Risk factors for poor immune response to influenza vaccination in elderly people

Influenza vaccination of elderly people is efficacious and cost effective for the prevention of influenza and its complications. Some studies have pointed out low immunogenicity in this group. Health status has been poorly investigated as a risk factor that may influence the immune response to influ...

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Main Authors: N.C.J. Bellei, E. Carraro, A. Castelo, C.F.H. Granato
Format: Article
Language:English
Published: Elsevier
Series:Brazilian Journal of Infectious Diseases
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702006000400011&lng=en&tlng=en
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author N.C.J. Bellei
E. Carraro
A. Castelo
C.F.H. Granato
author_facet N.C.J. Bellei
E. Carraro
A. Castelo
C.F.H. Granato
author_sort N.C.J. Bellei
collection DOAJ
description Influenza vaccination of elderly people is efficacious and cost effective for the prevention of influenza and its complications. Some studies have pointed out low immunogenicity in this group. Health status has been poorly investigated as a risk factor that may influence the immune response to influenza vaccine. We established an immunization response study of a highly-matched elderly population in a nursing home. One-hundred-twenty subjects of Ashkenazian origin had their vaccine-induced antibody response assessed. Good response was obtained in 30.8% (37/120), and 31.7% (38/120) did not react. A lack of good response was found to be associated with dementia (P=0.016) in a multivariate analysis. In addition to dementia, malnutrition was frequently observed among poor responders, suggesting that these factors should be considered in vaccination studies. Chemoprophylaxis in addition to vaccination for elderly presenting dementia should be considered, particularly for those people living nursing homes.
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spelling doaj.art-6c7aa55385bb4c83a157c2e77ec1bc4e2022-12-21T18:14:33ZengElsevierBrazilian Journal of Infectious Diseases1678-439110426927310.1590/S1413-86702006000400011S1413-86702006000400011Risk factors for poor immune response to influenza vaccination in elderly peopleN.C.J. Bellei0E. Carraro1A. Castelo2C.F.H. Granato3Universidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloInfluenza vaccination of elderly people is efficacious and cost effective for the prevention of influenza and its complications. Some studies have pointed out low immunogenicity in this group. Health status has been poorly investigated as a risk factor that may influence the immune response to influenza vaccine. We established an immunization response study of a highly-matched elderly population in a nursing home. One-hundred-twenty subjects of Ashkenazian origin had their vaccine-induced antibody response assessed. Good response was obtained in 30.8% (37/120), and 31.7% (38/120) did not react. A lack of good response was found to be associated with dementia (P=0.016) in a multivariate analysis. In addition to dementia, malnutrition was frequently observed among poor responders, suggesting that these factors should be considered in vaccination studies. Chemoprophylaxis in addition to vaccination for elderly presenting dementia should be considered, particularly for those people living nursing homes.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702006000400011&lng=en&tlng=enInfluenzavaccinationimmune responserisk factorsdementia
spellingShingle N.C.J. Bellei
E. Carraro
A. Castelo
C.F.H. Granato
Risk factors for poor immune response to influenza vaccination in elderly people
Brazilian Journal of Infectious Diseases
Influenza
vaccination
immune response
risk factors
dementia
title Risk factors for poor immune response to influenza vaccination in elderly people
title_full Risk factors for poor immune response to influenza vaccination in elderly people
title_fullStr Risk factors for poor immune response to influenza vaccination in elderly people
title_full_unstemmed Risk factors for poor immune response to influenza vaccination in elderly people
title_short Risk factors for poor immune response to influenza vaccination in elderly people
title_sort risk factors for poor immune response to influenza vaccination in elderly people
topic Influenza
vaccination
immune response
risk factors
dementia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702006000400011&lng=en&tlng=en
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