Pathogen | Disease presentation | Vaccine | Vaccination scenarios (age of vaccination) | Justification | |||
Efficacy (%) | Coverage (%) | Duration of protection | Baseline scenario | High-potential scenario | |||
Acinetobacter baumannii—BSI* | BSI | 70 | 70 | 5 years | 6 weeks, elderly age group with highest burden | All age groups | Hypothetical vaccine based on expert opinion |
A. baumannii—all | All (Bacterial skin infections, BSI, cardiac infections, LRI and thorax infections, UTI) | 70 | 70 | 5 years | 6 weeks, elderly age group with highest burden | All age groups | Hypothetical vaccine based on expert opinion |
Enterococcus faecium | All (bone and joint infections, BSI, cardiac infections, intra-abdominal infections, UTI) | 70 | 70 | 5 years | 6 weeks, elderly age group with highest burden | All age groups | Hypothetical vaccine based on expert opinion |
Enterotoxigenic Escherichia coli | Diarrhoea | 60 | 70 | 5 years | 6 months | – | WHO Preferred Product Characteristics and Expert opinion and Advanced candidate |
Extraintestinal Pathogenic E. coli (ExPEC)—BSI* | BSI | 70 | 70 | 5 years | 6 weeks, elderly age group with highest burden | All age groups | Hypothetical vaccine based on expert opinion |
ExPEC—UTI* | UTI | 70 | 70 | 5 years | 6 weeks, elderly age group with highest burden | All age groups | Hypothetical vaccine based on expert opinion |
E. coli—non diarrheagenic | Bacterial skin infections, bone and joint infections, BSI, cardiac infections, CNS infections, intra-abdominal infections, LRI and thorax infections and UTI | 70 | 70 | 5 years | 6 weeks, elderly age group with highest burden | All age groups | Hypothetical vaccine based on expert opinion |
Group A Streptococcus | All (bacterial skin infections, bone and joint infections, BSI, cardiac infections) | 70 | 70 | 5 years | 6 weeks | – | WHO Preferred Product Characteristics and Expert opinion |
Haemophilus influenzae type B | All (CNS infections, LRI and thorax infections) | 59; 92; 93† (69 for LRI) | 90 | 5 years | 6, 10, 14 weeks | – | Existing vaccine |
Klebsiella pneumoniae—BSI | BSI | 70 | 70 | 6 months | 0 weeks (maternal) | – | Hypothetical vaccine based on expert opinion |
K. pneumoniae—all | All (bacterial skin infections, bone and joint infections, BSI, cardiac infections, CNS infections, intra-abdominal infections, LRI and thorax infections, UTI) | 70 | 70 | 5 years | 6 weeks, elderly age group with highest burden | All age groups | Hypothetical vaccine based on expert opinion |
Mycobacterium tuberculosis—M72* | Tuberculosis | 50 | 70 | 10 years | 10 years+boost every 10 years | – | WHO Preferred Product Characteristics and Expert opinion and Advanced candidate |
M. tuberculosis—Improved | Tuberculosis | 80 | 70 | 10 years | 0 weeks (at birth) + boost every 10 years | – | WHO Preferred Product Characteristics and Expert opinion |
Neisseria gonorrhoeae | Gonorrhoea | 70 | 70 | 10 years | 15 years | – | WHO Preferred Product Characteristics and Expert opinion |
Non-typhoidal Salmonella | All (BSI, cardiac infections, diarrhoea, typhoid, paratyphoid and iNTS) | 80 | 70 | 5 years | 6 weeks, 9 months | – | Hypothetical vaccine based on expert opinion |
Pseudomonas aeruginosa | BSI, LRI and thorax infections | 70 | 70 | 5 years | 6 weeks, elderly age group with highest burden | All age groups | Hypothetical vaccine based on expert opinion |
Salmonella paratyphi | Typhoid, paratyphoid and iNTS | 70 | 70 | 5 years | 9 months | – | Hypothetical vaccine based on expert opinion |
Salmonella typhi | All (BSI, cardiac infections, typhoid, paratyphoid and iNTS) | 85 | 70 | 15 years | 9 months | – | Existing vaccine and Expert opinion |
Shigella | All (diarrhoea) | 60 | 70 | 5 years | 6 months | – | WHO Preferred Product Characteristics and Expert opinion and Advanced candidate |
S. aureus | All (Bacterial skin infections, bone and joint infections, BSI, cardiac infections, CNS infections, intra-abdominal infections, LRI and thorax infections, UTI) | 60 | 70 | 5 years | 6 weeks, elderly age group with highest burden | All age groups | Hypothetical vaccine based on expert opinion |
Streptococcus pneumoniae | BSI, CNS infections, cardiac infections, LRI | 29; 58; 58† (27 for LRI) | 90 | 5 years | 6, 10, 14 weeks | 6, 10, 14 weeks, elderly age group with highest burden | Existing vaccine |
S. pneumoniae—Improved* | BSI, CNS infections, Cardiac infections, LRI | 70 (50 for LRI) | 90 | 5 years | 6 weeks | 6 weeks, elderly age group with highest burden | Hypothetical vaccine based on expert opinion |
Product characteristics for efficacy and duration of protection for vaccine-derived immunity, and coverage and target population (age of vaccination) for current and future vaccines against bacterial pathogens. The baseline scenario includes 15 pathogens, and the high-potential scenario includes a subset of 7 pathogens.
*The effects of these vaccines were not added to the aggregated impact of vaccination on AMR burden by region and by infectious syndrome.
†Efficacy corresponding to first, second and third doses respectively.
AMR, antimicrobial resistance; bacterial skin infections, bacterial infections of the skin and subcutaneous systems; Bone and joint infections, infections of bones, joints, and related organs; BSI, bloodstream infections; cardiac infections, endocarditis and other cardiac infections; CNS, central nervous system; CNS infections, meningitis and other bacterial central nervous system infections; intra-abdominal infections, peritoneal and intra-abdominal infections; iNTS, invasive non-typhoidal Salmonella spp; LRI, lower respiratory infection; LRI and thorax infections, lower respiratory infections and all related infections in the thorax; typhoid, paratyphoid, and iNTS, typhoid fever, paratyphoid fever, and invasive non-typhoidal Salmonella spp; UTI, urinary tract infections and pyelonephritis; UTI, urinary tract infection.