Albalawi Ahmad Raja S, Alhassun Joud Abdulhamid S, Almarshud Raghad K, Almejali Hamad A, Alharbi Salwa M, Shaybah Amal M, Alshehab Zahra Mohammed A, Alzahrani Saleh M, Abomelha Lama S, Almalki Alwaleed A, Alkhurayyif Abdulrahman O, Alalawi Mariyam S, Alnass Anwar J, Alzibali Khalid F, Alabdulrahim Jehad M
Family Medicine, King Fahad Specialist Hospital, Tabuk, SAU.
Family Medicine, Unaizah College of Medicine and Medical Sciences, Qassim University, Al Qassim, SAU.
Cureus. 2024 Feb 28;16(2):e55119. doi: 10.7759/cureus.55119. eCollection 2024 Feb.
The flu, often known as influenza, is a dangerous public health hazard for the pediatric population. Immunization is essential for decreasing the burden of the disease and avoiding complications related to influenza. However, the immunogenicity, efficacy, and safety of different influenza vaccines in children warrant careful evaluation. The purpose of this narrative review is to give a summary of the existing literature on the immunogenicity, efficacy, and safety of several vaccinations against influenza viruses in children. The review incorporates evidence from a range of studies focusing on the outcomes of interest. Immunogenicity studies have shown that influenza vaccines induce a robust immune response in children, primarily through neutralizing antibodies' formation. However, variations in vaccine composition influence the duration and magnitude of immune responses. Safety is a crucial consideration in pediatric vaccination. In children, influenza vaccinations have generally shown a high safety profile, with mild and temporary side effects being the most common. Vaccinations against influenza have shown a modest level of efficacy in avoiding hospitalizations linked to influenza, laboratory-confirmed influenza infections, and serious consequences in children. Live attenuated vaccines have shown higher effectiveness against matched strains compared to inactivated vaccines. In conclusion, this narrative review highlights that receiving influenza vaccination in children aged six to 47 months is very important. While different vaccines exhibit varying immunogenicity, safety profiles, and effectiveness, they all contribute to reducing the burden of influenza among children. Future research should focus on optimizing vaccine strategies, improving vaccine coverage, and evaluating long-term protection.
流感,通常被称为流行性感冒,是对儿童群体的一种危险的公共卫生危害。免疫接种对于减轻疾病负担和避免与流感相关的并发症至关重要。然而,不同流感疫苗在儿童中的免疫原性、有效性和安全性值得仔细评估。本叙述性综述的目的是总结现有关于几种针对儿童流感病毒疫苗的免疫原性、有效性和安全性的文献。该综述纳入了一系列关注感兴趣结果的研究证据。免疫原性研究表明,流感疫苗主要通过中和抗体的形成在儿童中诱导强烈的免疫反应。然而,疫苗成分的差异会影响免疫反应的持续时间和强度。安全性是儿童疫苗接种中的一个关键考虑因素。在儿童中,流感疫苗总体上显示出较高的安全性,最常见的是轻微和短暂的副作用。流感疫苗在避免与流感相关的住院、实验室确诊的流感感染以及儿童的严重后果方面显示出一定程度的有效性。减毒活疫苗与灭活疫苗相比,对匹配毒株显示出更高的有效性。总之,本叙述性综述强调,6至47个月大的儿童接种流感疫苗非常重要。虽然不同疫苗表现出不同的免疫原性、安全性和有效性,但它们都有助于减轻儿童流感的负担。未来的研究应侧重于优化疫苗策略、提高疫苗接种覆盖率以及评估长期保护效果。