PandemieGrippaleV1, Main, Exploration, bibRecord, 002102

Guillain-Barré syndrome following pandemic (H1N1) 2009 influenza A immunisation in Victoria: a self-controlled case series

Identifieur interne : 002102 ( Main/Exploration ); précédent : 002101; suivant : 002103

Guillain-Barré syndrome following pandemic (H1N1) 2009 influenza A immunisation in Victoria: a self-controlled case series

Auteurs : Nigei W. Crawford [Australie] ; Allen Cheng [Australie] ; Nick Andrews [Royaume-Uni] ; Patrick G. Charles [Australie] ; Hazel J. Clothier [Australie] ; Bruce Day [Australie] ; Timothy Day [Australie] ; Peter Gates [Australie] ; Richard Macdonnell [Australie] ; Les Roberts [Australie] ; Victoria Rodriguez-Casero [Australie] ; Tissa Wijeratne [Australie] ; Lynette Kiers [Australie]

Source :

Medical journal of Australia [ 0025-729X ] ; 2012.

RBID : Pascal:13-0049673

Descripteurs français

Pascal (Inist)
- Polyradiculonévrite de Guillain-Barré, 2009, Santé publique, Immunoprophylaxie, Grippe A, Prévention, Vaccination, Victoria, Soi, Pandémie, Grippe H1N1.
Wicri :
- topic : Santé publique, Vaccination.

English descriptors

KwdEn :
- 2009, Guillain-Barré syndrome, H1N1 influenza, Immunoprophylaxis, Influenza A, Prevention, Public health, Self, Vaccination, Victoria.

Abstract

Objectives: To determine the relative incidence (RI) of Guillain-Barre syndrome (GBS) in a single Australian state following pandemic (H1N1) 2009 influenza A immunisation (monovalent vaccine or seasonal trivalent influenza vaccine [TIV]) in 2009-2010. Design, setting and participants: Active GBS surveillance (cases assessed by two neurologists according to the Brighton criteria) from 30 September 2009 to 30 September 2010, conducted at 10 hospitals in Victoria, Australia. Main outcome measures: The RI of GBS in the risk window of 0-42 days after vaccination. Results: Sixty-six potential GBS cases were identified, with complete data on 50 confirmed cases. The Victorian annual incidence of GBS was 1.7 per 100 000 population. Three cases had received monovalent vaccine and one case had received seasonal TIV within 42 days of symptom onset. The RI of GBS following monovalent vaccination was 3.4 (95% CI, 0.8-15.0). For TIV, there was one case in the risk period (RI, 0.69; 95% CI, 0.08-5.64). Conclusions: This is the first published study reviewing GBS after a trivalent and/or monovalent influenza vaccine containing the pandemic (H1N1) 2009 strain, with only a small proportion of GBS cases occurring after influenza immunisation. H1N1-containing vaccines were not statistically associated with GBS, but this study could not exclude smaller increases in the RI. Active surveillance of adverse events following immunisation is required to maintain public and health care professional confidence in mass vaccine implementation programs.

Affiliations:

