PMID- 26923347 OWN - NLM STAT- MEDLINE DCOM- 20170130 LR - 20170130 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 15 IP - 6 DP - 2016 Jun TI - Safety and tolerability of pneumococcal vaccines in children. PG - 777-85 LID - 10.1517/14740338.2016.1160056 [doi] AB - INTRODUCTION: A number of pneumococcal vaccines have long been available and have been used to reduce the medical, social, and economic problems associated with Streptococcus pneumoniae-related diseases. AREAS COVERED: The main purpose of this review was to analyze what has been, until recently, the established doctrine regarding the safety and tolerability of pneumococcal vaccines that have been used in the past and are currently being used in children. EXPERT OPINION: Pneumococcal vaccines available on the market are all safe and are highly recommended in clinical practice. In children, pneumococcal conjugate vaccines (PCVs) are considered the preparations of choice because of their enhanced immunogenicity and superior ability to impact nasopharyngeal carriage. All PCVs are considered safe because the incidence of severe adverse events (AEs) is marginal. Nonetheless, evidence has emerged from post-marketing surveillance regarding the occurrence of very rare but significant potential AEs following PCV administration. Therefore, post-marketing surveillance should be maintained to confirm the existence of these AEs. Over the next few years, other pneumococcal vaccines will be developed. When these new products are licensed and reach the market, new technologies and innovative epidemiological methods will permit a more rapid and more effective evaluation of AEs. FAU - Esposito, Susanna AU - Esposito S AD - a Pediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation , Universita degli Studi di Milano Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico , Milan , Italy. FAU - Principi, Nicola AU - Principi N AD - a Pediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation , Universita degli Studi di Milano Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico , Milan , Italy. LA - eng PT - Journal Article PT - Review DEP - 20160321 PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - 0 (Pneumococcal Vaccines) RN - 0 (Vaccines, Conjugate) SB - IM MH - Child MH - Humans MH - Pneumococcal Infections/*prevention & control MH - Pneumococcal Vaccines/administration & dosage/*adverse effects MH - Product Surveillance, Postmarketing MH - Streptococcus pneumoniae/isolation & purification MH - Vaccines, Conjugate/administration & dosage/*adverse effects OTO - NOTNLM OT - 10-valent pneumococcal conjugate vaccine OT - 13-valent pneumococcal conjugate vaccine OT - 23-valent pneumococcal polysaccharide vaccine OT - 7-valent pneumococcal conjugate vaccine OT - adverse events OT - pneumococcal vaccines EDAT- 2016/03/01 06:00 MHDA- 2017/01/31 06:00 CRDT- 2016/03/01 06:00 PHST- 2016/03/01 06:00 [entrez] PHST- 2016/03/01 06:00 [pubmed] PHST- 2017/01/31 06:00 [medline] AID - 10.1517/14740338.2016.1160056 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2016 Jun;15(6):777-85. doi: 10.1517/14740338.2016.1160056. Epub 2016 Mar 21.