Seasonal influenza vaccine in immunocompromised persons

Immunocompromised persons are at high risk of complications from influenza infection. This population includes those with solid organ transplants, hematopoietic stem cell transplants, solid cancers and hematologic malignancy as well as those with autoimmune conditions receiving biologic therapies. I...

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Main Authors: Mohammad Bosaeed, Deepali Kumar
Format: Article
Language:English
Published: Taylor & Francis Group 2018-06-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2018.1445446
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author Mohammad Bosaeed
Deepali Kumar
author_facet Mohammad Bosaeed
Deepali Kumar
author_sort Mohammad Bosaeed
collection DOAJ
description Immunocompromised persons are at high risk of complications from influenza infection. This population includes those with solid organ transplants, hematopoietic stem cell transplants, solid cancers and hematologic malignancy as well as those with autoimmune conditions receiving biologic therapies. In this review, we discuss the impact of influenza infection and evidence for vaccine effectiveness and immunogenicity. Overall, lower respiratory disease from influenza is common; however, vaccine immunogenicity is low. Despite this, in some populations, influenza vaccine has demonstrated effectiveness in reducing severe disease. Various strategies to improve influenza vaccine immunogenicity have been attempted including two vaccine doses in the same influenza season, intradermal, adjuvanted, and high-dose vaccines. The timing of influenza vaccine is also important to achieve optimal immunogenicity. Given the suboptimal immunogenicity, family members and healthcare professionals involved in the care of these populations should be vaccinated. Health care professional recommendation for vaccination is an important factor in vaccine coverage.
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spelling doaj.art-1a2251f062a1412885b5649ef885dc612023-09-22T08:17:54ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2018-06-011461311132210.1080/21645515.2018.14454461445446Seasonal influenza vaccine in immunocompromised personsMohammad Bosaeed0Deepali Kumar1Transplant Infectious Diseases and Multi-Organ Transplant Program, University Health NetworkTransplant Infectious Diseases and Multi-Organ Transplant Program, University Health NetworkImmunocompromised persons are at high risk of complications from influenza infection. This population includes those with solid organ transplants, hematopoietic stem cell transplants, solid cancers and hematologic malignancy as well as those with autoimmune conditions receiving biologic therapies. In this review, we discuss the impact of influenza infection and evidence for vaccine effectiveness and immunogenicity. Overall, lower respiratory disease from influenza is common; however, vaccine immunogenicity is low. Despite this, in some populations, influenza vaccine has demonstrated effectiveness in reducing severe disease. Various strategies to improve influenza vaccine immunogenicity have been attempted including two vaccine doses in the same influenza season, intradermal, adjuvanted, and high-dose vaccines. The timing of influenza vaccine is also important to achieve optimal immunogenicity. Given the suboptimal immunogenicity, family members and healthcare professionals involved in the care of these populations should be vaccinated. Health care professional recommendation for vaccination is an important factor in vaccine coverage.http://dx.doi.org/10.1080/21645515.2018.1445446organ transplantstem cell transplanthematologic malignancybiologics
spellingShingle Mohammad Bosaeed
Deepali Kumar
Seasonal influenza vaccine in immunocompromised persons
Human Vaccines & Immunotherapeutics
organ transplant
stem cell transplant
hematologic malignancy
biologics
title Seasonal influenza vaccine in immunocompromised persons
title_full Seasonal influenza vaccine in immunocompromised persons
title_fullStr Seasonal influenza vaccine in immunocompromised persons
title_full_unstemmed Seasonal influenza vaccine in immunocompromised persons
title_short Seasonal influenza vaccine in immunocompromised persons
title_sort seasonal influenza vaccine in immunocompromised persons
topic organ transplant
stem cell transplant
hematologic malignancy
biologics
url http://dx.doi.org/10.1080/21645515.2018.1445446
work_keys_str_mv AT mohammadbosaeed seasonalinfluenzavaccineinimmunocompromisedpersons
AT deepalikumar seasonalinfluenzavaccineinimmunocompromisedpersons