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

Identifieur interne : 000188 ( PascalFrancis/Corpus ); précédent : 000187; suivant : 000189

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 :

RBID : Francis:14-0118472

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A02 01      @0 AJPEAG
A03   1    @0 Am. j. publ. health : (1971)
A05       @2 104
A06       @2 4
A08 01  1  ENG  @1 Cumulative Risk of Guillain-Barré Syndrome Among Vaccinated and Unvaccinated Populations During the 2009 H1N1 Influenza Pandemic
A11 01  1    @1 VELLOZZI (Claudia)
A11 02  1    @1 IQBAL (Shahed)
A11 03  1    @1 STEWART (Brock)
A11 04  1    @1 TOKARS (Jerome)
A11 05  1    @1 DESTEFANO (Frank)
A14 01      @1 Immunization Safety Office, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention @2 Atlanta, GA @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 5 aut.
A14 02      @1 Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention @3 USA @Z 4 aut.
A20       @1 696-701
A21       @1 2014
A23 01      @0 ENG
A43 01      @1 INIST @2 2009 @5 354000503204650180
A44       @0 0000 @1 © 2014 INIST-CNRS. All rights reserved.
A45       @0 38 ref.
A47 01  1    @0 14-0118472
A60       @1 P
A61       @0 A
A64 01  1    @0 American journal of public health : (1971)
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C01 01    ENG  @0 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.
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C07 02  X  FRE  @0 Pathologie du système nerveux périphérique @5 38
C07 02  X  ENG  @0 Peripheral nerve disease @5 38
C07 02  X  SPA  @0 Nervio periférico patología @5 38
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C07 03  X  ENG  @0 Nervous system diseases @5 39
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Format Inist (serveur)

NO : FRANCIS 14-0118472 INIST
ET : Cumulative Risk of Guillain-Barré Syndrome Among Vaccinated and Unvaccinated Populations During the 2009 H1N1 Influenza Pandemic
AU : VELLOZZI (Claudia); IQBAL (Shahed); STEWART (Brock); TOKARS (Jerome); DESTEFANO (Frank)
AF : Immunization Safety Office, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention/Atlanta, GA/Etats-Unis (1 aut., 2 aut., 3 aut., 5 aut.); Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention/Etats-Unis (4 aut.)
DT : Publication en série; Niveau analytique
SO : American journal of public health : (1971); ISSN 0090-0036; Coden AJPEAG; Etats-Unis; Da. 2014; Vol. 104; No. 4; Pp. 696-701; Bibl. 38 ref.
LA : Anglais
EA : 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.
CC : 760L; 760A
FD : Polyradiculonévrite de Guillain-Barré; Facteur risque; Risque; Population; 2009; Santé publique; Grippe pandémique; Grippe H1N1
FG : Maladie inflammatoire; Pathologie du système nerveux périphérique; Pathologie du système nerveux; Pathologie de l'appareil respiratoire; Virose; Infection
ED : Guillain-Barré syndrome; Risk factor; Risk; Population; 2009; Public health; H1N1 influenza
EG : Inflammatory disease; Peripheral nerve disease; Nervous system diseases; Respiratory disease; Viral disease; Infection
SD : Polirradiculoneuritis Guillain-Barré; Factor riesgo; Riesgo; Población; 2009; Salud pública; Gripe H1N1
LO : INIST-2009.354000503204650180
ID : 14-0118472

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Francis:14-0118472

Le document en format XML

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<div type="abstract" xml:lang="en">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.</div>
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<s5>11</s5>
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<s5>12</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>2009</s0>
<s5>12</s5>
</fC03>
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<s0>2009</s0>
<s5>12</s5>
</fC03>
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<s5>13</s5>
</fC03>
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<s0>Public health</s0>
<s5>13</s5>
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<s5>13</s5>
</fC03>
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<s0>Grippe pandémique</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
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<s0>Grippe H1N1</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
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<s0>H1N1 influenza</s0>
<s4>CD</s4>
<s5>96</s5>
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<s0>Gripe H1N1</s0>
<s4>CD</s4>
<s5>96</s5>
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</fC07>
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<s5>37</s5>
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<s5>37</s5>
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<s5>38</s5>
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<s5>38</s5>
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<s0>Nervio periférico patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Pathologie du système nerveux</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>39</s5>
</fC07>
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<s0>Sistema nervioso patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Pathologie de l'appareil respiratoire</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Respiratory disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Aparato respiratorio patología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Virose</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Viral disease</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Virosis</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Infection</s0>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Infection</s0>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Infección</s0>
</fC07>
<fN21>
<s1>153</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
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<server>
<NO>FRANCIS 14-0118472 INIST</NO>
<ET>Cumulative Risk of Guillain-Barré Syndrome Among Vaccinated and Unvaccinated Populations During the 2009 H1N1 Influenza Pandemic</ET>
<AU>VELLOZZI (Claudia); IQBAL (Shahed); STEWART (Brock); TOKARS (Jerome); DESTEFANO (Frank)</AU>
<AF>Immunization Safety Office, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention/Atlanta, GA/Etats-Unis (1 aut., 2 aut., 3 aut., 5 aut.); Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention/Etats-Unis (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>American journal of public health : (1971); ISSN 0090-0036; Coden AJPEAG; Etats-Unis; Da. 2014; Vol. 104; No. 4; Pp. 696-701; Bibl. 38 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>760L; 760A</CC>
<FD>Polyradiculonévrite de Guillain-Barré; Facteur risque; Risque; Population; 2009; Santé publique; Grippe pandémique; Grippe H1N1</FD>
<FG>Maladie inflammatoire; Pathologie du système nerveux périphérique; Pathologie du système nerveux; Pathologie de l'appareil respiratoire; Virose; Infection</FG>
<ED>Guillain-Barré syndrome; Risk factor; Risk; Population; 2009; Public health; H1N1 influenza</ED>
<EG>Inflammatory disease; Peripheral nerve disease; Nervous system diseases; Respiratory disease; Viral disease; Infection</EG>
<SD>Polirradiculoneuritis Guillain-Barré; Factor riesgo; Riesgo; Población; 2009; Salud pública; Gripe H1N1</SD>
<LO>INIST-2009.354000503204650180</LO>
<ID>14-0118472</ID>
</server>
</inist>
</record>

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