Influenza vaccine effectiveness within prospective cohorts of healthcare personnel in Israel and Peru 2016-2019

被引:7
作者
Thompson, Mark G. [1 ]
Soto, Giselle [2 ]
Peretz, Alon [3 ,4 ]
Newes-Adeyi, Gabriella [5 ]
Yoo, Young M. [6 ]
Hirsch, Avital [3 ]
Katz, Mark A. [3 ]
Tinoco, Yeny [2 ]
Avni, Yonat Shemer [7 ]
Ticona, Eduardo [8 ]
Malosh, Ryan [9 ]
Martin, Emily [9 ]
Matos, Eduardo [10 ]
Reynolds, Sue [1 ]
Wesley, Meredith [5 ]
Ferdinands, Jill [1 ]
Cheung, Angela [5 ]
Levine, Min [1 ]
Bravo, Eduar [11 ]
Arriola, Carmen Sofia [1 ]
Castillo, Maria Ester [12 ]
Castro, Juan Carlos [13 ]
Dawood, Fatimah [1 ]
Greenberg, David [7 ]
Quijandria, Joan Manuel Neyra [2 ]
Azziz-Baumgartner, Eduardo [1 ]
Monto, Arnold [9 ]
Balicer, Ran D. [3 ]
机构
[1] Ctr Dis Control & Prevent CDC, Atlanta, GA USA
[2] US Naval Med Res Unit 6, Bellavista, Peru
[3] Clalit Res Inst, Tel Aviv, Israel
[4] Rabin Med Ctr, Petah Tiqwa, Israel
[5] ABT Associates Inc, Atlanta, GA USA
[6] Battelle Mem Inst, Atlanta, GA USA
[7] Ben Gurion Univ Negev, Soroka Univ, Med Ctr, Beer Sheva, Israel
[8] Dos Mayo Hosp, Lima, Peru
[9] Univ Michigan, Detroit, MI USA
[10] Hosp Loayza, Lima, Peru
[11] Hosp Nacl Cayetano Heredia, Lima, Peru
[12] Inst Salud Nino, Lima, Peru
[13] Hosp Carrion, Lima, Peru
关键词
Healthcare; Influenza; Vaccine effectiveness; TEST-NEGATIVE DESIGN; ANTIBODY-RESPONSE; UNITED-STATES; VIRUS; ILLNESS; WORKERS; SEASON; METAANALYSIS; PROTECTION; COMMUNITY;
D O I
10.1016/j.vaccine.2021.07.077
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background: There are limited data on influenza vaccine effectiveness (IVE) in preventing laboratory confirmed influenza illness among healthcare personnel (HCP). Methods: HCP with direct patient contact working full-time in hospitals were followed during three influenza seasons in Israel (2016-2017 to 2018-2019) and Peru (2016 to 2018). Trivalent influenza vaccines were available at all sites, except during 2018-2019 when Israel used quadrivalent vaccines; vaccination was documented by electronic medical records, vaccine registries, and/or self-report (for vaccinations outside the hospital). Twice-weekly active surveillance identified acute respiratory symptoms or febrile illness (ARFI); self-collected respiratory specimens were tested by real-time reverse transcription polymerase chain reaction (PCR) assay. IVE was 100 x 1-hazard ratio (adjusted for sex, age, occupation, and hospital). Results: Among 5,489 HCP who contributed 10,041 person-seasons, influenza vaccination coverage was 47% in Israel and 32% in Peru. Of 3,056 ARFIs in Israel and 3,538 in Peru, A or B influenza virus infections were identified in 205 (7%) in Israel and 87 (2.5%) in Peru. IVE against all viruses across seasons was 1% (95% confidence interval [CI] =-30%, 25%) in Israel and 12% (95% CI =-61%, 52%) in Peru. Conclusion: Estimates of IVE were null using person-time models during six study seasons in Israel and Peru. (c) 2021 Published by Elsevier Ltd.
引用
收藏
页码:6956 / 6967
页数:12
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