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A Decade of Experience in the use of 13-Valent Conjugated Polysaccharide Pneumococcal Vaccine in Russian Federation

https://doi.org/10.31631/2073-3046-2023-22-4-106-139

Abstract

Pneumococcal infection remains a significant global health problem, and vaccination is the main measure for its prevention. To date, the period of use of pneumococcal conjugated polysaccharide vaccines in Russia exceeds 14 years, and 13-valent conjugated polysaccharide pneumococcal vaccine (PCV13) - more than 10 years. During this time, extensive experience has been accumulated in the use of this type of vaccines, and many studies have been carried out to evaluate their effectiveness and safety.

The purpose of this review is to summarize the experience of using PCV13 in Russian Federation with an assessment of its epidemiological and clinical effectiveness. A search was made for scientific publications devoted to the study of the epidemiological efficacy, the safety as well as cost-effectiveness of PCV13 use in Russian Federation. The review included original studies published in Russian journals. The results of the studies carried out indicate the efficacy and safety of PCV13 for both adults and children. The effectiveness of immunization of children at risk (premature, suffering from congenital pathology, having chronic diseases and often ill) was demonstrated, the need and safety of the timely start of vaccination (from 2 months of age) of newborns was shown, the possibility of its combination with immunization against other infections within the framework of the national vaccination schedule, the importance of following the recommended vaccination schedule in accordance with the age of the child. The effectiveness of vaccination of adults suffering from chronic diseases has been shown both in terms of preventing the aggravation of the course of the underlying pathology and reducing the risk of pneumonia. Positive experience has been gained in immunizing adults from occupational risk groups - medical workers, conscripts and persons exposed to a harmful production factor and having occupational lung diseases. The conducted studies have shown a high cost-effectiveness of PCV13 vaccination, however, with any changes in price and epidemiological parameters, it is necessary to clarify the economic feasibility of vaccination under the changed conditions. Taking into account the positive experience gained in immunization, it seems appropriate to further maintain a high level of vaccination coverage of the child population, expanding risk groups among the adult population subject to vaccination against pneumococcal infection within the framework of the National Immunization Schedule, taking into account its epidemiological, clinical and economic efficiency.

About the Authors

N. I. Briko
I.M.Sechenov First Moscow State Medical University (Sechenov University), Healthcare Ministry of Russia
Russian Federation

Nikolaj I. Briko – Dr. Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Director of the Institute of Public Health. F.F. Erismana, Head of the Department of Epidemiology and Evidence-Based Medicine 

8, build. 2, Trubetskaya ul., Moscow, 119991



V. A. Korshunov
I.M.Sechenov First Moscow State Medical University (Sechenov University), Healthcare Ministry of Russia
Russian Federation

Vladimir A. Korshunov – Cand. Sci. (Med.), Associate Professor of the Department of Epidemiology and Evidence-Based Medicine 

8, build. 2, Trubetskaya ul., Moscow, 119991



Ja. V. Lobzin
Federal State Budgetary Institution Children's Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency; North-Western State Medical University named after I. I. Mechnikov
Russian Federation

Jurij V. Lobzin – Dr. Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, President of Federal State Budgetary Institution Children’s Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency

9 st. Professor Popov, St. Petersburg, 197022



L. S. Namazova-Baranova
Scientific and Clinical Center No. 2 of the Federal State Budgetary Scientific Institution "Russian Scientific Center for Surgery named after academician B.V. Petrovsky» of the Ministry of Science and Higher Education of Russia; Federal State Autonomous Educational Institution of Higher Education “N.I. Pirogov Russian National
Russian Federation

Lejla S. Namazova-Baranova – Dr. Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Head of Department of Faculty Pediatrics of  Federal State Autonomous Educational Institution of Higher Education “N.I. Pirogov Russian National Research Medical University” of the Ministry of Health of the Russian Federation; Head of the Research Institute of Pediatrics and Children’s Health of Scientific and Clinical Center No. 2 of the Federal State Budgetary Scientific Institution «Russian Scientific Center for Surgery named after academician B.V. Petrovsky» of the Ministry of Science and Higher Education of Russia

Moscow



L. V. Rudakova
Federal State Budgetary Institution Children's Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency; St. Petersburg Chemical and Pharmaceutical University
Russian Federation

Alla V. Rudakova – Dr. Sci. (Pharm.), professor, senior researcher of Department of the organization of medical care in the Children’s Research and Clinical Center for Infectious Diseases, professor of Department of Management and Economics of Pharmacy, St. Petersburg Chemical and Pharmaceutical University

9, str. Professora Popova, St. Petersburg, 197022



E. G. Simonova
IPO First Moscow State Medical University named after I.M. Sechenov
Russian Federation

Elena G. Simonova – Dr. Sci. (Med.), Professor of the Department of Epidemiology and modern vaccination technologies

Moscow



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Briko N.I., Korshunov V.A., Lobzin J.V., Namazova-Baranova L.S., Rudakova L.V., Simonova E.G. A Decade of Experience in the use of 13-Valent Conjugated Polysaccharide Pneumococcal Vaccine in Russian Federation. Epidemiology and Vaccinal Prevention. 2023;22(4):106-139. https://doi.org/10.31631/2073-3046-2023-22-4-106-139

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