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Benefit of conjugate pneumococcal vaccination in preventing influenza hospitalization in children: a case-control study.

Identifieur interne : 000273 ( Main/Exploration ); précédent : 000272; suivant : 000274

Benefit of conjugate pneumococcal vaccination in preventing influenza hospitalization in children: a case-control study.

Auteurs : Angela Domínguez [Espagne] ; Jesús Castilla ; Pere Godoy ; Miguel Delgado-Rodríguez ; Marc Saez ; Núria Soldevila ; Jenaro Astray ; José María Mayoral ; Vicente Martín ; José María Quintana ; Fernando González-Candelas ; Juan Carlos Galán ; Sonia Tamames ; Ady Castro Acosta ; Maretva Baricot ; Olatz Garín ; Juan José García ; Fernando Moraga ; Tomás Pumarola

Source :

RBID : pubmed:23337901

Descripteurs français

English descriptors

Abstract

BACKGROUND

The pneumococcal conjugate vaccine (PCV) might prevent hospitalizations in children because of the role of Streptococcus pneumoniae in the complications of influenza infection. We investigated the benefit of PCV vaccination in preventing influenza hospitalization in children <5 years of age during the 2009 to 2010 pandemic wave and the 2010 to 2011 influenza epidemic in Spain.

METHODS

A multicenter matched case-control study was undertaken in 27 hospitals from 7 Spanish regions between July 2009 and April 2011. A case was defined as a hospitalized patient between 6 months and 5 years of age with influenza virus infection confirmed by real-time reverse-transcription polymerase chain reaction. We selected 2 matched controls for each case from patients with unplanned hospital admission for reasons other than acute respiratory infection or influenza-like illness. Cases and controls were matched according to age, date of hospitalization and province of residence. Crude and adjusted odds ratios were calculated for associations between influenza hospitalization and PCV vaccination.

RESULTS

One hundred ninety-four cases and 342 controls were included in the study. In the 2009 to 2010 pandemic wave, the adjusted benefit in preventing hospitalization was 48% (95% confidence interval: 1 to 76) in fully vaccinated children compared with -79% (95% confidence interval: -341 to 27) in the 2010 to 2011 influenza season.

CONCLUSIONS

The results obtained suggest that, in children <5 years of age, PCV vaccination reduced hospitalization during the 2009 to 2010 pandemic wave. By contrast, there was no observed benefit of vaccination in the 2010 to 2011 influenza season.


DOI: 10.1097/INF.0b013e318280a34b
PubMed: 23337901


Affiliations:


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Le document en format XML

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<term>Hospitalization (statistics & numerical data)</term>
<term>Humans (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Influenza A Virus, H1N1 Subtype (isolation & purification)</term>
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<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (pathology)</term>
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<term>Pneumococcal Infections (prevention & control)</term>
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<term>Vaccines, Conjugate (immunology)</term>
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<term>Grippe humaine (épidémiologie)</term>
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<term>Pandémies (MeSH)</term>
<term>RT-PCR (MeSH)</term>
<term>Réaction de polymérisation en chaine en temps réel (MeSH)</term>
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<term>Vaccins antipneumococciques (immunologie)</term>
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<term>Vaccines, Conjugate</term>
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<term>Grippe humaine</term>
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<term>Influenza, Human</term>
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<term>Vaccins antipneumococciques</term>
<term>Vaccins conjugués</term>
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<term>Espagne</term>
<term>Grippe humaine</term>
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<term>Female</term>
<term>Humans</term>
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<term>Male</term>
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<term>Real-Time Polymerase Chain Reaction</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Pandémies</term>
<term>RT-PCR</term>
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<p>
<b>BACKGROUND</b>
</p>
<p>The pneumococcal conjugate vaccine (PCV) might prevent hospitalizations in children because of the role of Streptococcus pneumoniae in the complications of influenza infection. We investigated the benefit of PCV vaccination in preventing influenza hospitalization in children <5 years of age during the 2009 to 2010 pandemic wave and the 2010 to 2011 influenza epidemic in Spain.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>A multicenter matched case-control study was undertaken in 27 hospitals from 7 Spanish regions between July 2009 and April 2011. A case was defined as a hospitalized patient between 6 months and 5 years of age with influenza virus infection confirmed by real-time reverse-transcription polymerase chain reaction. We selected 2 matched controls for each case from patients with unplanned hospital admission for reasons other than acute respiratory infection or influenza-like illness. Cases and controls were matched according to age, date of hospitalization and province of residence. Crude and adjusted odds ratios were calculated for associations between influenza hospitalization and PCV vaccination.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>One hundred ninety-four cases and 342 controls were included in the study. In the 2009 to 2010 pandemic wave, the adjusted benefit in preventing hospitalization was 48% (95% confidence interval: 1 to 76) in fully vaccinated children compared with -79% (95% confidence interval: -341 to 27) in the 2010 to 2011 influenza season.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>The results obtained suggest that, in children <5 years of age, PCV vaccination reduced hospitalization during the 2009 to 2010 pandemic wave. By contrast, there was no observed benefit of vaccination in the 2010 to 2011 influenza season.</p>
</div>
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<MeshHeading>
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<MeshHeading>
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<MeshHeading>
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<MeshHeading>
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</MeshHeading>
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<name sortKey="Garin, Olatz" sort="Garin, Olatz" uniqKey="Garin O" first="Olatz" last="Garín">Olatz Garín</name>
<name sortKey="Godoy, Pere" sort="Godoy, Pere" uniqKey="Godoy P" first="Pere" last="Godoy">Pere Godoy</name>
<name sortKey="Gonzalez Candelas, Fernando" sort="Gonzalez Candelas, Fernando" uniqKey="Gonzalez Candelas F" first="Fernando" last="González-Candelas">Fernando González-Candelas</name>
<name sortKey="Jose Garcia, Juan" sort="Jose Garcia, Juan" uniqKey="Jose Garcia J" first="Juan" last="José García">Juan José García</name>
<name sortKey="Maria Mayoral, Jose" sort="Maria Mayoral, Jose" uniqKey="Maria Mayoral J" first="José" last="María Mayoral">José María Mayoral</name>
<name sortKey="Maria Quintana, Jose" sort="Maria Quintana, Jose" uniqKey="Maria Quintana J" first="José" last="María Quintana">José María Quintana</name>
<name sortKey="Martin, Vicente" sort="Martin, Vicente" uniqKey="Martin V" first="Vicente" last="Martín">Vicente Martín</name>
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<country name="Espagne">
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<name sortKey="Dominguez, Angela" sort="Dominguez, Angela" uniqKey="Dominguez A" first="Angela" last="Domínguez">Angela Domínguez</name>
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