Incremental benefit of high dose compared to standard dose influenza vaccine in reducing hospitalizations.

IF 6.9 1区 医学 Q1 IMMUNOLOGY NPJ Vaccines Pub Date : 2025-01-09 DOI:10.1038/s41541-025-01065-5
Shlomit Yaron, Matan Yechezkel, Dan Yamin, Talish Razi, Ilya Borochov, Erez Shmueli, Ronen Arbel, Doron Netzer
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Abstract

Evidence regarding the high-dose (HD) vaccine's relative vaccine effectiveness (rVE) and absolute benefit in reducing influenza-related hospitalizations compared to the standard-dose (SD) vaccine is warranted. We estimated the adjusted rVE and the number needed to vaccinate (NNV) of the HD vaccine compared to the SD vaccine among Clalit Health Services members aged ≥65 years. Among 418,603 and 393,125 members vaccinated in the 2022-2023 and 2023-2024 influenza seasons, the adjusted rVE was 27% (95% CI: -12% to 61%) for 2022-2023 and 7% (95% CI: -36% to 42%) for 2023-2024, with NNV to prevent one hospitalization event being 2262 (95% CI: 1004 to ∞) and 7662 (95% CI: 1293 to ∞), respectively. Even among the highest-risk subgroup, the NNV was 1289 (95% CI: 571 to ∞) for 2022-2023 and 4719 (95% CI: 797 to ∞) for 2023-2024. The HD vaccine exhibited a limited incremental benefit, even for individuals at the highest risk.

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与标准剂量流感疫苗相比,高剂量流感疫苗在减少住院率方面的增量效益。
与标准剂量(SD)疫苗相比,高剂量(HD)疫苗的相对疫苗有效性(rVE)和在减少流感相关住院方面的绝对益处是有根据的。我们在年龄≥65岁的Clalit Health Services成员中估计了HD疫苗与SD疫苗的调整后rVE和接种所需数量(NNV)。在2022-2023和2023-2024流感季节接种疫苗的418,603和393,125名成员中,2022-2023的调整rVE为27% (95% CI: -12%至61%),2023-2024的调整rVE为7% (95% CI: -36%至42%),NNV预防一次住院事件分别为2262 (95% CI: 1004至∞)和7662 (95% CI: 1293至∞)。即使在风险最高的亚组中,2022-2023年的NNV为1289 (95% CI: 571至∞),2023-2024年的NNV为4719 (95% CI: 797至∞)。HD疫苗显示出有限的增量效益,即使对高危人群也是如此。
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来源期刊
NPJ Vaccines
NPJ Vaccines Immunology and Microbiology-Immunology
CiteScore
11.90
自引率
4.30%
发文量
146
审稿时长
11 weeks
期刊介绍: Online-only and open access, npj Vaccines is dedicated to highlighting the most important scientific advances in vaccine research and development.
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