Administration of the adjuvanted pH1N1 vaccine in egg-allergic children at high risk for influenza A/H1N1 disease.
Identifieur interne : 000490 ( Main/Exploration ); précédent : 000489; suivant : 000491Administration of the adjuvanted pH1N1 vaccine in egg-allergic children at high risk for influenza A/H1N1 disease.
Auteurs : Jane E. Schuler [Canada] ; W James King ; Natalie L. Dayneka ; Lynn Rastelli ; Evelyn Marquis ; Zave Chad ; Charles HuiSource :
- Canadian journal of public health = Revue canadienne de sante publique [ 0008-4263 ]
Descripteurs français
- KwdFr :
- Calendrier vaccinal (MeSH), Canada (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Femelle (MeSH), Gestion de la sécurité (MeSH), Grippe humaine (prévention et contrôle), Humains (MeSH), Hypersensibilité à l'oeuf (MeSH), Mâle (MeSH), Nourrisson (MeSH), Sous-type H1N1 du virus de la grippe A (MeSH), Vaccins antigrippaux (administration et posologie), Vaccins antigrippaux (effets indésirables), Études prospectives (MeSH).
- MESH :
- administration et posologie : Vaccins antigrippaux.
- effets indésirables : Vaccins antigrippaux.
- prévention et contrôle : Grippe humaine.
- Calendrier vaccinal, Canada, Enfant, Enfant d'âge préscolaire, Femelle, Gestion de la sécurité, Humains, Hypersensibilité à l'oeuf, Mâle, Nourrisson, Sous-type H1N1 du virus de la grippe A, Études prospectives.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Canada (MeSH), Child (MeSH), Child, Preschool (MeSH), Egg Hypersensitivity (MeSH), Female (MeSH), Humans (MeSH), Immunization Schedule (MeSH), Infant (MeSH), Influenza A Virus, H1N1 Subtype (MeSH), Influenza Vaccines (administration & dosage), Influenza Vaccines (adverse effects), Influenza, Human (prevention & control), Male (MeSH), Prospective Studies (MeSH), Safety Management (MeSH).
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- chemical , adverse effects : Influenza Vaccines.
- geographic : Canada.
- prevention & control : Influenza, Human.
- Child, Child, Preschool, Egg Hypersensitivity, Female, Humans, Immunization Schedule, Infant, Influenza A Virus, H1N1 Subtype, Male, Prospective Studies, Safety Management.
Abstract
BACKGROUND
In Canada, the pH1N1 influenza vaccine is recommended for children, particularly those less than 5 years of age or with chronic underlying disease. The pH1N1 vaccine, which contains residual allergenic egg white proteins, may pose a risk for vaccination of egg-allergic children.
OBJECTIVE
To describe the outcome of pH1N1 influenza vaccine administration to egg-allergic children at risk for severe H1N1 disease.
DESIGN/METHOD
Prospective observational cohort study. Children identified as at high risk for egg allergy and H1N1 influenza were vaccinated using a two-dose split protocol in a controlled medical setting. Children were given an initial test dose; if no reaction was noted, the remainder of the dose was administered and the children were followed for allergic reactions. Those who tolerated the split dose and required a second dose of vaccine were offered vaccination four weeks later as one injection.
RESULTS
Sixty-two egg-allergic children considered at high risk for H1N1 disease received the adjuvanted pH1N1 vaccine. Egg allergy was diagnosed both clinically by an allergist and using skin and/or serum IgE testing. Within one hour of immunization, 2 children developed hives, 1 had a vasovagal response and 1 had a hypo-responsive episode. Fourteen children received the second H1N1 dose and 1 developed erythema and itching. There were no anaphylactic reactions.
CONCLUSION
Administration of the adjuvanted pH1N1 vaccine in egg-allergic children at risk for severe H1N1 influenza was safe when performed in a two-dose split protocol in a controlled medical setting.
PubMed: 21714318
PubMed Central: PMC6973565
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="King, W James" sort="King, W James" uniqKey="King W" first="W James" last="King">W James King</name>
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<term>Influenza A Virus, H1N1 Subtype (MeSH)</term>
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<term>Influenza Vaccines (adverse effects)</term>
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<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Gestion de la sécurité (MeSH)</term>
<term>Grippe humaine (prévention et contrôle)</term>
<term>Humains (MeSH)</term>
<term>Hypersensibilité à l'oeuf (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Nourrisson (MeSH)</term>
<term>Sous-type H1N1 du virus de la grippe A (MeSH)</term>
<term>Vaccins antigrippaux (administration et posologie)</term>
<term>Vaccins antigrippaux (effets indésirables)</term>
<term>Études prospectives (MeSH)</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>In Canada, the pH1N1 influenza vaccine is recommended for children, particularly those less than 5 years of age or with chronic underlying disease. The pH1N1 vaccine, which contains residual allergenic egg white proteins, may pose a risk for vaccination of egg-allergic children.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To describe the outcome of pH1N1 influenza vaccine administration to egg-allergic children at risk for severe H1N1 disease.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN/METHOD</b>
</p>
<p>Prospective observational cohort study. Children identified as at high risk for egg allergy and H1N1 influenza were vaccinated using a two-dose split protocol in a controlled medical setting. Children were given an initial test dose; if no reaction was noted, the remainder of the dose was administered and the children were followed for allergic reactions. Those who tolerated the split dose and required a second dose of vaccine were offered vaccination four weeks later as one injection.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Sixty-two egg-allergic children considered at high risk for H1N1 disease received the adjuvanted pH1N1 vaccine. Egg allergy was diagnosed both clinically by an allergist and using skin and/or serum IgE testing. Within one hour of immunization, 2 children developed hives, 1 had a vasovagal response and 1 had a hypo-responsive episode. Fourteen children received the second H1N1 dose and 1 developed erythema and itching. There were no anaphylactic reactions.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Administration of the adjuvanted pH1N1 vaccine in egg-allergic children at risk for severe H1N1 influenza was safe when performed in a two-dose split protocol in a controlled medical setting.</p>
</div>
</front>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In Canada, the pH1N1 influenza vaccine is recommended for children, particularly those less than 5 years of age or with chronic underlying disease. The pH1N1 vaccine, which contains residual allergenic egg white proteins, may pose a risk for vaccination of egg-allergic children.</AbstractText>
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