Ig. Echaniz-aviles et F. Solorzano-santos, Meeting the challenge: Prevention of pneumococcal disease with conjugate vaccines, SALUD PUB M, 43(4), 2001, pp. 352-367
streptococcus pneumoniae is one of the leading causes of both invasive and
noninvasive diseases in the pediatric population and continues to represent
a significant public health burden worldwide. The increasing incidence of
antibioticresistant strains of the pathogen has complicated treatment and.
management of the various pneumococcal disease manifestations. Thus, the be
st management strategy may be the prevention of pneumococcal diseases throu
gh vaccination. Although several pneumococcal conjugate vaccines have been
clinically studied in infants and children, only a 7-valent conjugate vacci
ne (PNCRM7; Prevnar (R) /Prevenar (R)) is currently approved for the preven
tion of invasive disease. Vaccination with PNCRM7 is safe and effective in
infants and young children. Routine vaccination with the conjugate vaccine
could improve outcomes by safeguarding against the development of antibioti
c-resistant strains of S. pneumoniae, thus simplifying the management of pn
eumococcal disease. Additionally, the overall costs associated with the tre
atment of pneumococcal diseases could be substantially reduced, particularl
y in developing countries. The time has come for fully applying this new ad
vancement against S. pneumoniae, to benefit the children of the world. The
Spanish version of this paper is available at: http://www.insp.mx/salud/ind
ex.html.