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A one-year study of trivalent influenza vaccines in primed and unprimed volunteers: immunogenicity, clinical reactions and protection.

Abstract

Three hundred volunteers were divided into two age groups, 14-30 years and 31-60 years. Each participant was immunized intramuscularly with a subunit, whole virus or absorbed whole virus vaccine, containing A/Bangkok/1/79 (H3N2), A/Brazil/11/78 (H1N1) and B/Singapore/222/79 influenza virus. Serum haemagglutination-inhibition (HI) antibody response, protection, and reactogenicity were studied after one and two doses of the vaccines. Primary immunization induced much higher percentages of HI antibody titres greater than or equal to 100 against all three vaccine viruses and much higher geometric mean titres (GMT) in volunteers with pre-immunization titres greater than or equal to 18 as compared to those with pre-immunization titres less than 18. Secondary immunization did not result in an increase of GMTs or antibody titres greater than or equal to 100 in volunteers with pre-immunization titres less than 18. On the whole, the response to the subunit vaccine was similar to that to the other two vaccines. To influenza B/Singapore/222/79 virus the response was lowest after administration of the whole virus vaccine in the age group 31-60 years. Over 50% of the HI titres greater than or equal to 100 found after immunization in the different vaccine and age groups were still present after one year. Serologically established infections during the winter months following immunization amounted to 15% in the subunit vaccine group, 6% in the whole virus vaccine group, and 10% in the adsorbed whole virus vaccine group. Local and systemic reactions to all three vaccines were mild in nature. Local reactions after primary immunization were much less frequent following administration of the subunit vaccine as compared to the other two vaccines, especially in the younger age group. In comparison to primary immunization, after booster immunization the incidence of local reactions was higher for the subunit vaccine and lower for the adsorbed whole virus vaccine. In the age group 14-30 years the incidence of local reactions after primary as well as booster immunization was much greater in females than in males, especially when the adsorbed whole virus vaccine was used.

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  • Authors

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    Source

    The Journal of hygiene 92:3 1984 Jun pg 263-76

    MeSH

    Adolescent
    Adult
    Antibodies, Viral
    Female
    Hemagglutination Inhibition Tests
    Humans
    Immunization, Secondary
    Influenza A virus
    Influenza Vaccines
    Influenza, Human
    Male
    Middle Aged
    Orthomyxoviridae
    Time Factors
    Vaccination

    Pub Type(s)

    Comparative Study
    Journal Article

    Language

    eng

    PubMed ID

    6736638

    Citation

    Masurel, N, and J Laufer. "A One-year Study of Trivalent Influenza Vaccines in Primed and Unprimed Volunteers: Immunogenicity, Clinical Reactions and Protection." The Journal of Hygiene, vol. 92, no. 3, 1984, pp. 263-76.
    Masurel N, Laufer J. A one-year study of trivalent influenza vaccines in primed and unprimed volunteers: immunogenicity, clinical reactions and protection. J Hyg (Lond). 1984;92(3):263-76.
    Masurel, N., & Laufer, J. (1984). A one-year study of trivalent influenza vaccines in primed and unprimed volunteers: immunogenicity, clinical reactions and protection. The Journal of Hygiene, 92(3), pp. 263-76.
    Masurel N, Laufer J. A One-year Study of Trivalent Influenza Vaccines in Primed and Unprimed Volunteers: Immunogenicity, Clinical Reactions and Protection. J Hyg (Lond). 1984;92(3):263-76. PubMed PMID: 6736638.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - A one-year study of trivalent influenza vaccines in primed and unprimed volunteers: immunogenicity, clinical reactions and protection. AU - Masurel,N, AU - Laufer,J, PY - 1984/6/1/pubmed PY - 1984/6/1/medline PY - 1984/6/1/entrez SP - 263 EP - 76 JF - The Journal of hygiene JO - J Hyg (Lond) VL - 92 IS - 3 N2 - Three hundred volunteers were divided into two age groups, 14-30 years and 31-60 years. Each participant was immunized intramuscularly with a subunit, whole virus or absorbed whole virus vaccine, containing A/Bangkok/1/79 (H3N2), A/Brazil/11/78 (H1N1) and B/Singapore/222/79 influenza virus. Serum haemagglutination-inhibition (HI) antibody response, protection, and reactogenicity were studied after one and two doses of the vaccines. Primary immunization induced much higher percentages of HI antibody titres greater than or equal to 100 against all three vaccine viruses and much higher geometric mean titres (GMT) in volunteers with pre-immunization titres greater than or equal to 18 as compared to those with pre-immunization titres less than 18. Secondary immunization did not result in an increase of GMTs or antibody titres greater than or equal to 100 in volunteers with pre-immunization titres less than 18. On the whole, the response to the subunit vaccine was similar to that to the other two vaccines. To influenza B/Singapore/222/79 virus the response was lowest after administration of the whole virus vaccine in the age group 31-60 years. Over 50% of the HI titres greater than or equal to 100 found after immunization in the different vaccine and age groups were still present after one year. Serologically established infections during the winter months following immunization amounted to 15% in the subunit vaccine group, 6% in the whole virus vaccine group, and 10% in the adsorbed whole virus vaccine group. Local and systemic reactions to all three vaccines were mild in nature. Local reactions after primary immunization were much less frequent following administration of the subunit vaccine as compared to the other two vaccines, especially in the younger age group. In comparison to primary immunization, after booster immunization the incidence of local reactions was higher for the subunit vaccine and lower for the adsorbed whole virus vaccine. In the age group 14-30 years the incidence of local reactions after primary as well as booster immunization was much greater in females than in males, especially when the adsorbed whole virus vaccine was used. SN - 0022-1724 UR - https://www.unboundmedicine.com/medline/citation/6736638/A_one_year_study_of_trivalent_influenza_vaccines_in_primed_and_unprimed_volunteers:_immunogenicity_clinical_reactions_and_protection_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/6736638/ DB - PRIME DP - Unbound Medicine ER -