Influenza in immunosuppressed populations: a review of infection frequency, morbidity, mortality, and vaccine responses
被引:409
作者:
Kunisaki, Ken M.
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机构:
Minneapolis VA Med Ctr, Pulm Sect, Minneapolis, MN 55417 USA
Univ Minnesota, Div Pulm Allergy Crit Care & Sleep Med, Minneapolis, MN USAMinneapolis VA Med Ctr, Pulm Sect, Minneapolis, MN 55417 USA
Kunisaki, Ken M.
[1
,2
]
Janoff, Edward N.
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机构:
Univ Colorado Denver, Mucosal & Vaccine Res Ctr, Div Infect Dis, Sch Med, Aurora, CO USA
Denver Vet Affairs Med Ctr, Denver, CO USAMinneapolis VA Med Ctr, Pulm Sect, Minneapolis, MN 55417 USA
Janoff, Edward N.
[3
,4
]
机构:
[1] Minneapolis VA Med Ctr, Pulm Sect, Minneapolis, MN 55417 USA
[2] Univ Minnesota, Div Pulm Allergy Crit Care & Sleep Med, Minneapolis, MN USA
[3] Univ Colorado Denver, Mucosal & Vaccine Res Ctr, Div Infect Dis, Sch Med, Aurora, CO USA
Patients that are immunosuppressed might be at risk of serious influenza-associated complications. As a result, multiple guidelines recommend influenza vaccination for patients infected with HIV, who have received solid-organ transplants, who have received haemopoietic stem-cell transplants, and patients on haemodialysis. However, immunosuppression might also limit vaccine responses. To better inform policy, we reviewed the published work relevant to incidence, outcomes, and prevention of influenza infection in these patients, and in patients being treated chemotherapy and with systemic corticosteroids. Available data suggest that most immunosuppressed populations are indeed at higher risk of influenza-associated complications, have a general trend toward impaired humoral vaccine responses (although these data are mixed), and can be safely vaccinated-although longitudinal data are largely lacking. Randomised clinical trial data were limited to one study of HIV-infected patients with high vaccine efficacy. Better trial data would inform vaccination recommendations on the basis of efficacy and cost in these at-risk populations.
机构:
Prince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
Hopkins, Peter
;
McNeil, Keith
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Prince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
McNeil, Keith
;
Kermeen, Fiona
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Prince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
Kermeen, Fiona
;
Musk, Michael
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Prince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
Musk, Michael
;
McQueen, Emily
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机构:
Royal Childrens Hosp, Queensland Paediat Infect Dis Lab, Brisbane, Qld, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
McQueen, Emily
;
Mackay, Ian
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机构:
Royal Childrens Hosp, Queensland Paediat Infect Dis Lab, Brisbane, Qld, Australia
Univ Queensland, Clin Med Virol Ctr, Brisbane, Qld, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
Mackay, Ian
;
Sloots, Terry
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Royal Childrens Hosp, Queensland Paediat Infect Dis Lab, Brisbane, Qld, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
Sloots, Terry
;
Nissen, Michael
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机构:
Royal Childrens Hosp, Queensland Paediat Infect Dis Lab, Brisbane, Qld, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
机构:
Prince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
Hopkins, Peter
;
McNeil, Keith
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h-index: 0
机构:
Prince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
McNeil, Keith
;
Kermeen, Fiona
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机构:
Prince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
Kermeen, Fiona
;
Musk, Michael
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h-index: 0
机构:
Prince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
Musk, Michael
;
McQueen, Emily
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h-index: 0
机构:
Royal Childrens Hosp, Queensland Paediat Infect Dis Lab, Brisbane, Qld, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
McQueen, Emily
;
Mackay, Ian
论文数: 0引用数: 0
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机构:
Royal Childrens Hosp, Queensland Paediat Infect Dis Lab, Brisbane, Qld, Australia
Univ Queensland, Clin Med Virol Ctr, Brisbane, Qld, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
Mackay, Ian
;
Sloots, Terry
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机构:
Royal Childrens Hosp, Queensland Paediat Infect Dis Lab, Brisbane, Qld, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia
Sloots, Terry
;
Nissen, Michael
论文数: 0引用数: 0
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机构:
Royal Childrens Hosp, Queensland Paediat Infect Dis Lab, Brisbane, Qld, AustraliaPrince Charles Hosp, Dept Resp Med, Queensland Heart Lung Transplant Unit, Brisbane, Qld 4032, Australia