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2015/16 seasonal vaccine effectiveness against hospitalisation with influenza A(H1N1)pdm09 and B among elderly people in Europe: results from the I-MOVE+ project
- Marc Rondy1 , Amparo Larrauri2,3 , Itziar Casado3,4 , Valeria Alfonsi5 , Daniela Pitigoi6 , Odile Launay7,8 , Ritva K Syrjänen9 , Giedre Gefenaite10 , Ausenda Machado11 , Vesna Višekruna Vučina12 , Judith Krisztina Horváth13 , Iwona Paradowska-Stankiewicz14 , Sierk D Marbus15 , Alin Gherasim2,3 , Jorge Alberto Díaz-González4 , Caterina Rizzo5 , Alina E Ivanciuc16 , Florence Galtier7,17 , Niina Ikonen18 , Aukse Mickiene10 , Veronica Gomez11 , Sanja Kurečić Filipović12 , Annamária Ferenczi13 , Monika R Korcinska14 , Rianne van Gageldonk-Lafeber15 , I-MOVE+ hospital working group19 , Marta Valenciano1
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View Affiliations Hide AffiliationsAffiliations: 1 EpiConcept, Paris, France 2 National Centre of Epidemiology, Institute of Health Carlos III, Madrid, Spain 3 CIBER Epidemiología y Salud Pública, Institute of Health Carlos III, Madrid, Spain 4 Instituto de Salud Pública de Navarra, IdiSNA, Pamplona, Spain 5 Istituto Superiore di Sanità, Rome, Italy 6 UMF Carol Davila, INC Cantacuzino, Bucharest, Romania 7 Inserm, F-CRIN, Innovative clinical research network in vaccinology (I-REIVAC), Paris, France 8 Université Paris Descartes, Sorbonne Paris Cité, APHP, CIC Cochin-Pasteur, Paris, France 9 Impact Assessment Unit, National Institute for Health and Welfare, Tampere, Finland 10 Department of Infectious diseases, Lithuanian University of Health Sciences, Kaunas, Lithuania 11 Epidemiology Research Unit, Epidemiology Department, National Health Institute Dr Ricardo Jorge, Lisbon, Portugal 12 Epidemiology Service, Croatian Institute of Public Health, Zagreb, Croatia 13 Office of the Chief Medical Officer, Budapest, Hungary 14 National institute of Public Health - National Institute of Hygiene, Department of Epidemiology, Warsaw, Poland 15 Centre for Epidemiology and surveillance of infectious diseases, Centre for infectious disease control, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands 16 INC Cantacuzino, Bucharest, Romania 17 CIC de Montpellier, Hôpital Saint-Eloi, CHU de Montpellier, Montpellier, France 18 Viral Infections Unit, National Institute for Health and Welfare, Helsinki, Finland 19 The I-MOVE+ hospital working group is listed at the end of the articleMarc Rondym.rondy epiconcept.fr
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Citation style for this article: Rondy Marc, Larrauri Amparo, Casado Itziar, Alfonsi Valeria, Pitigoi Daniela, Launay Odile, Syrjänen Ritva K, Gefenaite Giedre, Machado Ausenda, Vučina Vesna Višekruna, Horváth Judith Krisztina, Paradowska-Stankiewicz Iwona, Marbus Sierk D, Gherasim Alin, Díaz-González Jorge Alberto, Rizzo Caterina, Ivanciuc Alina E, Galtier Florence, Ikonen Niina, Mickiene Aukse, Gomez Veronica, Kurečić Filipović Sanja , Ferenczi Annamária, Korcinska Monika R, van Gageldonk-Lafeber Rianne, I-MOVE+ hospital working group, Valenciano Marta. 2015/16 seasonal vaccine effectiveness against hospitalisation with influenza A(H1N1)pdm09 and B among elderly people in Europe: results from the I-MOVE+ project. Euro Surveill. 2017;22(30):pii=30580. https://doi.org/10.2807/1560-7917.ES.2017.22.30.30580 Received: 13 Oct 2016; Accepted: 08 Feb 2017
Abstract
We conducted a multicentre test-negative case–control study in 27 hospitals of 11 European countries to measure 2015/16 influenza vaccine effectiveness (IVE) against hospitalised influenza A(H1N1)pdm09 and B among people aged ≥ 65 years. Patients swabbed within 7 days after onset of symptoms compatible with severe acute respiratory infection were included. Information on demographics, vaccination and underlying conditions was collected. Using logistic regression, we measured IVE adjusted for potential confounders. We included 355 influenza A(H1N1)pdm09 cases, 110 influenza B cases, and 1,274 controls. Adjusted IVE against influenza A(H1N1)pdm09 was 42% (95% confidence interval (CI): 22 to 57). It was 59% (95% CI: 23 to 78), 48% (95% CI: 5 to 71), 43% (95% CI: 8 to 65) and 39% (95% CI: 7 to 60) in patients with diabetes mellitus, cancer, lung and heart disease, respectively. Adjusted IVE against influenza B was 52% (95% CI: 24 to 70). It was 62% (95% CI: 5 to 85), 60% (95% CI: 18 to 80) and 36% (95% CI: -23 to 67) in patients with diabetes mellitus, lung and heart disease, respectively. 2015/16 IVE estimates against hospitalised influenza in elderly people was moderate against influenza A(H1N1)pdm09 and B, including among those with diabetes mellitus, cancer, lung or heart diseases.
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