Table 4.
Stratified analysis of the association between 23-valent pneumococcal polysaccharide vaccine (PPSV23) and multiple-serotype pneumococcal pneumonia
| Number of multiple-serotype versus single-serotype pneumonias | Crude OR (95% CI) |
Adjusted OR* (95% CI) | P value for test of interaction† | |
| Overall | 133 vs 209 | 0.49 (0.29 to 0.83) | 0.51 (0.27 to 0.94) | – |
| Stratified by sex | ||||
| Male | 74 vs 127 | 0.65 (0.35 to 1.22) | 0.62 (0.30 to 1.29) | 0.170 |
| Female | 59 vs 82 | 0.29 (0.11 to 0.77) | 0.23 (0.07 to 0.80) | |
| Stratified by age group (years) | ||||
| <65 | 48 vs 51 | 0.63 (0.19 to 2.06) | 0.97 (0.20 to 4.86) | 0.790 |
| ≥65 | 85 vs 158 | 0.52 (0.29 to 0.94) | 0.50 (0.25 to 1.01) | |
| Stratified by underlying disorders | ||||
| Present | 75 vs 131 | 0.63 (0.34 to 1.16) | 0.53 (0.25 to 1.12) | 0.192 |
| Absent | 58 vs 78 | 0.27 (0.08 to 0.84) | 0.24 (0.05 to 1.08) | |
| Stratified by pneumonia type | ||||
| CAP | 116 vs 163 | 0.42 (0.23 to 0.76) | 0.40 (0.20 to 0.82) | 0.086 |
| HCAP | 17 vs 46 | 1.26 (0.41 to 3.87) | 1.44 (0.26 to 8.04) | |
| Stratified by chest radiograph findings | ||||
| Lobar pneumonia | 102 vs 153 | 0.43 (0.23 to 0.79) | 0.37 (0.17 to 0.79) | 0.360 |
| Bronchopneumonia | 31 vs 56 | 0.73 (0.28 to 1.96) | 1.01 (0.29 to 3.52) |
*ORs were adjusted for patient’s sex, age, age group, vaccination status, present smoking, underlying diseases, prehospital antibiotic use, study site, study period, pneumonia type, hypoxaemia and severity score (CURB-65).
†Wald test was used for the test of interaction.
CAP, community-acquired pneumonia; CURB-65, Confusion, blood Urea nitrogen, Respiratory rate, Blood pressure, 65 years of age and older; HCAP, healthcare-acquired pneumonia.