Four component meningococcal capsular Group B vaccine in preterm infants.

<p>The 4CMenB vaccine was introduced into the routine immunization schedule in the UK in September 2015 to protect against group B Neisseria meningitidis meningitis and septicemia. The vaccine is reactogenic in young infants, causing fever in 51-65% when co-administered with other vaccines [1,...

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Main Authors: Sadarangani, M, Barlow, S, Anthony, M, Pollard, A
Format: Journal article
Language:English
Published: Oxford University Press 2017
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author Sadarangani, M
Barlow, S
Anthony, M
Pollard, A
author_facet Sadarangani, M
Barlow, S
Anthony, M
Pollard, A
author_sort Sadarangani, M
collection OXFORD
description <p>The 4CMenB vaccine was introduced into the routine immunization schedule in the UK in September 2015 to protect against group B Neisseria meningitidis meningitis and septicemia. The vaccine is reactogenic in young infants, causing fever in 51-65% when co-administered with other vaccines [1, 2]. This led to the unprecedented recommendation that all infants receive prophylactic paracetcmol (acetaminophen) with the vaccine. Preterm infants are immunized at the same chronological age and same schedule as term infants but have higher rates of post-immunization adverse events (AEs), particularly those infants born at &lt;28 weeks gestation who are hospitalized in the neonatal unit when immunized [3]. Preterm babies were excluded from 4CMenB trials pre-licensure and no such trials have been registered (clinicaltrials.gov, 14th October 2016). Administration of a reactogenic vaccine in this population has led to heightened concern about AEs. This may impact on use of the vaccine in very preterm infants until they are discharged home, thus delaying protection of this vulnerable group against meningococcal disease.</p>
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spelling oxford-uuid:c22bf4f0-105f-4d33-9795-3f34731f16382022-03-27T06:07:01ZFour component meningococcal capsular Group B vaccine in preterm infants.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c22bf4f0-105f-4d33-9795-3f34731f1638EnglishSymplectic Elements at OxfordOxford University Press2017Sadarangani, MBarlow, SAnthony, MPollard, A<p>The 4CMenB vaccine was introduced into the routine immunization schedule in the UK in September 2015 to protect against group B Neisseria meningitidis meningitis and septicemia. The vaccine is reactogenic in young infants, causing fever in 51-65% when co-administered with other vaccines [1, 2]. This led to the unprecedented recommendation that all infants receive prophylactic paracetcmol (acetaminophen) with the vaccine. Preterm infants are immunized at the same chronological age and same schedule as term infants but have higher rates of post-immunization adverse events (AEs), particularly those infants born at &lt;28 weeks gestation who are hospitalized in the neonatal unit when immunized [3]. Preterm babies were excluded from 4CMenB trials pre-licensure and no such trials have been registered (clinicaltrials.gov, 14th October 2016). Administration of a reactogenic vaccine in this population has led to heightened concern about AEs. This may impact on use of the vaccine in very preterm infants until they are discharged home, thus delaying protection of this vulnerable group against meningococcal disease.</p>
spellingShingle Sadarangani, M
Barlow, S
Anthony, M
Pollard, A
Four component meningococcal capsular Group B vaccine in preterm infants.
title Four component meningococcal capsular Group B vaccine in preterm infants.
title_full Four component meningococcal capsular Group B vaccine in preterm infants.
title_fullStr Four component meningococcal capsular Group B vaccine in preterm infants.
title_full_unstemmed Four component meningococcal capsular Group B vaccine in preterm infants.
title_short Four component meningococcal capsular Group B vaccine in preterm infants.
title_sort four component meningococcal capsular group b vaccine in preterm infants
work_keys_str_mv AT sadaranganim fourcomponentmeningococcalcapsulargroupbvaccineinpreterminfants
AT barlows fourcomponentmeningococcalcapsulargroupbvaccineinpreterminfants
AT anthonym fourcomponentmeningococcalcapsulargroupbvaccineinpreterminfants
AT pollarda fourcomponentmeningococcalcapsulargroupbvaccineinpreterminfants