Effectiveness of trivalent seasonal influenza vaccine in preventing laboratory-confirmed influenza in primary care in the United Kingdom: 2012/13 end of season results
Autor: | H. Durnall, B. Smyth, Douglas M. Fleming, Joanna Ellis, Nick Andrews, Maria Zambon, Angie Lackenby, Chris Robertson, Simon Cottrell, Catherine Moore, Rory Gunson, B. Von Wissmann, Jim McMenamin, Richard Pebody |
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Přispěvatelé: | Coppens, Kim, Health Protection Scotland, International Prevention Research Institute (IPRI), University of Strathclyde [Glasgow] |
Rok vydání: | 2014 |
Předmět: |
Male
Time Factors Epidemiology Prevalence medicine.disease_cause 0302 clinical medicine Influenza A Virus H1N1 Subtype Influenza A virus Medicine 030212 general & internal medicine Child 0303 health sciences Adolescent Adult Aged Case-Control Studies Child Female Great Britain/epidemiology Hemagglutination Inhibition Tests Humans Influenza A Virus Reverse Transcriptase Polymerase Chain Reaction Vaccination virus diseases Middle Aged 3. Good health Treatment Outcome Influenza Vaccines Female Sample collection Seasons Adult Adolescent Influenza vaccine Human/*epidemiology/immunology/*prevention & control/virology Male Middle Aged Primary Health Care Reverse Transcriptase Polymerase Chain Reaction Seasons *Sentinel Surveillance Sequence Analysis Antigenic drift Virus DNA Time Factors Treatment Outcome Vaccination/statistics & numerical data 03 medical and health sciences Virology Influenza Human Humans Aged H1N1 Subtype/classification/genetics/immunology/*isolation & purification Influenza A Virus Primary Health Care 030306 microbiology business.industry Influenza A Virus H3N2 Subtype Public Health Environmental and Occupational Health H3N2 Subtype/classification/genetics/immunology/*isolation & purification Influenza B virus/genetics/*immunology/isolation & purification Influenza Vaccines/*administration & dosage/immunology/therapeutic use Influenza Sequence Analysis DNA Hemagglutination Inhibition Tests United Kingdom Influenza B virus Immunization [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie Case-Control Studies [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie business Sentinel Surveillance |
Zdroj: | Europe PubMed Central Scopus-Elsevier Euro Surveill Euro Surveill, 2014, 19 (27), pp.5-13 |
ISSN: | 1560-7917 |
Popis: | Andrews, N McMenamin, J Durnall, H Ellis, J Lackenby, A Robertson, C von Wissmann, B Cottrell, S Smyth, B Moore, C Gunson, R Zambon, M Fleming, D Pebody, R eng Research Support, Non-U.S. Gov't Sweden 2014/07/18 06:00 Euro Surveill. 2014 Jul 10;19(27):5-13.; International audience; The effectiveness of the 2012/13 trivalent seasonal influenza vaccine (TIV) was assessed using a test-negative case-control study of patients consulting primary care with influenza-like illness in the United Kingdom. Strain characterisation was undertaken on selected isolates. Vaccine effectiveness (VE) against confirmed influenza A(H3N2), A(H1N1) and B virus infection, adjusted for age, sex, surveillance scheme (i.e. setting) and month of sample collection was 26% (95% confidence interval (CI): -4 to 48), 73% (95% CI: 37 to 89) and 51% (95% CI: 34 to 63) respectively. There was an indication, although not significant, that VE declined by time since vaccination for influenza A(H3N2) (VE 50% within three months, 2% after three months, p=0.25). For influenza A(H3N2) this is the second season of low VE, contributing to the World Health Organization (WHO) recommendation that the 2013/14 influenza vaccine strain composition be changed to an A(H3N2) virus antigenically like cell-propagated prototype 2012/13 vaccine strain (A/Victoria/361/2011). The lower VE seen for type B is consistent with antigenic drift away from the 2012/13 vaccine strain. The majority of influenza B viruses analysed belong to the genetic clade 2 and were antigenically distinguishable from the 2012/13 vaccine virus B/Wisconsin/1/2010 clade 3. These findings supported the change to the WHO recommended influenza B vaccine component for 2013/14. |
Databáze: | OpenAIRE |
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