Influenza vaccination of pregnant women protects them over two consecutive influenza seasons in a randomized controlled trial

Eleonora Mutsaerts, Shabir A Madhi, Clare L Cutland, Stephanie Jones, Andrea Hugo, Siobhan Trenor, Florette K Treurnicht, Kerstin Klipstein-Grobusch, Adriana Weinberg, Marta C Nunes

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: We assessed the persistence of hemagglutinin inhibition (HAI) antibodies and the vaccine efficacy (VE) of trivalent inactivated influenza vaccine (IIV3) following vaccination of a cohort of pregnant South African women during a second influenza season.

METHODS: A cohort of w omen, who participated in a randomized placebo-controlled trial on the safety, immunogenicity and efficacy of IIV3 in 2011 had HAI titers measured in 2012 and were monitored for influenza illness until the end of 2012.

RESULTS: The proportion of women with HAI titers ≥1:40 was significantly greater in vaccinees (63%) compared to placebo-recipients (22%; p<0.001). VE in 2012 was 63.8% (95% confidence interval [95%CI]: -33.7%, 90.2%); combined VE for 2011 and 2012 was 58.3% (95%CI: 0.2%, 82.6%).

CONCLUSIONS: The majority of women who received IIV3 during pregnancy had HAI titers above the putative threshold for protection against influenza illness one year after vaccination and showed a trend towards protection against influenza disease.

Original languageEnglish
Pages (from-to)1055-1062
JournalExpert Review of Vaccines
Volume15
Issue number8
DOIs
Publication statusPublished - 2016

Keywords

  • Influenza vaccine
  • efficacy
  • immunogenicity
  • maternal immunization

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