tetano
Editor, Senior Moderator
Clin Infect Dis
. 2021 Mar 27;ciab270.
doi: 10.1093/cid/ciab270. Online ahead of print.
Effectiveness of influenza vaccination in preventing hospitalisation due to influenza in children: a systematic review and meta-analysis
Nicki L Boddington[SUP] 1 [/SUP], Isabelle Pearson[SUP] 1 [/SUP], Heather Whitaker[SUP] 2 [/SUP], Punam Mangtani[SUP] 3 [/SUP], Richard G Pebody[SUP] 1 [/SUP]
Affiliations
Abstract
This systematic review assesses the literature for estimates of influenza vaccine effectiveness (IVE) against laboratory-confirmed influenza-associated hospitalisation in children. Studies of any design to 08 June 2020 were included if the outcome was hospitalisation, participants were 17 years old or less and influenza infection was laboratory-confirmed. A random-effects meta-analysis of 37 studies that used a test-negative design gave a pooled seasonal IVE against hospitalisation of 53.3% (47.2-58.8) for any influenza. IVE was higher against influenza A/H1N1pdm09 (68.7%, 56.9-77.2) and lowest against influenza A/H3N2 (35.8%, 23.4-46.3). Estimates by vaccine type ranged from 44.3% (30.1-55.7) for LAIV to 68.9% (53.6-79.2) for inactivated vaccines. IVE estimates were higher in seasons when the circulating influenza strains were antigenically matched to vaccine strains (59.3%, 48.3-68.0). Influenza vaccination gives moderate overall protection against influenza-associated hospitalisation in children supporting annual vaccination. IVE varies by influenza subtype and vaccine type.
Keywords: Vaccine effectiveness; children; hospitalisation; influenza; systematic review.
. 2021 Mar 27;ciab270.
doi: 10.1093/cid/ciab270. Online ahead of print.
Effectiveness of influenza vaccination in preventing hospitalisation due to influenza in children: a systematic review and meta-analysis
Nicki L Boddington[SUP] 1 [/SUP], Isabelle Pearson[SUP] 1 [/SUP], Heather Whitaker[SUP] 2 [/SUP], Punam Mangtani[SUP] 3 [/SUP], Richard G Pebody[SUP] 1 [/SUP]
Affiliations
- PMID: 33772586
- DOI: 10.1093/cid/ciab270
Abstract
This systematic review assesses the literature for estimates of influenza vaccine effectiveness (IVE) against laboratory-confirmed influenza-associated hospitalisation in children. Studies of any design to 08 June 2020 were included if the outcome was hospitalisation, participants were 17 years old or less and influenza infection was laboratory-confirmed. A random-effects meta-analysis of 37 studies that used a test-negative design gave a pooled seasonal IVE against hospitalisation of 53.3% (47.2-58.8) for any influenza. IVE was higher against influenza A/H1N1pdm09 (68.7%, 56.9-77.2) and lowest against influenza A/H3N2 (35.8%, 23.4-46.3). Estimates by vaccine type ranged from 44.3% (30.1-55.7) for LAIV to 68.9% (53.6-79.2) for inactivated vaccines. IVE estimates were higher in seasons when the circulating influenza strains were antigenically matched to vaccine strains (59.3%, 48.3-68.0). Influenza vaccination gives moderate overall protection against influenza-associated hospitalisation in children supporting annual vaccination. IVE varies by influenza subtype and vaccine type.
Keywords: Vaccine effectiveness; children; hospitalisation; influenza; systematic review.