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Le document en format XML

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<author><name sortKey="Gates, Peter" sort="Gates, Peter" uniqKey="Gates P" first="Peter" last="Gates">Peter Gates</name>
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<wicri:noRegion>Barwon Health</wicri:noRegion>
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<author><name sortKey="Macdonnell, Richard" sort="Macdonnell, Richard" uniqKey="Macdonnell R" first="Richard" last="Macdonnell">Richard Macdonnell</name>
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<s2>Melbourne, VIC</s2>
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<sZ>1 aut.</sZ>
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<wicri:noRegion>Royal Children's Hospital</wicri:noRegion>
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</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Melbourne, VIC</wicri:noRegion>
</affiliation>
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<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Alfred Hospital and Monash University</s1>
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<author><name sortKey="Andrews, Nick" sort="Andrews, Nick" uniqKey="Andrews N" first="Nick" last="Andrews">Nick Andrews</name>
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<author><name sortKey="Charles, Patrick G" sort="Charles, Patrick G" uniqKey="Charles P" first="Patrick G." last="Charles">Patrick G. Charles</name>
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<author><name sortKey="Clothier, Hazel J" sort="Clothier, Hazel J" uniqKey="Clothier H" first="Hazel J." last="Clothier">Hazel J. Clothier</name>
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<wicri:noRegion>Royal Melbourne Hospital</wicri:noRegion>
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<author><name sortKey="Day, Bruce" sort="Day, Bruce" uniqKey="Day B" first="Bruce" last="Day">Bruce Day</name>
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<s3>AUS</s3>
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<country>Australie</country>
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<author><name sortKey="Day, Timothy" sort="Day, Timothy" uniqKey="Day T" first="Timothy" last="Day">Timothy Day</name>
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<wicri:noRegion>Royal Melbourne Hospital</wicri:noRegion>
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<author><name sortKey="Gates, Peter" sort="Gates, Peter" uniqKey="Gates P" first="Peter" last="Gates">Peter Gates</name>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Barwon Health</s1>
<s2>Geelong, VIC</s2>
<s3>AUS</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Barwon Health</wicri:noRegion>
</affiliation>
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<author><name sortKey="Macdonnell, Richard" sort="Macdonnell, Richard" uniqKey="Macdonnell R" first="Richard" last="Macdonnell">Richard Macdonnell</name>
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<s3>AUS</s3>
<sZ>4 aut.</sZ>
<sZ>9 aut.</sZ>
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<country>Australie</country>
<wicri:noRegion>Austin Health</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Roberts, Les" sort="Roberts, Les" uniqKey="Roberts L" first="Les" last="Roberts">Les Roberts</name>
<affiliation wicri:level="1"><inist:fA14 i1="07"><s1>St Vincent's Hospital</s1>
<s2>Melbourne, VIC</s2>
<s3>AUS</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>St Vincent's Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Rodriguez Casero, Victoria" sort="Rodriguez Casero, Victoria" uniqKey="Rodriguez Casero V" first="Victoria" last="Rodriguez-Casero">Victoria Rodriguez-Casero</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Royal Children's Hospital</s1>
<s2>Melbourne, VIC</s2>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Royal Children's Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Wijeratne, Tissa" sort="Wijeratne, Tissa" uniqKey="Wijeratne T" first="Tissa" last="Wijeratne">Tissa Wijeratne</name>
<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Department of Neurology, Western Hospital</s1>
<s2>Melbourne, VIC</s2>
<s3>AUS</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Melbourne, VIC</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kiers, Lynette" sort="Kiers, Lynette" uniqKey="Kiers L" first="Lynette" last="Kiers">Lynette Kiers</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Royal Melbourne Hospital</s1>
<s2>Melbourne, VIC</s2>
<s3>AUS</s3>
<sZ>5 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Royal Melbourne Hospital</wicri:noRegion>
</affiliation>
</author>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>2009</term>
<term>Guillain-Barré syndrome</term>
