Influenza Vaccine Effectiveness in the Community and the Household

Las vacunas contra la gripe tienen un efecto muy moderado en la reducción de los síntomas de gripe y los días laborales perdidos en la población general, incluidas las mujeres embarazadas.y no tuvo ningún efecto en los ingresos al hospital ni en las tasas de complicaciones.

Proteccion de contagios en el hogar

Influenza Vaccine Effectiveness in the Community and the Household

La vacuna de la gripe no disminuye el contagio en las familias, de forma que vacunar a los abuelos para proteger a los nietos es propaganda sin ciencia, ni ética, ni conciencia

Abstract

Background. There is a recognized need to determine influenza vaccine effectiveness on an annual basis and a long history of studying respiratory illnesses in households.

Methods. We recruited 328 households with 1441 members, including 839 children, and followed them during the 2010–2011 influenza season. Specimens were collected from subjects with reported acute respiratory illnesses and tested by real-time reverse transcriptase polymerase chain reaction. Receipt of influenza vaccine was defined based on documented evidence of vaccination in medical records or an immunization registry. The effectiveness of 2010–2011 influenza vaccination in preventing laboratory-confirmed influenza was estimated using Cox proportional hazards models adjusted for age and presence of high-risk condition, and stratified by prior season (2009–2010) vaccination status.

Results. Influenza was identified in 78 (24%) households and 125 (9%) individuals; the infection risk was 8.5% in the vaccinated and 8.9% in the unvaccinated (P = .83). Adjusted vaccine effectiveness in preventing community-acquired influenza was 31% (95% confidence interval [CI], −7% to 55%). In vaccinated subjects with no evidence of prior season vaccination, significant protection (62% [95% CI, 17%–82%]) against community-acquired influenza was demonstrated. Substantially lower effectiveness was noted among subjects who were vaccinated in both the current and prior season. There was no evidence that vaccination prevented household transmission once influenza was introduced; adults were at particular risk despite vaccination.

Conclusions. Vaccine effectiveness estimates were lower than those demonstrated in other observational studies carried out during the same season. The unexpected findings of lower effectiveness with repeated vaccination and no protection given household exposure require further study.

FUENTE: http://cid.oxfordjournals.org/content/early/2013/03/03/cid.cit060.abstract

 

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