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Seasonal influenza vaccine effectiveness against influenza in 2012–2013: A hospital-based case-control study in Lithuania

Author:
Gefenaite, Giedre, Rahamat-Langendoen, Janette, Ambrozaitis, Arvydas, Mickiene, Aukse, Jancoriene, Ligita, Kuliese, Monika, Velyvyte, Daiva, Niesters, Hubert, Stolk, Ronald P., Zagminas, Kestutis, Hak, Eelko
Source:
Vaccine 2014 v.32 no.7 pp. 857-863
ISSN:
0264-410X
Subject:
at-risk population, case-control studies, confidence interval, hospitals, influenza, patients, regression analysis, reverse transcriptase polymerase chain reaction, vaccination, vaccines, Lithuania
Abstract:
Due to scarce information on seasonal influenza vaccine effectiveness (SIVE) against severe clinical influenza outcomes in risk populations, we conducted a case-control study to assess its effects against laboratory-confirmed influenza in hospitalized patients during the 2012–2013 influenza season.We conducted a test-negative case-control study among ≥18 years old patients with influenza-like illness (ILI) hospitalized in two Lithuanian hospitals. Cases were influenza A(H1N1), A(H3) or influenza B positive by RT-PCR, and controls were influenza negative. Additional demographic and clinical data to assess the role of confounding were collected. SIVE and its confidence intervals (95% CI) were estimated by using multivariate logistic regression as (1−OR)×100%.The sample consisted of 185 subjects. Seasonal influenza vaccine uptake was 5%. Among 111 (60%) influenza positive cases, 24.3% were A(H1N1), 10.8% were A(H3) and 24.3% were influenza B cases. Unadjusted SIVE was 79% (95% CI −6% to 96%) and after the adjustment it increased to 86% (95% CI 19% to 97%).Seasonal influenza vaccination in 2012–2013 was associated with reduced occurrence of laboratory-confirmed influenza, but due to low sample size the estimate of SIVE is imprecise. Given high prevalence of influenza in hospitalized ILI cases and low influenza vaccination coverage, there is a need to increase influenza vaccination rates.
Agid:
5346406