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Prevalence of influenza A and B antibodies in pregnant women and their offspring.

Identifieur interne : 000404 ( Main/Exploration ); précédent : 000403; suivant : 000405

Prevalence of influenza A and B antibodies in pregnant women and their offspring.

Auteurs : Peter Wutzler [Allemagne] ; Ruprecht Schmidt-Ott ; Heike Hoyer ; Andreas Sauerbrei

Source :

RBID : pubmed:19643662

Descripteurs français

English descriptors

Abstract

BACKGROUND

Influenza is associated with substantial morbidity and mortality in pregnant women and neonates, but few countries offer annual influenza vaccination with the inactivated vaccine to all women who are, or intend to become, pregnant.

OBJECTIVES

To provide seroepidemiological information on influenza A and B antibodies in pregnant women and their offspring in Germany.

STUDY DESIGN

Anti-influenza antibodies were determined using commercially available enzyme-linked immunosorbent assays (ELISA) on serum obtained from 209 women and their newborns at delivery.

RESULTS

The prevalence of antibodies against influenza A virus was 93.8% [89.6-96.6%] in the mothers and 96.7% [93.2-98.6%] in the newborns. The prevalence of antibodies against influenza B virus was 42.1% [35.3-49.1%] in the mothers and 78.5% [72.3-83.8%] in their newborns, which was a significant difference. The antibody concentrations against both influenza A and influenza B viruses were significantly lower in mother than in their newborns.

CONCLUSIONS

Because of active placental transport of IgG antibodies, neonates have higher prevalence and/or concentrations of influenza A and B virus-specific antibodies induced by natural infections than their mothers. Considering these serological findings, especially the lower prevalence of maternal antibody against influenza B virus, annual influenza vaccination may improve the protection of pregnant women and their offspring against influenza.


DOI: 10.1016/j.jcv.2009.06.024
PubMed: 19643662


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Analysis of Variance (MeSH)</term>
<term>Antibodies, Viral (blood)</term>
<term>Female (MeSH)</term>
<term>Germany (epidemiology)</term>
<term>Humans (MeSH)</term>
<term>Immunoglobulin G (blood)</term>
<term>Infant, Newborn (MeSH)</term>
<term>Influenza A virus (immunology)</term>
<term>Influenza A virus (isolation & purification)</term>
<term>Influenza B virus (immunology)</term>
<term>Influenza B virus (isolation & purification)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (immunology)</term>
<term>Influenza, Human (virology)</term>
<term>Logistic Models (MeSH)</term>
<term>Pregnancy (MeSH)</term>
<term>Pregnancy Complications, Infectious (epidemiology)</term>
<term>Pregnancy Complications, Infectious (immunology)</term>
<term>Pregnancy Complications, Infectious (virology)</term>
<term>Prevalence (MeSH)</term>
<term>Seroepidemiologic Studies (MeSH)</term>
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<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Allemagne (épidémiologie)</term>
<term>Analyse de variance (MeSH)</term>
<term>Anticorps antiviraux (sang)</term>
<term>Complications infectieuses de la grossesse (immunologie)</term>
<term>Complications infectieuses de la grossesse (virologie)</term>
<term>Complications infectieuses de la grossesse (épidémiologie)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (immunologie)</term>
<term>Grippe humaine (virologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Grossesse (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Immunoglobuline G (sang)</term>
<term>Modèles logistiques (MeSH)</term>
<term>Nouveau-né (MeSH)</term>
<term>Prévalence (MeSH)</term>
<term>Virus de la grippe A (immunologie)</term>
<term>Virus de la grippe A (isolement et purification)</term>
<term>Virus influenza B (immunologie)</term>
<term>Virus influenza B (isolement et purification)</term>
<term>Études séroépidémiologiques (MeSH)</term>
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<term>Antibodies, Viral</term>
<term>Immunoglobulin G</term>
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<term>Germany</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Influenza, Human</term>
<term>Pregnancy Complications, Infectious</term>
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<term>Complications infectieuses de la grossesse</term>
<term>Grippe humaine</term>
<term>Virus de la grippe A</term>
<term>Virus influenza B</term>
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<keywords scheme="MESH" qualifier="immunology" xml:lang="en">
<term>Influenza A virus</term>
<term>Influenza B virus</term>
<term>Influenza, Human</term>
<term>Pregnancy Complications, Infectious</term>
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<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>Influenza A virus</term>
<term>Influenza B virus</term>
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<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr">
<term>Virus de la grippe A</term>
<term>Virus influenza B</term>
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<keywords scheme="MESH" qualifier="sang" xml:lang="fr">
<term>Anticorps antiviraux</term>
<term>Immunoglobuline G</term>
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<keywords scheme="MESH" qualifier="virologie" xml:lang="fr">
<term>Complications infectieuses de la grossesse</term>
<term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en">
<term>Influenza, Human</term>
<term>Pregnancy Complications, Infectious</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Allemagne</term>
<term>Complications infectieuses de la grossesse</term>
<term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Analysis of Variance</term>
<term>Female</term>
<term>Humans</term>
<term>Infant, Newborn</term>
<term>Logistic Models</term>
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<term>Prevalence</term>
<term>Seroepidemiologic Studies</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Analyse de variance</term>
<term>Femelle</term>
<term>Grossesse</term>
<term>Humains</term>
<term>Modèles logistiques</term>
<term>Nouveau-né</term>
<term>Prévalence</term>
<term>Études séroépidémiologiques</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>Influenza is associated with substantial morbidity and mortality in pregnant women and neonates, but few countries offer annual influenza vaccination with the inactivated vaccine to all women who are, or intend to become, pregnant.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES</b>
</p>
<p>To provide seroepidemiological information on influenza A and B antibodies in pregnant women and their offspring in Germany.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>STUDY DESIGN</b>
</p>
<p>Anti-influenza antibodies were determined using commercially available enzyme-linked immunosorbent assays (ELISA) on serum obtained from 209 women and their newborns at delivery.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The prevalence of antibodies against influenza A virus was 93.8% [89.6-96.6%] in the mothers and 96.7% [93.2-98.6%] in the newborns. The prevalence of antibodies against influenza B virus was 42.1% [35.3-49.1%] in the mothers and 78.5% [72.3-83.8%] in their newborns, which was a significant difference. The antibody concentrations against both influenza A and influenza B viruses were significantly lower in mother than in their newborns.</p>
</div>
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<p>
<b>CONCLUSIONS</b>
</p>
<p>Because of active placental transport of IgG antibodies, neonates have higher prevalence and/or concentrations of influenza A and B virus-specific antibodies induced by natural infections than their mothers. Considering these serological findings, especially the lower prevalence of maternal antibody against influenza B virus, annual influenza vaccination may improve the protection of pregnant women and their offspring against influenza.</p>
</div>
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<AbstractText Label="RESULTS" NlmCategory="RESULTS">The prevalence of antibodies against influenza A virus was 93.8% [89.6-96.6%] in the mothers and 96.7% [93.2-98.6%] in the newborns. The prevalence of antibodies against influenza B virus was 42.1% [35.3-49.1%] in the mothers and 78.5% [72.3-83.8%] in their newborns, which was a significant difference. The antibody concentrations against both influenza A and influenza B viruses were significantly lower in mother than in their newborns.</AbstractText>
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