{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T12:48:45Z","timestamp":1772628525665,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,10,12]],"date-time":"2015-10-12T00:00:00Z","timestamp":1444608000000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To evaluate pneumococcal immunization in older adults living in retirement communities and to measure nasopharyngeal carriage of\n                      <jats:italic>Streptococcus pneumoniae<\/jats:italic>\n                      to better assess the potential for herd protection from the 13\u2010valent pneumococcal conjugate vaccine (\n                      <jats:styled-content style=\"fixed-case\">PCV<\/jats:styled-content>\n                      \u201013) in these settings.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      Cross\u2010sectional observational study of adults aged 65 and older living in retirement communities to determine coverage with 23\u2010valent pneumococcal vaccine (\n                      <jats:styled-content style=\"fixed-case\">PPSV<\/jats:styled-content>\n                      \u201023), coverage with\n                      <jats:styled-content style=\"fixed-case\">PCV<\/jats:styled-content>\n                      \u201013 in immuncompromised individuals according to 2012 Advisory Committee on Immunization Practices (\n                      <jats:styled-content style=\"fixed-case\">ACIP<\/jats:styled-content>\n                      ) guidelines, and nasopharyngeal carriage of\n                      <jats:italic>S. pneumoniae<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Two retirement communities in North Carolina.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Older adults recruited between December 2013 and April 2014 (N = 21, 64.8% female, mean age 81.4).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      A survey was used to assess chronic illnesses, immunization history, and potential risk factors for pneumococcal carriage; a chart review was used to confirm immunization history and abstract chronic conditions; and a nasopharyngeal swab was collected and cultured for\n                      <jats:italic>S. pneumoniae<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighty\u2010seven percent of participants reported receiving\n                      <jats:styled-content style=\"fixed-case\">PPSV<\/jats:styled-content>\n                      \u201023 since age 65. Of the 16.2% of participants with an immunocompromising condition, only one had received\n                      <jats:styled-content style=\"fixed-case\">PCV<\/jats:styled-content>\n                      \u201013. Nasopharyngeal carriage with\n                      <jats:italic>S. pneumoniae<\/jats:italic>\n                      was detected in 1.9% (95% confidence interval = 0.0\u20133.8%) of participants.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      In this select sample,\n                      <jats:styled-content style=\"fixed-case\">PPSV<\/jats:styled-content>\n                      \u201023 coverage was high, but adherence to the\n                      <jats:styled-content style=\"fixed-case\">ACIP<\/jats:styled-content>\n                      recommendation for\n                      <jats:styled-content style=\"fixed-case\">PCV<\/jats:styled-content>\n                      \u201013 in immunocompromised groups was low. Nasopharyngeal carriage of\n                      <jats:italic>S. pneumoniae<\/jats:italic>\n                      was present, although infrequent, suggesting that immunization with\n                      <jats:styled-content style=\"fixed-case\">PCV<\/jats:styled-content>\n                      \u201013 could provide an individual benefit and a small degree of herd protection.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.13651","type":"journal-article","created":{"date-parts":[[2015,10,12]],"date-time":"2015-10-12T22:29:10Z","timestamp":1444688950000},"page":"2094-2098","source":"Crossref","is-referenced-by-count":16,"title":["Pneumococcal Carriage and Vaccine Coverage in Retirement Community Residents"],"prefix":"10.1111","volume":"63","author":[{"given":"Sylvia","family":"Becker\u2010Dreps","sequence":"first","affiliation":[{"name":"Department of Family Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine E.","family":"Kistler","sequence":"additional","affiliation":[{"name":"Department of Family Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina"},{"name":"Program on Aging, Disability, and Long\u2010Term Care Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Ward","sequence":"additional","affiliation":[{"name":"Program on Aging, Disability, and Long\u2010Term Care Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ley A.","family":"Killeya\u2010Jones","sequence":"additional","affiliation":[{"name":"Department of Family Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olga Maria","family":"Better","sequence":"additional","affiliation":[{"name":"Department of Medicine Center for Applied Genomics and Precision Medicine Duke University Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J.","family":"Weber","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases School of Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheryl","family":"Zimmerman","sequence":"additional","affiliation":[{"name":"Program on Aging, Disability, and Long\u2010Term Care Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill Chapel Hill North Carolina"},{"name":"School of Social Work University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradly P.","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Institute for Medical Research Durham Veterans Affairs Medical Center Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris W.","family":"Woods","sequence":"additional","affiliation":[{"name":"Infectious Diseases Section Durham Veterans Affairs Medical Center Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Sloane","sequence":"additional","affiliation":[{"name":"Department of Family Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina"},{"name":"Program on Aging, Disability, and Long\u2010Term Care Cecil G. 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