<term>H1N1 influenza</term>
<term>Immunoprophylaxis</term>
<term>Influenza A</term>
<term>Prevention</term>
<term>Public health</term>
<term>Self</term>
<term>Vaccination</term>
<term>Victoria</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Polyradiculonévrite de Guillain-Barré</term>
<term>2009</term>
<term>Santé publique</term>
<term>Immunoprophylaxie</term>
<term>Grippe A</term>
<term>Prévention</term>
<term>Vaccination</term>
<term>Victoria</term>
<term>Soi</term>
<term>Pandémie</term>
<term>Grippe H1N1</term>
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<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Santé publique</term>
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<front><div type="abstract" xml:lang="en">Objectives: To determine the relative incidence (RI) of Guillain-Barre syndrome (GBS) in a single Australian state following pandemic (H1N1) 2009 influenza A immunisation (monovalent vaccine or seasonal trivalent influenza vaccine [TIV]) in 2009-2010. Design, setting and participants: Active GBS surveillance (cases assessed by two neurologists according to the Brighton criteria) from 30 September 2009 to 30 September 2010, conducted at 10 hospitals in Victoria, Australia. Main outcome measures: The RI of GBS in the risk window of 0-42 days after vaccination. Results: Sixty-six potential GBS cases were identified, with complete data on 50 confirmed cases. The Victorian annual incidence of GBS was 1.7 per 100 000 population. Three cases had received monovalent vaccine and one case had received seasonal TIV within 42 days of symptom onset. The RI of GBS following monovalent vaccination was 3.4 (95% CI, 0.8-15.0). For TIV, there was one case in the risk period (RI, 0.69; 95% CI, 0.08-5.64). Conclusions: This is the first published study reviewing GBS after a trivalent and/or monovalent influenza vaccine containing the pandemic (H1N1) 2009 strain, with only a small proportion of GBS cases occurring after influenza immunisation. H1N1-containing vaccines were not statistically associated with GBS, but this study could not exclude smaller increases in the RI. Active surveillance of adverse events following immunisation is required to maintain public and health care professional confidence in mass vaccine implementation programs.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>Royaume-Uni</li>
</country>
<region><li>Angleterre</li>
<li>Grand Londres</li>
</region>
<settlement><li>Londres</li>
</settlement>
</list>
<tree><country name="Australie"><noRegion><name sortKey="Crawford, Nigei W" sort="Crawford, Nigei W" uniqKey="Crawford N" first="Nigei W." last="Crawford">Nigei W. Crawford</name>
</noRegion>
<name sortKey="Charles, Patrick G" sort="Charles, Patrick G" uniqKey="Charles P" first="Patrick G." last="Charles">Patrick G. Charles</name>
<name sortKey="Cheng, Allen" sort="Cheng, Allen" uniqKey="Cheng A" first="Allen" last="Cheng">Allen Cheng</name>
<name sortKey="Clothier, Hazel J" sort="Clothier, Hazel J" uniqKey="Clothier H" first="Hazel J." last="Clothier">Hazel J. Clothier</name>
<name sortKey="Day, Bruce" sort="Day, Bruce" uniqKey="Day B" first="Bruce" last="Day">Bruce Day</name>
<name sortKey="Day, Timothy" sort="Day, Timothy" uniqKey="Day T" first="Timothy" last="Day">Timothy Day</name>
<name sortKey="Gates, Peter" sort="Gates, Peter" uniqKey="Gates P" first="Peter" last="Gates">Peter Gates</name>
<name sortKey="Kiers, Lynette" sort="Kiers, Lynette" uniqKey="Kiers L" first="Lynette" last="Kiers">Lynette Kiers</name>
<name sortKey="Macdonnell, Richard" sort="Macdonnell, Richard" uniqKey="Macdonnell R" first="Richard" last="Macdonnell">Richard Macdonnell</name>
<name sortKey="Roberts, Les" sort="Roberts, Les" uniqKey="Roberts L" first="Les" last="Roberts">Les Roberts</name>
<name sortKey="Rodriguez Casero, Victoria" sort="Rodriguez Casero, Victoria" uniqKey="Rodriguez Casero V" first="Victoria" last="Rodriguez-Casero">Victoria Rodriguez-Casero</name>
<name sortKey="Wijeratne, Tissa" sort="Wijeratne, Tissa" uniqKey="Wijeratne T" first="Tissa" last="Wijeratne">Tissa Wijeratne</name>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Andrews, Nick" sort="Andrews, Nick" uniqKey="Andrews N" first="Nick" last="Andrews">Nick Andrews</name>
</region>
</country>
</tree>
</affiliations>
</record>

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	Serveur d'exploration sur les pandémies grippales
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Serveur d'exploration sur les pandémies grippales

Guillain-Barré syndrome following pandemic (H1N1) 2009 influenza A immunisation in Victoria: a self-controlled case series

Guillain-Barré syndrome following pandemic (H1N1) 2009 influenza A immunisation in Victoria: a self-controlled case series

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