PandemieGrippaleV1, Main, Merge, bibRecord, 000E83

Cumulative Risk of Guillain–Barré Syndrome Among Vaccinated and Unvaccinated Populations During the 2009 H1N1 Influenza Pandemic

Identifieur interne : 000E83 ( Main/Merge ); précédent : 000E82; suivant : 000E84

Cumulative Risk of Guillain–Barré Syndrome Among Vaccinated and Unvaccinated Populations During the 2009 H1N1 Influenza Pandemic

Auteurs : Claudia Vellozzi ; Shahed Iqbal ; Brock Stewart ; Jerome Tokars ; Frank Destefano

Source :

American Journal of Public Health [ 0090-0036 ] ; 2014.

RBID : PMC:4025712

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Facteurs de l'âge, Facteurs de risque, Femelle, Grippe humaine (), Grippe humaine (épidémiologie), Humains, Jeune adulte, Mâle, Pandémies (), Sous-type H1N1 du virus de la grippe A, Sujet âgé, Syndrome de Guillain-Barré (), Syndrome de Guillain-Barré (épidémiologie), Syndrome de Guillain-Barré (étiologie), Tables de survie, Vaccins antigrippaux (effets indésirables), Vaccins antigrippaux (usage thérapeutique), États-Unis d'Amérique (épidémiologie).
MESH :
- effets indésirables : Vaccins antigrippaux.
- usage thérapeutique : Vaccins antigrippaux.
- épidémiologie : Grippe humaine, Syndrome de Guillain-Barré, États-Unis d'Amérique.
- étiologie : Syndrome de Guillain-Barré.
- Adulte, Adulte d'âge moyen, Facteurs de l'âge, Facteurs de risque, Femelle, Grippe humaine, Humains, Jeune adulte, Mâle, Pandémies, Sous-type H1N1 du virus de la grippe A, Sujet âgé, Syndrome de Guillain-Barré, Tables de survie.
Wicri :
- geographic : États-Unis.

English descriptors

KwdEn :
- Adult, Age Factors, Aged, Female, Guillain-Barre Syndrome (epidemiology), Guillain-Barre Syndrome (etiology), Guillain-Barre Syndrome (prevention & control), Humans, Influenza A Virus, H1N1 Subtype, Influenza Vaccines (adverse effects), Influenza Vaccines (therapeutic use), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Life Tables, Male, Middle Aged, Pandemics (prevention & control), Pandemics (statistics & numerical data), Risk Factors, United States (epidemiology), Young Adult.
MESH :
- chemical , adverse effects : Influenza Vaccines.
- geographic , epidemiology : United States.
- epidemiology : Guillain-Barre Syndrome, Influenza, Human.
- etiology : Guillain-Barre Syndrome.
- prevention & control : Guillain-Barre Syndrome, Influenza, Human, Pandemics.
- statistics & numerical data : Pandemics.
- chemical , therapeutic use : Influenza Vaccines.
- Adult, Age Factors, Aged, Female, Humans, Influenza A Virus, H1N1 Subtype, Life Tables, Male, Middle Aged, Risk Factors, Young Adult.

Abstract

Objectives. We sought to assess risk of Guillain–Barré syndrome (GBS) among influenza A (H1N1) 2009 monovalent (pH1N1) vaccinated and unvaccinated populations at the end of the 2009 pandemic.

Methods. We applied GBS surveillance data from a US population catchment area of 45 million from October 15, 2009, through May 31, 2010. GBS cases meeting Brighton Collaboration criteria were included. We calculated the incidence density ratio (IDR) among pH1N1 vaccinated and unvaccinated populations. We also estimated cumulative GBS risk using life table analysis. Additionally, we used vaccine coverage data and census population estimates to calculate denominators.

Results. There were 392 GBS cases; 64 (16%) occurred after pH1N1vaccination. The vaccinated population had lower average risk (IDR = 0.83, 95% confidence interval = 0.63, 1.08) and lower cumulative risk (6.6 vs 9.2 cases per million persons, P = .012) of GBS.

Conclusions. Our findings suggest that at the end of the influenza season cumulative GBS risk was less among the pH1N1vaccinated than the unvaccinated population, suggesting the benefit of vaccination as it relates to GBS. The observed potential protective effect on GBS attributed to vaccination warrants further study.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4025712

DOI: 10.2105/AJPH.2013.301651
PubMed: 24524517
PubMed Central: 4025712

Links to Exploration step

PMC:4025712

Le document en format XML

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<term>Age Factors</term>
<term>Aged</term>
<term>Female</term>
<term>Guillain-Barre Syndrome (epidemiology)</term>
<term>Guillain-Barre Syndrome (etiology)</term>
<term>Guillain-Barre Syndrome (prevention & control)</term>
<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Influenza Vaccines (adverse effects)</term>
<term>Influenza Vaccines (therapeutic use)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Life Tables</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pandemics (prevention & control)</term>
<term>Pandemics (statistics & numerical data)</term>
<term>Risk Factors</term>
<term>United States (epidemiology)</term>
<term>Young Adult</term>
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<term>Adulte d'âge moyen</term>
<term>Facteurs de l'âge</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Grippe humaine ()</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Pandémies ()</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
<term>Sujet âgé</term>
<term>Syndrome de Guillain-Barré ()</term>
<term>Syndrome de Guillain-Barré (épidémiologie)</term>
<term>Syndrome de Guillain-Barré (étiologie)</term>
<term>Tables de survie</term>
<term>Vaccins antigrippaux (effets indésirables)</term>
<term>Vaccins antigrippaux (usage thérapeutique)</term>
<term>États-Unis d'Amérique (épidémiologie)</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Vaccins antigrippaux</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Guillain-Barre Syndrome</term>
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<term>Influenza, Human</term>
<term>Pandemics</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Life Tables</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Risk Factors</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Facteurs de l'âge</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Grippe humaine</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
<term>Sujet âgé</term>
<term>Syndrome de Guillain-Barré</term>
<term>Tables de survie</term>
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<front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic>
 We sought to assess risk of Guillain–Barré syndrome (GBS) among influenza A (H1N1) 2009 monovalent (pH1N1) vaccinated and unvaccinated populations at the end of the 2009 pandemic.</p>
<p><italic>Methods.</italic>
 We applied GBS surveillance data from a US population catchment area of 45 million from October 15, 2009, through May 31, 2010. GBS cases meeting Brighton Collaboration criteria were included. We calculated the incidence density ratio (IDR) among pH1N1 vaccinated and unvaccinated populations. We also estimated cumulative GBS risk using life table analysis. Additionally, we used vaccine coverage data and census population estimates to calculate denominators.</p>
<p><italic>Results.</italic>
 There were 392 GBS cases; 64 (16%) occurred after pH1N1vaccination. The vaccinated population had lower average risk (IDR = 0.83, 95% confidence interval = 0.63, 1.08) and lower cumulative risk (6.6 vs 9.2 cases per million persons, <italic>P</italic>
 = .012) of GBS.</p>
<p><italic>Conclusions.</italic>
 Our findings suggest that at the end of the influenza season cumulative GBS risk was less among the pH1N1vaccinated than the unvaccinated population, suggesting the benefit of vaccination as it relates to GBS. The observed potential protective effect on GBS attributed to vaccination warrants further study.</p>
</div>
</front>
</TEI>
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Cumulative Risk of Guillain–Barré Syndrome Among Vaccinated and Unvaccinated Populations During the 2009 H1N1 Influenza Pandemic

Cumulative Risk of Guillain–Barré Syndrome Among Vaccinated and Unvaccinated Populations During the 2009 H1N1 Influenza Pandemic

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

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