Does childhood immunization against infectious diseases protect from the development of atopic disease?

Autor: Isabella Annesi-Maesano, Marie-Pierre Oryszczyn, Gilles Martignon
Přispěvatelé: Recherche en épidémiologie et biostatistique, Université Paris-Sud - Paris 11 (UP11)-Institut National de la Santé et de la Recherche Médicale (INSERM), Epidémiologie des maladies infectieuses et modélisation (ESIM), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM), G Martignon, MP Oryszczyn, Annesi-Maesano je
Rok vydání: 2005
Předmět:
Hypersensitivity
Immediate

Male
Pediatrics
Allergy
MESH: Asthma
Vaccination schedule
Eczema
MESH: Immunization Programs
Atopy
0302 clinical medicine
MESH: Child
Prevalence
MESH: Diphtheria-Tetanus-Pertussis Vaccine
Immunology and Allergy
Child
Pertussis Vaccine
education.field_of_study
Bacterial Infections
3. Good health
Vaccination
MESH: BCG Vaccine
Bacterial Vaccines
BCG Vaccine
MESH: Immunization
Female
MESH: Hypersensitivity
Immediate

medicine.medical_specialty
Rhinitis
Allergic
Perennial

Adolescent
MESH: Bacterial Infections
Atopic Rhinitis
Immunology
Population
03 medical and health sciences
030225 pediatrics
medicine
Humans
education
Diphtheria-Tetanus-Pertussis Vaccine
MESH: Prevalence
Asthma
MESH: Adolescent
MESH: Humans
MESH: Rhinitis
Allergic
Perennial

Immunization Programs
business.industry
medicine.disease
MESH: Male
MESH: Pertussis Vaccine
MESH: Eczema
030228 respiratory system
Immunization
Pediatrics
Perinatology and Child Health

[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
MESH: Female
MESH: Bacterial Vaccines
Zdroj: Pediatric Allergy and Immunology
Pediatric Allergy and Immunology, Wiley, 2005, 16 (3), pp.193-200. ⟨10.1111/j.1399-3038.2005.00254.x⟩
Pediatric Allergy and Immunology, 2005, 16 (3), pp.193-200. ⟨10.1111/j.1399-3038.2005.00254.x⟩
ISSN: 1399-3038
0905-6157
DOI: 10.1111/j.1399-3038.2005.00254.x
Popis: International audience; The argument of whether early immunization against infections promotes allergy or protects from it is presently under debate. The relationship between childhood immunization and the development of atopic diseases (asthma, allergic rhinitis and eczema) was examined in a population-based sample of 718 adolescents by taking individual data drawn from personal paediatric records on the schedule and the type of vaccination into account. Atopic diseases were determined using a standardized questionnaire. After adjustment for sex, age, father's socioeconomic status and active smoking, adolescents having been vaccinated (n = 694) had a significant lower risk to suffer from asthma or atopic diseases than non-vaccinated adolescents did (n = 24) [odds ratio (OR) = 0.30; 95% CI: 0.10, 0.92]. The relationship did not depend on the disease against which the vaccine was used as prophylaxis, the observance of the vaccination schedule or the number of inoculations. A higher protection was observed in the case of live attenuated vaccines (oral poliomyelitis and bacilli Camille-Guerin; OR = 0.26; 95% CI: 0.08, 0.83). These results, in agreement with previous ecological data, support the hypothesis that early vaccines could promote Th1 proliferation in response to the infectious agent contained in it, which inhibits the enhancement of atopic manifestations. Further studies are needed to confirm the phenomenon.
Databáze: OpenAIRE