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High genomic-based predicted strain coverage among invasive meningococcal isolates when combining Bexsero and Trumenba vaccines
Örebro University, School of Medical Sciences. Department of Infectious Diseases.ORCID iD: 0000-0003-1999-3383
Faculty of Medicine and Health, Örebro University, Campus USÖ, Örebro, Sweden.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Laboratory Medicine, Clinical Microbiology.
2020 (English)In: Vaccine, ISSN 0264-410X, E-ISSN 1873-2518, Vol. 38, no 28, p. 4374-4378Article in journal (Refereed) Published
Abstract [en]

Two protein-based vaccines (Bexsero® and Trumenba®) are licensed for invasive meningococcal disease (IMD) caused by Neisseria meningitidis serogroup B (MenB). The aim of this study was to evaluate the possible protection of these vaccines, based on the genomic profiles of IMD isolates. All invasive meningococcal isolates in Sweden during 2014–2018 (n = 242) were analyzed with the vaccine coverage scheme available at the PubMLST database. The overall estimated genomic strain coverage among the Swedish invasive meningococcal isolates was 55% for Bexsero and 57% for Trumenba (p = 0.714). The estimated serogroup-specific coverage for Bexsero respectively Trumenba was: MenB; 67% and 90% (p < 0.05), MenW; 93% and 4% (p < 0.05), MenC; 87% and 30% (p < 0.05) and MenY; 1% and 96% (p < 0.05). With the combination of the two vaccines, the potential genomic-based strain coverage was 95%, indicating a possible additive effect of combining Bexsero and Trumenba, which, however, needs to be confirmed by analysis of phenotypic antigen expression.

Place, publisher, year, edition, pages
Elsevier, 2020. Vol. 38, no 28, p. 4374-4378
Keywords [en]
Bexsero, Bexsero Antigen Sequence Types, Invasive meningococcal disease, Meningococcal vaccines, Neisseria meningitidis, Trumenba
National Category
Microbiology in the medical area
Identifiers
URN: urn:nbn:se:oru:diva-82213DOI: 10.1016/j.vaccine.2020.04.074ISI: 000537316500003PubMedID: 32414653Scopus ID: 2-s2.0-85085078885OAI: oai:DiVA.org:oru-82213DiVA, id: diva2:1436958
Available from: 2020-06-08 Created: 2020-06-08 Last updated: 2023-12-08Bibliographically approved

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Säll, OlofJacobsson, Susanne

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