Influenza is associated with an increased risk for serious illness, hospitalization and death in pregnant women and young infants. The investigators estimated the effectiveness of a quadrivalent inactivated influenza vaccine (QIV) in pregnant women and their infants in 2019-2020 influenza season. Women were activelly followed during the influenza season on a weekly basis through telephone call in order to collect data about the onset of fever and/or respiratory symptoms by them or their young infants. Polymerase chain reaction testing in pharyngeal samples was offered to pregnant women and infants with influenza-like illness (ILI). A total of 636 pregnant women and 474 infants were studied. A Bayesian beta-binomial model was used.
Study period: Influenza 2019-2020 season The investigators followed actively the pregnant women and their infants in order to collect prospectively data on a weekly basis through phone calls during the entire influenza season. Definitions: * ILI was defined as the sudden onset of symptoms and fever, malaise, myalgia or headache, and cough, sore throat or shortness of breath. * ARI was defined as the presence of at least one respiratory symptom, regardless of fever. * Febrile episode was defined as the presence of fever only. * Fever was defined as a temperature of 38.0 C in at least two measurements within 24h. * The diagnoses of pneumonia and AOM were accepted as reported by the physicians who provided care to the women or their infants. The 2019-2020 QIV Vaxigrip-Tetra was used to vaccinate pregnant women.
Study Type
OBSERVATIONAL
Enrollment
949
First Department of Obstetrics and Gynecology, University of Athens
Athens, Attica, Greece
rates of laboratory-confirmed influenza in vaccinated and unvaccinated pregnant women
influenza vaccine effectiveness against laboratory-confirmed influenza in pregnant women
Time frame: 2019-2020 influenza season
rates of laboratory-confirmed influenza in young infants whose mothers were vaccinated and in infants of unvaccinated mothers
influenza vaccine effectiveness against laboratory-corfirmed influenza in young infants
Time frame: 2019-2020 influenza season
rates of acute respiratory infection, influenza-like illness, febrile episode, use of antibiotics, use of antivirals, pneumonia, acute otitis media (for infants only), healthcare seeking and hospitalization in pregnant women and their infants
influenza vaccine effectiveness against the abovementioned secondary outcomes
Time frame: 2019-2020 influenza season
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