Effectiveness of Monovalent 2009 Pandemic Influenza A Virus Subtype H1N1 and 2010- 2011 Trivalent Inactivated Influenza Vaccines in Wisconsin During the 2010-2011 Influenza Season
Identifieur interne : 001864 ( Main/Exploration ); précédent : 001863; suivant : 001865Effectiveness of Monovalent 2009 Pandemic Influenza A Virus Subtype H1N1 and 2010- 2011 Trivalent Inactivated Influenza Vaccines in Wisconsin During the 2010-2011 Influenza Season
Auteurs : Allen C. Bateman [États-Unis] ; Burney A. Kieke [États-Unis] ; Stephanie A. Irving [États-Unis] ; Jennifer K. Meece [États-Unis] ; David K. Shay [Géorgie] ; Edward A. Belongia [États-Unis]Source :
- The Journal of infectious diseases [ 0022-1899 ] ; 2013.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
Background. The 2009 influenza A virus subtype H1N1 (A[H1N1]pdm09) did not exhibit antigenic drift during the 2010-2011 influenza season, providing an opportunity to investigate the duration of protection after vaccination. We estimated the independent effects of 2010-2011 seasonal trivalent inactivated influenza vaccine (TIV) and A (H1N1)pdm09 vaccine for preventing medically attended influenza A virus infection during the 2010-2011 season. Methods. Individuals were tested for influenza A virus by real-time reverse transcription polymerase chain reaction (rRT-PCR) after a clinical encounter for acute respiratory illness. Case-control analyses compared participants with rRT-PCR-confirmed influenza A virus infection and test-negative controls. Vaccine effectiveness was estimated separately for monovalent pandemic vaccine and TIV and was calculated as 100 x [ 1 - adjusted odds ratio], where the odds ratio was adjusted for potential confounders. Results. The effectiveness of TIV against influenza A virus infection was 63% (95% confidence interval [CI], 37%-78%). The effectiveness of TIV against A(H1N1)pdm09 infection was 77% (95% CI, 44%-90%). Monovalent vaccine administered between October 2009 and April 2010 was not protective during the 2010-2011 season, with an effectiveness of -1% (95% CI, -146% to 59%) against A(H1N1)pdm09 infection. Conclusions. Monovalent vaccine provided no sustained protection against A(H1N1)pdm09 infection during the 2010-2011 season. This waning effectiveness supports the need for annual revaccination, even in the absence of antigenic drift in A(H1N1)pdm09.
Affiliations:
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Le document en format XML
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<series><title level="j" type="main">The Journal of infectious diseases</title>
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<front><div type="abstract" xml:lang="en">Background. The 2009 influenza A virus subtype H1N1 (A[H1N1]pdm09) did not exhibit antigenic drift during the 2010-2011 influenza season, providing an opportunity to investigate the duration of protection after vaccination. We estimated the independent effects of 2010-2011 seasonal trivalent inactivated influenza vaccine (TIV) and A (H1N1)pdm09 vaccine for preventing medically attended influenza A virus infection during the 2010-2011 season. Methods. Individuals were tested for influenza A virus by real-time reverse transcription polymerase chain reaction (rRT-PCR) after a clinical encounter for acute respiratory illness. Case-control analyses compared participants with rRT-PCR-confirmed influenza A virus infection and test-negative controls. Vaccine effectiveness was estimated separately for monovalent pandemic vaccine and TIV and was calculated as 100 x [ 1 - adjusted odds ratio], where the odds ratio was adjusted for potential confounders. Results. The effectiveness of TIV against influenza A virus infection was 63% (95% confidence interval [CI], 37%-78%). The effectiveness of TIV against A(H1N1)pdm09 infection was 77% (95% CI, 44%-90%). Monovalent vaccine administered between October 2009 and April 2010 was not protective during the 2010-2011 season, with an effectiveness of -1% (95% CI, -146% to 59%) against A(H1N1)pdm09 infection. Conclusions. Monovalent vaccine provided no sustained protection against A(H1N1)pdm09 infection during the 2010-2011 season. This waning effectiveness supports the need for annual revaccination, even in the absence of antigenic drift in A(H1N1)pdm09.</div>
</front>
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<tree><country name="États-Unis"><region name="Wisconsin"><name sortKey="Bateman, Allen C" sort="Bateman, Allen C" uniqKey="Bateman A" first="Allen C." last="Bateman">Allen C. Bateman</name>
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<country name="Géorgie"><noRegion><name sortKey="Shay, David K" sort="Shay, David K" uniqKey="Shay D" first="David K." last="Shay">David K. Shay</name>
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