Risk of Guillain-Barré syndrome after 2010–2011 influenza vaccination
Identifieur interne : 001485 ( Main/Exploration ); précédent : 001484; suivant : 001486Risk of Guillain-Barré syndrome after 2010–2011 influenza vaccination
Auteurs : Francesca Galeotti [Italie] ; Marco Massari [Italie] ; Roberto D Lessandro [Italie] ; Ettore Beghi [Italie] ; Adriano Chi [Italie] ; Giancarlo Logroscino [Italie] ; Graziella Filippini [Italie] ; Maria Donata Benedetti [Italie] ; Maura Pugliatti [Italie] ; Carmela Santuccio [Italie] ; Roberto Raschetti [Italie]Source :
- European Journal of Epidemiology [ 0393-2990 ] ; 2013.
Abstract
Abstract: Influenza vaccination has been implicated in Guillain Barré Syndrome (GBS) although the evidence for this link is controversial. A case–control study was conducted between October 2010 and May 2011 in seven Italian Regions to explore the relation between influenza vaccination and GBS. The study included 176 GBS incident cases aged ≥18 years from 86 neurological centers. Controls were selected among patients admitted for acute conditions to the Emergency Department of the same hospital as cases. Each control was matched to a case by sex, age, Region and admission date. Two different analyses were conducted: a matched case–control analysis and a self-controlled case series analysis (SCCS). Case–control analysis included 140 cases matched to 308 controls. The adjusted matched odds ratio (OR) for GBS occurrence within 6 weeks after influenza vaccination was 3.8 (95 % CI: 1.3, 10.5). A much stronger association with gastrointestinal infections (OR = 23.8; 95 % CI 7.3, 77.6) and influenza-like illness or upper respiratory tract infections (OR = 11.5; 95 % CI 5.6, 23.5) was highlighted. The SCCS analysis included all 176 GBS cases. Influenza vaccination was associated with GBS, with a relative risk of 2.1 (95 % CI 1.1, 3.9). According to these results the attributable risk in adults ranges from two to five GBS cases per 1,000,000 vaccinations.
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DOI: 10.1007/s10654-013-9797-8
Affiliations:
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Istituto delle Scienze Neurologiche, Bologna</wicri:regionArea><wicri:noRegion>Bologna</wicri:noRegion></affiliation></author><author><name sortKey="Beghi, Ettore" sort="Beghi, Ettore" uniqKey="Beghi E" first="Ettore" last="Beghi">Ettore Beghi</name><affiliation wicri:level="3"><country xml:lang="fr">Italie</country><wicri:regionArea>Laboratory of Neurological Disorders, “Mario Negri” Institute for Pharmacological Research, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Chi, Adriano" sort="Chi, Adriano" uniqKey="Chi A" first="Adriano" last="Chi">Adriano Chi</name><affiliation wicri:level="3"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neuroscience, University of Turin, Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Logroscino, Giancarlo" sort="Logroscino, Giancarlo" uniqKey="Logroscino G" first="Giancarlo" last="Logroscino">Giancarlo Logroscino</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neurology and Psychiatry, University of Bari, Bari</wicri:regionArea><wicri:noRegion>Bari</wicri:noRegion></affiliation></author><author><name sortKey="Filippini, Graziella" sort="Filippini, Graziella" uniqKey="Filippini G" first="Graziella" last="Filippini">Graziella Filippini</name><affiliation wicri:level="3"><country xml:lang="fr">Italie</country><wicri:regionArea>Neuroepidemiology Unit, I.R.C.C.S. Foundation, Carlo Besta Neurological Institute, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Benedetti, Maria Donata" sort="Benedetti, Maria Donata" uniqKey="Benedetti M" first="Maria Donata" last="Benedetti">Maria Donata Benedetti</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neurosciences, University Hospital, Verona</wicri:regionArea><wicri:noRegion>Verona</wicri:noRegion></affiliation></author><author><name sortKey="Pugliatti, Maura" sort="Pugliatti, Maura" uniqKey="Pugliatti M" first="Maura" last="Pugliatti">Maura Pugliatti</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Clinical and Experimental Medicine, University of Sassari, Sassari</wicri:regionArea><wicri:noRegion>Sassari</wicri:noRegion></affiliation></author><author><name sortKey="Santuccio, Carmela" sort="Santuccio, Carmela" uniqKey="Santuccio C" first="Carmela" last="Santuccio">Carmela Santuccio</name><affiliation wicri:level="3"><country xml:lang="fr">Italie</country><wicri:regionArea>Italian Medicine Agency (AIFA), Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Raschetti, Roberto" sort="Raschetti, Roberto" uniqKey="Raschetti R" first="Roberto" last="Raschetti">Roberto Raschetti</name><affiliation wicri:level="3"><country xml:lang="fr">Italie</country><wicri:regionArea>National Centre for Epidemiology, Surveillance and Health Promotion, National Institute of Health, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Italie</country></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">European Journal of Epidemiology</title><title level="j" type="abbrev">Eur J Epidemiol</title><idno type="ISSN">0393-2990</idno><idno type="eISSN">1573-7284</idno><imprint><publisher ref="https://scientific-publisher.data.istex.fr/ark:/67375/H02-SWLMH5L1-1">Springer Netherlands</publisher><pubPlace>Dordrecht</pubPlace><date type="published" when="2013">2013</date><biblScope unit="vol" from="28" to="28">28</biblScope><biblScope unit="issue" from="5" to="5">5</biblScope><biblScope unit="page" from="433">433</biblScope><biblScope unit="page" to="444">444</biblScope></imprint><idno type="ISSN">0393-2990</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0393-2990</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Influenza vaccination has been implicated in Guillain Barré Syndrome (GBS) although the evidence for this link is controversial. A case–control study was conducted between October 2010 and May 2011 in seven Italian Regions to explore the relation between influenza vaccination and GBS. The study included 176 GBS incident cases aged ≥18 years from 86 neurological centers. Controls were selected among patients admitted for acute conditions to the Emergency Department of the same hospital as cases. Each control was matched to a case by sex, age, Region and admission date. Two different analyses were conducted: a matched case–control analysis and a self-controlled case series analysis (SCCS). Case–control analysis included 140 cases matched to 308 controls. The adjusted matched odds ratio (OR) for GBS occurrence within 6 weeks after influenza vaccination was 3.8 (95 % CI: 1.3, 10.5). A much stronger association with gastrointestinal infections (OR = 23.8; 95 % CI 7.3, 77.6) and influenza-like illness or upper respiratory tract infections (OR = 11.5; 95 % CI 5.6, 23.5) was highlighted. The SCCS analysis included all 176 GBS cases. Influenza vaccination was associated with GBS, with a relative risk of 2.1 (95 % CI 1.1, 3.9). According to these results the attributable risk in adults ranges from two to five GBS cases per 1,000,000 vaccinations.</div></front></TEI><affiliations><list><country><li>Italie</li></country><region><li>Latium</li><li>Lombardie</li><li>Piémont</li></region><settlement><li>Milan</li><li>Rome</li><li>Turin</li></settlement></list><tree><country name="Italie"><region name="Latium"><name sortKey="Galeotti, Francesca" sort="Galeotti, Francesca" uniqKey="Galeotti F" first="Francesca" last="Galeotti">Francesca Galeotti</name></region><name sortKey="Beghi, Ettore" sort="Beghi, Ettore" uniqKey="Beghi E" first="Ettore" last="Beghi">Ettore Beghi</name><name sortKey="Benedetti, Maria Donata" sort="Benedetti, Maria Donata" uniqKey="Benedetti M" first="Maria Donata" last="Benedetti">Maria Donata Benedetti</name><name sortKey="Chi, Adriano" sort="Chi, Adriano" uniqKey="Chi A" first="Adriano" last="Chi">Adriano Chi</name><name sortKey="D Lessandro, Roberto" sort="D Lessandro, Roberto" uniqKey="D Lessandro R" first="Roberto" last="D Lessandro">Roberto D Lessandro</name><name sortKey="Filippini, Graziella" sort="Filippini, Graziella" uniqKey="Filippini G" first="Graziella" last="Filippini">Graziella Filippini</name><name sortKey="Logroscino, Giancarlo" sort="Logroscino, Giancarlo" uniqKey="Logroscino G" first="Giancarlo" last="Logroscino">Giancarlo Logroscino</name><name sortKey="Massari, Marco" sort="Massari, Marco" uniqKey="Massari M" first="Marco" last="Massari">Marco Massari</name><name sortKey="Pugliatti, Maura" sort="Pugliatti, Maura" uniqKey="Pugliatti M" first="Maura" last="Pugliatti">Maura Pugliatti</name><name sortKey="Raschetti, Roberto" sort="Raschetti, Roberto" uniqKey="Raschetti R" first="Roberto" last="Raschetti">Roberto Raschetti</name><name sortKey="Raschetti, Roberto" sort="Raschetti, Roberto" uniqKey="Raschetti R" first="Roberto" last="Raschetti">Roberto Raschetti</name><name sortKey="Santuccio, Carmela" sort="Santuccio, Carmela" uniqKey="Santuccio C" first="Carmela" last="Santuccio">Carmela Santuccio</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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