Evaluation of seasonal influenza vaccination effectiveness based on antibody efficacy among the institutionalized elderly in Japan

被引:11
作者
Hara, Megumi [1 ]
Tanaka, Keitaro [1 ]
Kase, Tetsuo [2 ]
Maeda, Akiko [3 ]
Hirota, Yoshio [3 ]
机构
[1] Saga Univ, Dept Prevent Med, Fac Med, Saga 8498501, Japan
[2] Osaka Prefectural Inst Publ Hlth, Higashinari Ku, Osaka 5370025, Japan
[3] Osaka City Univ, Dept Publ Hlth, Fac Med, Abeno Ku, Osaka 5458585, Japan
关键词
Influenza vaccine; Antibody efficacy; Elderly; PREVENTING HOSPITALIZATION; IMMUNE-RESPONSE; HEALTHY; IMMUNIZATION; VACCINES;
D O I
10.1016/j.vaccine.2010.06.061
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Influenza vaccination efficacy was evaluated in 114 institutionalized elderly people in 2002/03. Strain A/H3N2 was isolated, 44 and 8 subjects had sudden-onset fever (>= 37.8 degrees C) and kit-diagnosed influenza, respectively Odds ratios adjusted for age, sex, comorbidity, and vaccine strain (OR(adj)) were determined using multiple logistic regression. Seroprotected patients (haemagglutination-inhibition antibody titre >= 1:40) had lower incidence of fever (OR(adj), 035: 95% confidence Interval [CI] 0.09-1.28) and kit-diagnosed influenza (OR(adj), 0.35, 95% CI, 0.03-4.64) than patients without seroprotection (antibody efficacy, similar to 65%). Seroprotective levels of vaccination-Induced antibodies probably prevent influenza among the institutionalized elderly, although statistical significance could not be confirmed owing to the sample size (C) 2010 Elsevier Ltd. All rights reserved
引用
收藏
页码:5664 / 5668
页数:5
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