Effect of influenza vaccination on the prognosis of hospitalized influenza patients

被引:40
作者
Casado, Itziar [1 ]
Dominguez, Angela [2 ,3 ]
Toledo, Diana [3 ]
Chamorro, Judith [4 ]
Force, Lluis [5 ]
Soldevila, Nuria [2 ,3 ]
Astray, Jenaro [6 ]
Egurrola, Mikel [7 ]
Godoy, Pere [2 ,8 ,9 ]
Mayoral, Jose M. [10 ]
Tamames, Sonia [11 ]
Sanz, Francisco [12 ]
Castilla, Jess [1 ,2 ]
机构
[1] IdiSNA Navarra Inst Hlth Res, Inst Salud Publ Navarra, Pamplona, Spain
[2] CIBERESP, Madrid, Spain
[3] Univ Barcelona, Dept Salut Publ, Barcelona, Spain
[4] Complejo Hosp Navarra, Serv Med Prevent, Pamplona, Spain
[5] Hosp Mataro, Unidad Enfermedades Infecciosas, Mataro, Spain
[6] Consejeria Sanidad, Direcc Salud Publ, Madrid, Spain
[7] Hosp Galdakao, Serv Neumol, Usansolo, Spain
[8] Agencia Salut Publ Catalunya, Barcelona, Spain
[9] Univ Lleida, Inst Recerca Biomed Lleida, Lleida, Spain
[10] Junta Andalucia, Serv Vigilancia, Seville, Spain
[11] Direcc Gen Salud Publ Invest Desarrollo & Innovac, Valladolid, Spain
[12] Univ Valencia, Consorci Hosp Gen, Serv Neumol, Valencia, Spain
关键词
mortality; severe influenza; vaccine effectiveness; seasonal influenza vaccine; Influenza virus; LABORATORY-CONFIRMED INFLUENZA; 2012-2013; SEASON; SEVERITY; ADULTS; INDIVIDUALS; OUTPATIENT; MORTALITY; VIRUS; SPAIN; RISK;
D O I
10.1586/14760584.2016.1134328
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
071005 [微生物学]; 100108 [医学免疫学];
摘要
Objectives: This study aimed to assess whether influenza vaccination reduces the risk of severe and fatal outcomes in influenza inpatients aged >= 65years. Methods: During the 2013-2014 influenza season persons aged >= 65years hospitalized with laboratory-confirmed influenza were selected in 19 Spanish hospitals. A severe influenza case was defined as admission to the intensive care unit, death in hospital or within 30 days after admission. Logistic regression was used to compare the influenza vaccination status between severe and non-severe influenza inpatients. Results: Of 433 influenza confirmed patients, 81 (19%) were severe cases. Vaccination reduced the risk of severe illness (odds ratio: 0.57; 95%CI: 0.33-0.98). The cumulative number of influenza vaccine doses received since the 2010-2011 season was associated with a lower risk of severe influenza (odds ratio: 0.78; 95% CI 0.66-0.91). Conclusion: Adherence to seasonal influenza vaccination in the elderly may reduce the risk of severe influenza outcomes.
引用
收藏
页码:425 / 432
页数:8
相关论文
共 24 条
[1]
[Anonymous], 2012, Wkly Epidemiol Rec, V87, P461
[2]
Does Influenza Vaccination Modify Influenza Severity? Data on Older Adults Hospitalized With Influenza During the 2012-2013 Season in the United States [J].
Arriola, Carmen S. ;
Anderson, Evan J. ;
Baumbach, Joan ;
Bennett, Nancy ;
Bohm, Susan ;
Hill, Mary ;
Lindegren, Mary Lou ;
Lung, Krista ;
Meek, James ;
Mermel, Elizabeth ;
Miller, Lisa ;
Monroe, Maya L. ;
Morin, Craig ;
Oni, Oluwakemi ;
Reingold, Arthur ;
Schaffner, William ;
Thomas, Ann ;
Zansky, Shelley M. ;
Finelli, Lyn ;
Chaves, Sandra S. .
JOURNAL OF INFECTIOUS DISEASES, 2015, 212 (08) :1200-1208
[3]
Immune senescence [J].
Aspinall, Richard ;
Goronzy, Joerg J. .
