Safety of pandemic (H1N1) 2009 monovalent vaccines in taiwan: a self-controlled case series study.

Safety of pandemic (H1N1) 2009 monovalent vaccines in taiwan: a self-controlled case series study.
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DOI:
10.1371/journal.pone.0058827
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发表时间:
2013
期刊:
影响因子:
3.7
通讯作者:
Chuang JH
Chuang JH
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Huang WT;Yang HW;Liao TL;Wu WJ;Yang SE;Chih YC;Chuang JH

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在台湾,从2009年11月1日开始的全国疫苗接种活动中使用了不含佐剂和含MF 59 ®佐剂的新型H1N1单价疫苗。从2009年11月到2010年2月,作者在一个大型关联安全性数据库中确定了被诊断为特别关注的不良事件(AESI)的H1N1疫苗接种者,并使用自我对照病例系列(SCCS)方法检查了H1N1疫苗接种后0-42天内每种AESI的风险。在链接数据库中采集的350万剂H1N1疫苗中,对格林-巴利综合征(GBS)的SCCS分析发现,无佐剂H1N1疫苗接种后0-42天内的发病率比为3.81(95%置信区间0.43-33.85),而MF 59 ®佐剂H1N1疫苗接种后无病例。一般而言,其他AESI的风险在任何预定义的疫苗接种后风险期和年龄组中均未增加。为H1N1疫苗安全性评估而建立的数据库和基础设施可作为台湾许可疫苗安全性、有效性和覆盖率研究的模型。
In Taiwan, new H1N1 monovalent vaccines without adjuvant and with MF59® adjuvant were used in the nationwide vaccination campaign beginning on November 1, 2009. From November 2009 through February 2010, the authors identified recipients of H1N1 vaccines who were diagnosed with adverse events of special interest (AESIs) in a large-linked safety database, and used the self-controlled case series (SCCS) method to examine the risk of each AESI in the 0–42 days after H1N1 vaccination. Of the 3.5 million doses of H1N1 vaccines administered and captured in the linked database, the SCCS analysis of Guillain-Barré syndrome (GBS) found an incidence rate ratio of 3.81 (95% confidence interval 0.43–33.85) within 0–42 days after nonadjuvanted H1N1 vaccination and no cases after MF59®-adjuvanted H1N1 vaccination. The risks of other AESIs were, in general, not increased in any of the predefined postvaccination risk periods and age groups. The databases and infrastructure created for H1N1 vaccine safety evaluation may serve as a model for safety, effectiveness and coverage studies of licensed vaccines in Taiwan.
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