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Influenza vaccine showed a good preventive effect against influenza-associated hospitalization among elderly patients, during the 2016/17 season in Ja

tetano

Editor, Senior Moderator
J Infect Chemother. 2018 Aug 9. pii: S1341-321X(18)30230-7. doi: 10.1016/j.jiac.2018.07.013. [Epub ahead of print]
[h=1]Influenza vaccine showed a good preventive effect against influenza-associated hospitalization among elderly patients, during the 2016/17 season in Japan.[/h] Seki Y[SUP]1[/SUP], Onose A[SUP]2[/SUP], Murayama T[SUP]3[/SUP], Koide C[SUP]4[/SUP], Sugaya N[SUP]5[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] The 2016/17 influenza season in Japan was characterized by a predominance of influenza A (H3N2) activity; with H3N2 accounting for 85% of all detected influenza virus infections. We assessed the vaccine effectiveness (VE) of an inactivated quadrivalent influenza vaccine (IIV4) in adult patients, using a test-negative case-control design study based on the results of a rapid influenza diagnostic test (RIDT). Between November 2016 and March 2017, a total of 1048 adult patients were enrolled: including 363 RIDT positive for influenza A, 9 RIDT-positive for influenza B, and 676 RIDT-negative. During the 2016/17 season, the overall adjusted VE was 28.8% (95% confidence interval [CI]: 6.3-46%). The adjusted VE against influenza A was 27.4% (95%CI: 4.4-45%). The VE against influenza B could not be estimated because of the very low number of influenza B patients. Twenty-nine patients were hospitalized due to influenza-associated illness-during the present study, all of whom were infected with influenza A virus. The adjusted VE, determined using a case-control study, for preventing hospitalization for influenza A infection was 72.6% (95%CI: 30.7-89.1%). In addition, the VE for preventing hospitalization of influenza patients with comorbidities was 78.2% (95%CI: 41.1-92%). Our study showed that, during the 2016/17season, IIV4 was effective for preventing both the onset of influenza and influenza-associated hospitalization.


[h=4]KEYWORDS:[/h] Influenza; Influenza vaccine; Influenza vaccine effectiveness

PMID: 30100400 DOI: 10.1016/j.jiac.2018.07.013
 
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