CURRENT OPINION IN IMMUNOLOGY, 2010, 22 (04) :497-499
[4]
Quantity, not quality, of antibody response decreased in the elderly [J].
Blomberg, Bonnie B. ;
Frasca, Daniela .
JOURNAL OF CLINICAL INVESTIGATION, 2011, 121 (08) :2981-2983
[5]
Influenza Vaccine Effectiveness in Preventing Outpatient, Inpatient, and Severe Cases of Laboratory-Confirmed Influenza [J].
Castilla, Jesus ;
Godoy, Pere ;
Dominguez, Angela ;
Martinez-Baz, Ivan ;
Astray, Jenaro ;
Martin, Vicente ;
Delgado-Rodriguez, Miguel ;
Baricot, Maretva ;
Soldevila, Nuria ;
Maria Mayoral, Jose ;
Maria Quintana, Jose ;
Carlos Galan, Juan ;
Castro, Ady ;
Gonzalez-Candelas, Fernando ;
Garin, Olatz ;
Saez, Marc ;
Tamames, Sonia ;
Pumarola, Tomas .
CLINICAL INFECTIOUS DISEASES, 2013, 57 (02) :167-175
[6]
High Intensive Care Unit Admission Rate for 2013-2014 Influenza Is Associated with a Low Rate of Vaccination [J].
Catania, Jelena ;
Que, Loretta G. ;
Govert, Joseph A. ;
Hollingsworth, John W. ;
Wolfe, Cameron R. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2014, 189 (04) :485-487
[7]
Patients Hospitalized With Laboratory-Confirmed Influenza During the 2010-2011 Influenza Season: Exploring Disease Severity by Virus Type and Subtype [J].
Chaves, Sandra S. ;
Aragon, Deborah ;
Bennett, Nancy ;
Cooper, Tara ;
D'Mello, Tiffany ;
Farley, Monica ;
Fowler, Brian ;
Hancock, Emily ;
Kirley, Pam Daily ;
Lynfield, Ruth ;
Ryan, Patricia ;
Schaffner, William ;
Sharangpani, Ruta ;
Tengelsen, Leslie ;
Thomas, Ann ;
Thurston, Diana ;
Williams, Jean ;
Yousey-Hindes, Kimberly ;
Zansky, Shelley ;
Finelli, Lyn .
JOURNAL OF INFECTIOUS DISEASES, 2013, 208 (08) :1305-1314
[8]
Effectiveness of seasonal influenza vaccine in community-dwelling elderly people: a meta-analysis of test-negative design case-control studies [J].
Darvishian, Maryam ;
Bijlsma, Maarten J. ;
Flak, Eelko ;
van den Heuvel, Edwin R. .
LANCET INFECTIOUS DISEASES, 2014, 14 (12) :1228-1239
[9]
Prognosis of hospitalized patients with 2009 H1N1 influenza in Spain: influence of neuraminidase inhibitors [J].
Delgado-Rodriguez, Miguel ;
Castilla, Jesus ;
Godoy, Pere ;
Martin, Vicente ;
Soldevila, Nuria ;
Alonso, Jordi ;
Astray, Jenaro ;
Baricot, Maretva ;
Canton, Rafael ;
Castro, Ady ;
Gonzalez-Candelas, Fernando ;
Maria Mayoral, Jose ;
Maria Quintana, Jose ;
Pumarola, Tomas ;
Tamames, Sonia ;
Saez, Marc ;
Dominguez, Angela .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2012, 67 (07) :1739-1745
[10]
Predictive factors of severe multilobar pneumonia and shock in patients with influenza [J].
Garcia Gutierrez, Susana ;
Maria Quintana, Jose ;
Baricot, Maretva ;
Bilbao, Amaia ;
Capelastegui, Alberto ;
Cilla Eguiluz, Carlos Gustavo ;
Dominguez, Angela ;
Castilla, Jesus ;
Godoy, Pere ;
Delgado-Rodriguez, Miguel ;
Soldevila, Nuria ;
Astray, Jenaro ;
Maria Mayoral, Jose ;
Martin, Vicente ;
Gonzalez-Candelas, Fernando ;
Carlos Galan, Juan ;
Tamames, Sonia ;
Angelica Castro-Acosta, Ady ;
Garin, Olatz ;
Pumarola, Tomas .
EMERGENCY MEDICINE JOURNAL, 2014, 31 (04) :301-307