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2016 - 17年季节性流感疫苗效力的中期评估——美国,2017年2月

Interim Estimates of 2016-17 Seasonal Influenza Vaccine Effectiveness - United States, February 2017.

作者信息

Flannery Brendan, Chung Jessie R, Thaker Swathi N, Monto Arnold S, Martin Emily T, Belongia Edward A, McLean Huong Q, Gaglani Manjusha, Murthy Kempapura, Zimmerman Richard K, Nowalk Mary Patricia, Jackson Michael L, Jackson Lisa A, Foust Angie, Sessions Wendy, Berman LaShondra, Spencer Sarah, Fry Alicia M

出版信息

MMWR Morb Mortal Wkly Rep. 2017 Feb 17;66(6):167-171. doi: 10.15585/mmwr.mm6606a3.

Abstract

In the United States, annual vaccination against seasonal influenza is recommended for all persons aged ≥6 months (1). Each influenza season since 2004-05, CDC has estimated the effectiveness of seasonal influenza vaccine to prevent influenza-associated, medically attended, acute respiratory illness (ARI). This report uses data, as of February 4, 2017, from 3,144 children and adults enrolled in the U.S. Influenza Vaccine Effectiveness Network (U.S. Flu VE Network) during November 28, 2016-February 4, 2017, to estimate an interim adjusted effectiveness of seasonal influenza vaccine for preventing laboratory-confirmed influenza virus infection associated with medically attended ARI. During this period, overall vaccine effectiveness (VE) (adjusted for study site, age group, sex, race/ethnicity, self-rated general health, and days from illness onset to enrollment) against influenza A and influenza B virus infection associated with medically attended ARI was 48% (95% confidence interval [CI] = 37%-57%). Most influenza infections were caused by A (H3N2) viruses. VE was estimated to be 43% (CI = 29%-54%) against illness caused by influenza A (H3N2) virus and 73% (CI = 54%-84%) against influenza B virus. These interim VE estimates indicate that influenza vaccination reduced the risk for outpatient medical visits by almost half. Because influenza activity remains elevated (2), CDC and the Advisory Committee on Immunization Practices recommend that annual influenza vaccination efforts continue as long as influenza viruses are circulating (1). Vaccination with 2016-17 influenza vaccines will reduce the number of infections with most currently circulating influenza viruses. Persons aged ≥6 months who have not yet been vaccinated this season should be vaccinated as soon as possible.

摘要

在美国,建议所有年龄≥6个月的人每年接种季节性流感疫苗(1)。自2004 - 2005年以来的每个流感季节,美国疾病控制与预防中心(CDC)都对季节性流感疫苗预防与流感相关的、需就医的急性呼吸道疾病(ARI)的有效性进行了评估。本报告使用截至2017年2月4日的数据,这些数据来自于2016年11月28日至2017年2月4日期间纳入美国流感疫苗有效性网络(美国流感疫苗效果网络)的3144名儿童和成人,以估计季节性流感疫苗预防与需就医的ARI相关的实验室确诊流感病毒感染的临时调整后有效性。在此期间,针对与需就医的ARI相关的甲型和乙型流感病毒感染,总体疫苗有效性(VE)(根据研究地点、年龄组、性别、种族/族裔、自我评定的总体健康状况以及从发病到入组的天数进行调整)为48%(95%置信区间[CI]=37% - 57%)。大多数流感感染是由A(H3N2)病毒引起的。针对由甲型(H3N2)流感病毒引起的疾病,VE估计为43%(CI = 29% - 54%),针对乙型流感病毒为73%(CI = 54% - 84%)。这些临时VE估计表明,流感疫苗接种将门诊就医风险降低了近一半。由于流感活动仍处于较高水平(2),CDC和免疫实践咨询委员会建议,只要流感病毒仍在传播,年度流感疫苗接种工作就应继续进行(1)。接种2016 - 2017年流感疫苗将减少目前大多数正在传播的流感病毒的感染数量。本季节尚未接种疫苗的年龄≥6个月的人应尽快接种。

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