BURDEN OF INVASIVE PNEUMOCOCCAL PNEUMONIA AMONG INDIAN CHILDREN- A SYSTEMATIC REVIEW AND META-ANALYSIS OF OBSERVATIONAL STUDIES
Author(s)
Tiwari P, Ahlawat R, Singhal R
National Institute of Pharmaceutical Education and Research (NIPER), S.A.S. Nagar, Punjab, India
OBJECTIVES: Pneumococcal pneumonia is a vaccine preventable disease. Despite this fact, it is one of the leading causes of childhood morbidity and mortality in Indian children. Limited data on its burden and serotype prevalence is one of the reasons for non-inclusion of the vaccine in national immunization schedule. The aim of the present study is to estimate the overall prevalence of invasive bacterial pneumonia caused by Streptococcus pneumoniae in Indian children. METHODS: This systematic review was performed using Cochrane Library; Pubmed; Google Scholar and Science Direct. Further, the reference list of related papers was also screened for additional studies. Patients under 12 year of age and diagnosed with invasive bacterial pneumonia caused by S. pneumoniae was included. Published studies up to JANUARY 2016 were included. Publication bias was assed by using the Egger's and Begg's tests along with funnel plot. Newcastle-Ottawa scale was used to assess the study quality. Heterogeneity was assessed using Cochrane Q-statistics test and I2 statistics. Random-effects model was used to report the pooled prevalence with 95% confidence intervals (CI). RESULTS: A total of 6 studies, covering a total of 40083 patients and from different geographical regions in India were included. The number of study participants ranged from 132-37070. And, the period of surveillance ranged from 1–2 years. The pooled prevalence of bacterial pneumonia caused by S. pneumoniae in Indian children under 12 year of age was found to be 24.5% (95% confidence interval 11.2%-45.4%). The pooled prevalence of bacterial pneumonia caused by S. pneumoniae 45.9% (30.6%-62%) was found to be higher in children under 6 years of age. CONCLUSIONS: Bacterial pneumonia caused by S. pneumoniae has a significant burden among Indian children. The inclusion of pneumococcal vaccine in the Indian public health programme may help in decreasing this burden.
Conference/Value in Health Info
2017-05, ISPOR 2017, Boston, MA, USA
Value in Health, Vol. 20, No. 5 (May 2017)
Code
PIN9
Topic
Epidemiology & Public Health
Disease
Infectious Disease (non-vaccine)