Safety and efficacy of two types of influenza vaccination in heart transplant recipients: a prospective randomised controlled study.

作者: Gaia Magnani , Elena Falchetti , Gianmatteo Pollini , Letizia Bacchi Reggiani , Francesco Grigioni

DOI: 10.1016/J.HEALUN.2004.03.004

关键词: Clinical trialInternal medicineImmunologyAdjuvantInfluenza vaccineTransplantationMF59ImmunogenicityRandomized controlled trialVaccinationMedicine

摘要: Background Influenza may cause severe disease in immunosuppressed patients. Different vaccines have been proved to be efficacious prevent influenza tranplant recipients. Since the last five years addition of adjuvants improve immune response vaccine preparations has proposed and evaluated. In this study, two antigenically identical vaccines, but different for presence were randomised among a cohort heart transplant recipients evaluate their safety immunogenicity. Methods 58 patients, receiving an more than 6 months before, receive one shoot vaccination with Fluad (containing MF59 adjuvant) or Agrippal (no adjuvant added) enter control, not-vaccinated, group. The was evaluated separately type A B viruses IgG IgM antibodies. Patients clinically at least monthly up months. Results symptoms reported by 33% patients Fluad, 29% 63% control 4 episodes acute myocardial rejection ≥3A identified without difference between three groups. Conclusions superior efficacy containing not found data clearly confirmed that against is safe effective use substances do ameliorate clinical performance immunisation suggesting less expensive preparation could equally useful protect

参考文章(23)
R.A. Vilchez, J. Fung, S. Kusne, The pathogenesis and management of influenza virus infection in organ transplant recipients. Transplant Infectious Disease. ,vol. 4, pp. 177- 182 ,(2002) , 10.1034/J.1399-3062.2002.T01-4-02001.X
Georgia Deliyannis, David C Jackson, Wayne Dyer, John Bates, Alan Coulter, Leanne Harling-McNabb, Lorena E Brown, Immunopotentiation of humoral and cellular responses to inactivated influenza vaccines by two different adjuvants with potential for human use Vaccine. ,vol. 16, pp. 2058- 2068 ,(1998) , 10.1016/S0264-410X(98)00080-2
Pam Kimball, Scott Verbeke, Maureen Flattery, Cecil Rhodes, David Tolman, Influenza vaccination does not promote cellular or humoral activation among heart transplant recipients. Transplantation. ,vol. 69, pp. 2449- 2451 ,(2000) , 10.1097/00007890-200006150-00042
D. Admon, D. Engelhard, N. Strauss, N. Goldman, Z. Zakay-Rones, Antibody response to influenza immunization in patients after heart transplantation Vaccine. ,vol. 15, pp. 1518- 1522 ,(1997) , 10.1016/S0264-410X(97)00193-X
P. Ljungman, J. Andersson, J. Aschan, L. Barkholt, A. Ehrnst, M. Johansson, O. Weiland, Influenza A in Immunocompromised Patients Clinical Infectious Diseases. ,vol. 17, pp. 244- 247 ,(1993) , 10.1093/CLINIDS/17.2.244
S De Donato, D Granoff, M Minutello, G Lecchi, M Faccini, M Agnello, F Senatore, P Verweij, B Fritzell, A Podda, Safety and immunogenicity of MF59-adjuvanted influenza vaccine in the elderly. Vaccine. ,vol. 17, pp. 3094- 3101 ,(1999) , 10.1016/S0264-410X(99)00138-3
A. Gambino, L. Testolin, G. Gerosa, G. Feltrin, A.L.P. Caforio, G.M. Iacona, E. Spagna, D. Casarotto, New trends in heart transplantation. Transplantation proceedings. ,vol. 33, pp. 3536- 3538 ,(2001) , 10.1016/S0041-1345(01)02644-6