A 21-winter seasons retrospective study of antibody response after influenza vaccination in elderly (60–85 years old) and very elderly (>85 years old) institutionalized subjects

Influenza vaccination is considered the best mean for preventing the higher rates of mortality associated with influenza virus infection in the elderly as compared with younger people. Since the number of very elderly subjects, aged >85 years, is rapidly increasing, and some authors reported incr...

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Main Authors: Emilia Nunzi, Anna Maria Iorio, Barbara Camilloni
Format: Article
Language:English
Published: Taylor & Francis Group 2017-11-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2017.1373226
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author Emilia Nunzi
Anna Maria Iorio
Barbara Camilloni
author_facet Emilia Nunzi
Anna Maria Iorio
Barbara Camilloni
author_sort Emilia Nunzi
collection DOAJ
description Influenza vaccination is considered the best mean for preventing the higher rates of mortality associated with influenza virus infection in the elderly as compared with younger people. Since the number of very elderly subjects, aged >85 years, is rapidly increasing, and some authors reported increments in influenza-associated mortality with age, the aim of this study was to increase the limited information available on the immunogenicity of the influenza vaccines in this age group. This was a retrospective study which analyzed the antibody response induced by commercially available trivalent inactivated influenza vaccines in 1491 elderly subjects (60–85 years old) and 1139 very elderly subjects (>85 years old) during 21 winter seasons included between 1993–1994 and 2014–2015. The antibody response of the two age groups was, in most instances, acceptable according to the Committee for Medical Products for Human Use and comparable. In accordance with previous data obtained in the elderly, the use of MF59-adjuvanted or intradermal administered vaccines (enhanced vaccines) was found to be preferable as compared with conventional formulations (split or subunit vaccines). Vaccines containing new strains induced higher antibody response as compared with vaccines with the same antigenic composition of the previous years. These results suggest that the current recommendation for use of enhanced influenza vaccines for the elderly is appropriate, but that efforts to improve the effectiveness of the present prophylactic measures against influenza are needed, especially in the years with vaccines with the same antigenic composition of the previous winter season.
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spelling doaj.art-356c8d9dc70342308b89473d52322ae32023-09-22T08:17:52ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2017-11-0113112659266810.1080/21645515.2017.13732261373226A 21-winter seasons retrospective study of antibody response after influenza vaccination in elderly (60–85 years old) and very elderly (>85 years old) institutionalized subjectsEmilia Nunzi0Anna Maria Iorio1Barbara Camilloni2University of PerugiaUniversity of PerugiaUniversity of PerugiaInfluenza vaccination is considered the best mean for preventing the higher rates of mortality associated with influenza virus infection in the elderly as compared with younger people. Since the number of very elderly subjects, aged >85 years, is rapidly increasing, and some authors reported increments in influenza-associated mortality with age, the aim of this study was to increase the limited information available on the immunogenicity of the influenza vaccines in this age group. This was a retrospective study which analyzed the antibody response induced by commercially available trivalent inactivated influenza vaccines in 1491 elderly subjects (60–85 years old) and 1139 very elderly subjects (>85 years old) during 21 winter seasons included between 1993–1994 and 2014–2015. The antibody response of the two age groups was, in most instances, acceptable according to the Committee for Medical Products for Human Use and comparable. In accordance with previous data obtained in the elderly, the use of MF59-adjuvanted or intradermal administered vaccines (enhanced vaccines) was found to be preferable as compared with conventional formulations (split or subunit vaccines). Vaccines containing new strains induced higher antibody response as compared with vaccines with the same antigenic composition of the previous years. These results suggest that the current recommendation for use of enhanced influenza vaccines for the elderly is appropriate, but that efforts to improve the effectiveness of the present prophylactic measures against influenza are needed, especially in the years with vaccines with the same antigenic composition of the previous winter season.http://dx.doi.org/10.1080/21645515.2017.1373226aginginfluenza vaccinevaccine immunogenicityvaccine strain changesvaccine formulation
spellingShingle Emilia Nunzi
Anna Maria Iorio
Barbara Camilloni
A 21-winter seasons retrospective study of antibody response after influenza vaccination in elderly (60–85 years old) and very elderly (>85 years old) institutionalized subjects
Human Vaccines & Immunotherapeutics
aging
influenza vaccine
vaccine immunogenicity
vaccine strain changes
vaccine formulation
title A 21-winter seasons retrospective study of antibody response after influenza vaccination in elderly (60–85 years old) and very elderly (>85 years old) institutionalized subjects
title_full A 21-winter seasons retrospective study of antibody response after influenza vaccination in elderly (60–85 years old) and very elderly (>85 years old) institutionalized subjects
title_fullStr A 21-winter seasons retrospective study of antibody response after influenza vaccination in elderly (60–85 years old) and very elderly (>85 years old) institutionalized subjects
title_full_unstemmed A 21-winter seasons retrospective study of antibody response after influenza vaccination in elderly (60–85 years old) and very elderly (>85 years old) institutionalized subjects
title_short A 21-winter seasons retrospective study of antibody response after influenza vaccination in elderly (60–85 years old) and very elderly (>85 years old) institutionalized subjects
title_sort 21 winter seasons retrospective study of antibody response after influenza vaccination in elderly 60 85 years old and very elderly 85 years old institutionalized subjects
topic aging
influenza vaccine
vaccine immunogenicity
vaccine strain changes
vaccine formulation
url http://dx.doi.org/10.1080/21645515.2017.1373226
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