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Seasonal influenza vaccine effectiveness in pre- and full-term children aged 6-23 months over multiple seasons.

Identifieur interne : 000342 ( Main/Exploration ); précédent : 000341; suivant : 000343

Seasonal influenza vaccine effectiveness in pre- and full-term children aged 6-23 months over multiple seasons.

Auteurs : Shixin Shen [Canada] ; Michael A. Campitelli ; Andrew Calzavara ; Astrid Guttmann ; Jeffrey C. Kwong

Source :

RBID : pubmed:23688524

Descripteurs français

English descriptors

Abstract

INTRODUCTION

This study aimed to determine the effectiveness of seasonal influenza vaccine in pre- and full-term children aged 6-23 months.

METHODS

We examined a cohort of 683,354 young children (7.7% preterm) over five influenza seasons (2004-2005 to 2008-2009) in Ontario, Canada. Vaccine effectiveness was estimated using influenza-coded ambulatory visits during virologically-confirmed influenza season periods as the outcome and multivariable Cox proportional hazards modeling.

RESULTS

Full vaccination was associated with a 19% reduction in influenza-coded ambulatory visits (HR=0.81; 95% CI, 0.68-0.97) in all children, and an 18% reduction in full-term children (HR=0.82; 95% CI, 0.68-0.99). We did not find significant vaccine effectiveness for preterm children. No benefit was found for partial vaccination.

CONCLUSIONS

In children younger than two years, only full influenza vaccination is associated with reduced influenza-coded ambulatory visits. Since the effectiveness of influenza vaccination in preterm children remains uncertain, further study of this highly vulnerable population is warranted.


DOI: 10.1016/j.vaccine.2013.05.011
PubMed: 23688524


Affiliations:


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Le document en format XML

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<b>INTRODUCTION</b>
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<p>This study aimed to determine the effectiveness of seasonal influenza vaccine in pre- and full-term children aged 6-23 months.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We examined a cohort of 683,354 young children (7.7% preterm) over five influenza seasons (2004-2005 to 2008-2009) in Ontario, Canada. Vaccine effectiveness was estimated using influenza-coded ambulatory visits during virologically-confirmed influenza season periods as the outcome and multivariable Cox proportional hazards modeling.</p>
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<b>RESULTS</b>
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<p>Full vaccination was associated with a 19% reduction in influenza-coded ambulatory visits (HR=0.81; 95% CI, 0.68-0.97) in all children, and an 18% reduction in full-term children (HR=0.82; 95% CI, 0.68-0.99). We did not find significant vaccine effectiveness for preterm children. No benefit was found for partial vaccination.</p>
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<b>CONCLUSIONS</b>
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<p>In children younger than two years, only full influenza vaccination is associated with reduced influenza-coded ambulatory visits. Since the effectiveness of influenza vaccination in preterm children remains uncertain, further study of this highly vulnerable population is warranted.</p>
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