Community-acquired Pneumonia
Conditions
Keywords
Clinical CAP
Brief summary
Prospective, observational, hospital based, nasopharyngeal carriage (NPC), vaccine effectiveness study Comparisons will be made in Filipino children, aged 8 weeks to ≤60 months of age at enrollment, who have been hospitalized with a radiologically-confirmed, community-acquired pneumonia (CAP).
Detailed description
This study will be the first of two phases (A and B). Phase A will compare a PCV13-vaccinated setting (SPMC) with an unvaccinated setting (PCMC)
Interventions
A sample obtained from the nasopharynx for detection of live pneumococci and pneumococcal respiratory carriage
Sponsors
Study design
Eligibility
Inclusion criteria
1. Child 8 weeks to ≤60 months of age 2. Resident of the National Capital Region (NCR) or Region X-XIII 3. Child admitted with a medical diagnosis of clinical CAP based on history and physical exam 4. Written informed consent obtained from a parent or legal guardian 5. At SPMC site, child must have received at least 1 dose of PCV13 given at \<12 months based on history-taking 6. For Phase B at PCMC site, child must have received at least 1 dose of PCV13 given at \<12 months based on history-taking
Exclusion criteria
1. Children with a known primary or secondary immunodeficiency 2. Child with a contraindication to doing a nasopharyngeal swab which may include, but is not limited to: dyscrasias, coagulation disorders, or other diseases (e.g., hemophilia, purpura), presence of craniofacial abnormalities32 3. For Phase A at PCMC site, child with any PCV in the past based on history-taking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| S. pneumoniae serotypes | Upon Admission | S. pneumonia serotypes isolated from the nasopharynx of children admitted in PCV13-unvaccinated site (PCMC) |
| S. pneumoniae serotypes Upon Admission | Upon Admission | S. pneumonia serotypes isolated from the nasopharynx of children admitted in PCV13-unvaccinated site (SPMC) |
| Antimicrobial resistance rate of S. pneumoniae | Upon Admission | Antimicrobial resistance rate isolated from the nasopharynx of children admitted as a case of radiologic CAP admitted in PCV13- unvaccinated site (PCMC) |
Countries
Philippines