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Table 3 AOM IRs and AOM IRRs for IR change from the pre-PCV7 period, before and after the introduction of PCV7 and PCV13

From: Incidence of acute otitis media from 2003 to 2019 in children ≤ 17 years in England

 

N episodes

Rate per 100,000 PY

(95% CI)

IRRa (95% CI) vs. reference period (pre-PCV7)b

Pre-PCV7 (2003–2005)

 Overall (all age-groups)

66,438

4451.9 (4418.1–4485.9)

1

   <2 years

12,328

9968.1 (9792.9–10,145.6)

1

   2–4 years

23,334

9684.5 (9560.7–9809.6)

1

   5–17 years

30,776

2729.0 (2698.6–2759.7)

1

Post-PCV7 (2007–2009)

 Overall (all age-groups)

64,987

3879.2 (3849.4–3909.1)

0.87 (0.85–0.89)

   < 2 years

13,259

8754.5 (8606.1–8904.8)

0.87 (0.82–0.93)

   2–4 years

23,307

8267.4 (8161.6–8374.2)

0.80 (0.77–0.83)

   5–17 years

28,421

2288.5 (2262.0–2315.2)

0.82 (0.79–0.85)

Early Post-PCV13 (2011–2014)

 Overall (all age-groups)

70,127

3462.8 (3437.2–3488.5)

0.88 (0.86–0.91)

   < 2 years

13,833

7561.5 (7436.0–7688.6)

0.84 (0.79–0.89)

   2–4 years

26,143

7365.2 (7276.2–7455.1)

0.87 (0.83–0.90)

   5–17 years

30,151

2027.3 (2004.5–2050.3)

0.84 (0.81–0.87)

Late Post-PCV13 (2015–2019)

 Overall (all age-groups)

30,187

2658.5 (2628.6–2688.7)

0.75 (0.73–0.78)

   < 2 years

6039

6491.8 (6329.1–6657.6)

0.72 (0.67–0.77)

   2–4 years

11,388

5980.9 (5871.6–6091.8)

0.72 (0.69–0.75)

   5–17 years

12,760

1497.6 (1471.7–1523.8)

0.68 (0.65–0.71)

  1. Abbreviations: AOM Acute otitis media, CI Confidence interval, IR Incidence rate, IRR Incidence rate ratio, N Number, PCV Pneumococcal conjugate vaccine, PY Person-years
  2. a Adjusted for seasonal variations and within PCV period annual trend
  3. b Pre-PCV7 (2003–2005)