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The healthcare and societal burden associated with influenza in vaccinated and unvaccinated European and Israeli children

tetano

Editor, Senior Moderator
Eur J Clin Microbiol Infect Dis. 2013 Oct 4. [Epub ahead of print]
The healthcare and societal burden associated with influenza in vaccinated and unvaccinated European and Israeli children.
Ambrose CS, Antonova EN.
Source

MedImmune, One MedImmune Way, Gaithersburg, MD, 20878, USA, AmbroseC@MedImmune.com.
Abstract

Few data exist regarding the healthcare and societal burden of culture-confirmed influenza illness in European and Israeli children. The current analysis describes this burden in vaccinated and unvaccinated children 2-17 years of age. Healthcare and societal burden outcomes were prospectively collected for culture-confirmed influenza illness in three previous randomized studies: a study of live attenuated influenza vaccine (LAIV) versus placebo in children aged <48 months attending day care (N = 846-973), and studies of LAIV versus inactivated influenza vaccine (IIV) in children aged <72 months with recurrent respiratory infections (N = 1,609) and in children aged 6-17 years with asthma (N = 2,211). The incidence of each endpoint among enrolled subjects and subjects with influenza was determined by treatment group and by country. Among subjects with influenza, 57-91 % missed school or day care, 45-90 % used non-antibiotic medications, 29-55 % of parents missed work, 17-55 % used antibiotics, 11-62 % had additional provider visits, and 9-20 % had acute otitis media. Where evaluated, rates of outcomes were generally similar between countries. Among all children enrolled, LAIV recipients missed 324-902 and 150 fewer days of day care per 1,000 children than those of placebo and IIV recipients, respectively; parents of LAIV recipients missed 197-340 and 76 fewer days of work per 1,000 children than those of placebo and IIV recipients, respectively. Influenza illness in European and Israeli children 2-17 years of age resulted in a considerable absenteeism and healthcare utilization that was similar across the countries studied. These data underscore the potential benefits of annual vaccination of children against influenza.

PMID:
24091746
[PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/24091746
 
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