Original Investigation

All-Cause and Pneumococcal Community-Acquired Pneumonia Hospitalizations Among Adults in Tennessee and Georgia

JAMA Network Open 10.1001/jamanetworkopen.2025.24783

August 06, 2025 at 11:00 AM EDT

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What is the incidence of hospitalizations for community-acquired pneumonia (CAP), pneumococcal CAP, and pneumococcal CAP that can be potentially prevented with the recently approved adult-specific 21-valent pneumococcal conjugate vaccine (V116)?In this cross-sectional study including adults residing in defined catchment areas in Tennessee and Georgia, the overall annual incidence of hospitalizations for all-cause CAP was 340 per 100 000 adults. The incidence of hospitalizations for pneumococcal CAP was 43 per 100 000 adults, and for pneumococcal CAP due to serotypes included in V116 was 30 per 100 000 adults.There is a large burden of hospitalizations for CAP among US adults; these results suggest a sizable fraction of CAP was caused by , especially by serotypes covered by V116.

Corresponding Author: Carlos G. Grijalva, MD, MPH, (carlos.grijalva@vumc.org), and Wesley H. Self, MD, MPH (Wesley.self@vumc.org), Vanderbilt University Medical Center, 2525 West End Ave, Ste 714, Nashville, TN 37203.

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