Matched odds ratio of 2-dose RV vaccination in cases versus controls was used to estimate VE (1 - odds ratio × 100\%).


RESULTS

Of 538 RVGE cases, 507 hospital controls and 346 neighborhood controls included, 54\%, 61\%, and 74\% had received both RV vaccine doses. VE against RVGE hospitalization was 75.8\% (95\% confidence interval [CI]: 58.1-86.0) using neighborhood controls and 40.0\% (95\% CI: 14.2-58.1) using hospital controls. VE in children 3 to 11 months and ≥ 12 months of age was 95.7\% (95\% CI: 67.8-99.4) and 65.1\% (95\% CI: 37.2-80.6) using neighborhood controls, and 55.6\% (95\% CI: 12.3-77.5) and 32.1\% (95\% CI: -3.7-55.5) using hospital controls. G2P[4] accounted for 82.0\% of RVGE hospitalizations. G2P[4]-specific VE was 75.4\% (95\% CI: 56.7-86.0) using neighborhood controls and 38.9\% (95\% CI: 11.1-58.0) using hospital controls.


CONCLUSIONS

Although fully heterotypic G2P[4] was the predominant RV strain, good VE was demonstrated. VE was highest in children aged 3 to 11 months. However, protection in children ≥ 12 months of age, important for optimal public health impact, was significantly sustained based on estimates obtained using neighborhood controls.},
	number = {5},
	urldate = {2012-03-01},
	journal = {The Pediatric Infectious Disease Journal},
	author = {Justino, Maria Cleonice A and Linhares, Alexandre C and Lanzieri, Tatiana M and Miranda, Yllen and Mascarenhas, Joana D'arc P and Abreu, Erika and Guerra, Sylvia F S and Oliveira, Alessilva S L and da Silva, Veronilce B and Sanchez, Nervo and Meyer, Nadia and Shafi, Fakrudeen and Ortega-Barria, Eduardo and Soriano-Gabarró, Montse and Colindres, Romulo E},
	month = may,
	year = {2011},
	pmid = {21150692},
	keywords = {\#duplicates},
	pages = {396--401},
}

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