tetano
Editor, Senior Moderator
Pediatrics. 2015 Sep 14. pii: peds.2015-0635. [Epub ahead of print]
[h=1]Febrile Seizures After 2010-2011 Trivalent Inactivated Influenza Vaccine.[/h] Kawai AT[SUP]1[/SUP], Martin D[SUP]2[/SUP], Kulldorff M[SUP]3[/SUP], Li L[SUP]3[/SUP], Cole DV[SUP]3[/SUP], McMahill-Walraven CN[SUP]4[/SUP], Selvam N[SUP]5[/SUP], Selvan MS[SUP]6[/SUP], Lee GM[SUP]7[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]OBJECTIVES:[/h] In the Post-Licensure Rapid Immunization Safety Monitoring Program, we examined risk of febrile seizures (FS) after trivalent inactivated influenza vaccine (TIV) and 13-valent pneumococcal conjugate vaccine (PCV13) during the 2010-2011 influenza season, adjusted for concomitant diphtheria tetanus acellular pertussis-containing vaccines (DTaP). Assuming children would receive both vaccines, we examined whether same-day TIV and PCV13 vaccination was associated with greater FS risk when compared with separate-day vaccination.
[h=4]METHODS:[/h] We used a self-controlled risk interval design, comparing the FS rate in a risk interval (0-1 days) versus control interval (14-20 days). Vaccinations were identified in claims and immunization registry data. FS were confirmed with medical records.
[h=4]RESULTS:[/h] No statistically significant TIV-FS associations were found in unadjusted or adjusted models (incidence rate ratio [IRR] adjusted for age, seasonality, and concomitant PCV13 and DTaP: 1.36, 95% confidence interval [CI] 0.78 to 2.39). Adjusted for age and seasonality, PCV13 was significantly associated with FS (IRR 1.74, 95% CI 1.06 to 2.86), but not when further adjusting for concomitant TIV and DTaP (IRR 1.61, 95% CI 0.91 to 2.82). Same-day TIV and PCV13 vaccination was not associated with excess risk of FS when compared with separate-day vaccination (1.08 fewer FS per 100 000 with same day administration, 95% CI -5.68 to 6.09).
[h=4]CONCLUSIONS:[/h] No statistically significant increased risk of FS was found for 2010-2011 TIV or PCV13, when adjusting for concomitant vaccines. Same-day TIV and PCV13 vaccination was not associated with more FS compared with separate-day vaccination.
Copyright ? 2015 by the American Academy of Pediatrics.
PMID: 26371192 [PubMed - as supplied by publisher]
[h=1]Febrile Seizures After 2010-2011 Trivalent Inactivated Influenza Vaccine.[/h] Kawai AT[SUP]1[/SUP], Martin D[SUP]2[/SUP], Kulldorff M[SUP]3[/SUP], Li L[SUP]3[/SUP], Cole DV[SUP]3[/SUP], McMahill-Walraven CN[SUP]4[/SUP], Selvam N[SUP]5[/SUP], Selvan MS[SUP]6[/SUP], Lee GM[SUP]7[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]OBJECTIVES:[/h] In the Post-Licensure Rapid Immunization Safety Monitoring Program, we examined risk of febrile seizures (FS) after trivalent inactivated influenza vaccine (TIV) and 13-valent pneumococcal conjugate vaccine (PCV13) during the 2010-2011 influenza season, adjusted for concomitant diphtheria tetanus acellular pertussis-containing vaccines (DTaP). Assuming children would receive both vaccines, we examined whether same-day TIV and PCV13 vaccination was associated with greater FS risk when compared with separate-day vaccination.
[h=4]METHODS:[/h] We used a self-controlled risk interval design, comparing the FS rate in a risk interval (0-1 days) versus control interval (14-20 days). Vaccinations were identified in claims and immunization registry data. FS were confirmed with medical records.
[h=4]RESULTS:[/h] No statistically significant TIV-FS associations were found in unadjusted or adjusted models (incidence rate ratio [IRR] adjusted for age, seasonality, and concomitant PCV13 and DTaP: 1.36, 95% confidence interval [CI] 0.78 to 2.39). Adjusted for age and seasonality, PCV13 was significantly associated with FS (IRR 1.74, 95% CI 1.06 to 2.86), but not when further adjusting for concomitant TIV and DTaP (IRR 1.61, 95% CI 0.91 to 2.82). Same-day TIV and PCV13 vaccination was not associated with excess risk of FS when compared with separate-day vaccination (1.08 fewer FS per 100 000 with same day administration, 95% CI -5.68 to 6.09).
[h=4]CONCLUSIONS:[/h] No statistically significant increased risk of FS was found for 2010-2011 TIV or PCV13, when adjusting for concomitant vaccines. Same-day TIV and PCV13 vaccination was not associated with more FS compared with separate-day vaccination.
Copyright ? 2015 by the American Academy of Pediatrics.
PMID: 26371192 [PubMed - as supplied by publisher]