Table 3 Association of serotype with meningitis or nonmeningitis cases among adults in Japan during 2014⎼2018.

From: Pneumococcal meningitis in adults in 2014–2018 after introduction of pediatric 13-valent pneumococcal conjugate vaccine in Japan

Variables

No. (%)

Univariate analysis

Multivariate analysis

Total cases

Meningitis

Nonmeningitis

OR (95% CI)

p-value

aOR (95% CI)

p-value

(n = 1480)

(n = 222)

(n = 1258)

Age years

71 (62–82)

66 (57–75)

72 (63–83)

    

65 years

1013 (68.4)

124 (55.9)

889 (70.7)

0.53 (0.39–0.70)

 < 0.001

0.59 (0.44–0.81)

 < 0.001

Asplenia/ hyposplenia, or splenectomy

59 (4.1%)

21 (9.5%)

38 (3.0%)

3.35 (1.93–5.83)

 < 0.001

2.29 (1.27–4.14)

0.006

Serotype

3

187 (12.6)

18 (8.1)

169 (13.4)

0.57 (0.34–0.95)

0.03

0.77 (0.46–1.31)

0.334

12F

154 (10.4)

18 (8.1)

136 (10.8)

0.73 (0.44–1.22)

0.226

  

19A

138 (9.3)

4 (1.8)

134 (10.7)

0.15 (0.06–0.42)

 < 0.001

0.20 (0.07–0.56)

0.002

10A

112 (7.6)

39 (17.6)

73 (5.8)

3.46 (2.28–5.26)

 < 0.001

3.26 (2.10–5.06)

 < 0.001

23A

97 (6.6)

37 (16.7)

60 (4.8)

3.99 (2.58–6.19)

 < 0.001

3.91 (2.47–6.19)

 < 0.001

22F

89 (6.0)

9 (4.1)

80 (6.4)

0.62 (0.31–1.26)

0.187

  

35B

81 (5.5)

14 (6.3)

67 (5.3)

1.20 (0.66–2.17)

0.554

  

15A

75 (5.1)

14 (6.3)

61 (4.8)

1.32 (0.73–2.41)

0.363

  

6C

74 (5.0)

9 (4.1)

65 (5.2)

0.78 (0.38–1.58)

0.484

  

11A/E

56 (3.8)

12 (5.4)

44 (3.5)

1.58 (0.82–3.04)

0.173

  

Other serotypes

417 (28.2)

48 (21.6)

369 (29.3)

    
  1. OR, odds ratio; aOR, adjusted odds ratio; CI, confidence interval. Serotypes responsible for > 50 cases of invasive pneumococcal disease were included for analysis.