Efficacy of influenza vaccine in the elderly: reduction in risks of mortality and morbidity during an influenza A (H3N2) epidemic for the elderly in nursing homes.

Y Deguchi, Y Takasugi
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引用次数: 17

Abstract

The effect of influenza vaccination on the occurrence and severity of influenza virus infection in elderly nursing home residents was studied during an influenza A (H3N2) epidemic in Japan. Of 22,462 individuals living in 301 welfare nursing homes, 10,739 received inactivated (subunit) influenza vaccine. Through the period November 1998 to March 1999, there were 950 cases of influenza infection diagnosed clinically, with virus isolation and/or serology. There were statistically significantly fewer cases of influenza, hospital admissions due to severe infection, and deaths due to influenza in the vaccinated cohort compared with the unvaccinated controls. No serious adverse reactions to vaccination were recorded. Thus influenza vaccination is safe and effective in this population, and should be an integral part of the routine care of persons aged 65 years and over residing in nursing homes.

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流感疫苗对老年人的功效:在甲型流感(H3N2)流行期间,降低养老院老年人死亡和发病的风险。
在日本甲型流感(H3N2)流行期间,研究了流感疫苗接种对养老院老年人流感病毒感染发生和严重程度的影响。在301所福利护理院的22,462名人士中,10,739人接受了灭活(亚单位)流感疫苗。在1998年11月至1999年3月期间,经病毒分离和/或血清学诊断的流感感染个案共有950宗。与未接种疫苗的对照组相比,接种疫苗的队列中流感病例、因严重感染而住院的病例和因流感而死亡的病例在统计上显著减少。未见严重不良反应。因此,流感疫苗接种在这一人群中是安全有效的,应成为居住在养老院的65岁及以上老年人日常护理的组成部分。
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