Relative Effectiveness of the Cell-derived Inactivated Quadrivalent Influenza Vaccine Versus Egg-derived Inactivated Quadrivalent Influenza Vaccines in Preventing Influenza-related Medical Encounters During the 2018–2019 Influenza Season in the United States
| Autor: | James A. Mansi, Constantina Boikos, Lauren Fischer, Joseph Vasey, Gregg C Sylvester, Daniel P O'Brien |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Microbiology (medical) Quadrivalent Inactivated Influenza Vaccine medicine.medical_specialty Adolescent egg-derived influenza vaccine quadrivalent inactivated influenza vaccine 03 medical and health sciences 0302 clinical medicine Internal medicine Influenza Human medicine Humans 030212 general & internal medicine Vaccines Combined Online Only Articles Child Retrospective Studies business.industry Public health Medical record cell-derived influenza vaccine relative vaccine effectiveness Retrospective cohort study Odds ratio Confidence interval United States Vaccination Major Articles and Commentaries 030104 developmental biology Infectious Diseases AcademicSubjects/MED00290 Vaccines Inactivated Influenza Vaccines Child Preschool Cohort Seasons business influenza |
| Zdroj: | Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America |
| ISSN: | 1537-6591 1058-4838 |
| Popis: | Background The cell-propagated inactivated quadrivalent influenza vaccine (ccIIV4) may offer improved protection in seasons where egg-derived influenza viruses undergo mutations that affect antigenicity. This study estimated the relative vaccine effectiveness (rVE) of ccIIV4 versus egg-derived inactivated quadrivalent influenza vaccine (eIIV4) in preventing influenza-related medical encounters in the 2018–2019 US season. Methods A dataset linking primary care electronic medical records with medical claims data was used to conduct a retrospective cohort study among individuals ≥ 4 years old vaccinated with ccIIV4 or eIIV4 during the 2018–2019 season. Adjusted odds ratios (ORs) were derived from a doubly robust inverse probability of treatment-weighted approach adjusting for age, sex, race, ethnicity, geographic region, vaccination week, and health status. rVE was estimated by (1 – OR) × 100 and presented with 95% confidence intervals (CI). Results Following the application of inclusion/exclusion criteria, the study cohort included 2 125 430 ccIIV4 and 8 000 903 eIIV4 recipients. Adjusted analyses demonstrated a greater reduction in influenza-related medical encounters with ccIIV4 versus eIIV4, with the following rVE: overall, 7.6% (95% CI, 6.5–8.6); age 4–17 years, 3.9% (95% CI, .9–7.0); 18–64 years, 6.5% (95% CI, 5.2–7.9); 18–49 years, 7.5% (95% CI, 5.7–9.3); 50–64 years, 5.6% (95% CI, 3.6–7.6); and ≥65 years, –2.2% (95% CI, –5.4 to .9). Conclusions Adjusted analyses demonstrated statistically significantly greater reduction in influenza-related medical encounters in individuals vaccinated with ccIIV4 versus eIIV4 in the 2018–2019 US influenza season. These results support ccIIV4 as a potentially more effective public health measure against influenza than an egg-based equivalent. During the 2018–2019 influenza season in the U.S., the cell-derived quadrivalent influenza vaccine demonstrated statistically significantly greater effectiveness in reducing influenza-related medical encounters in individuals ≥4 years of age compared to egg-derived quadrivalent vaccines. |
| Databáze: | OpenAIRE |
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