International Journal of Infectious Diseases
Volume 13, Issue 4 , Pages 469-475, July 2009

The safety and immunogenicity of influenza vaccine in children with asthma in Mexico

  • Alvaro Pedroza

      Affiliations

    • Instituto Nacional de Pediatría, Secretaria de Salud México, Mexico
  • ,
  • José G. Huerta

      Affiliations

    • Instituto Nacional de Pediatría, Secretaria de Salud México, Mexico
  • ,
  • Maria de la Luz Garcia

      Affiliations

    • Instituto Nacional de Pediatría, Secretaria de Salud México, Mexico
  • ,
  • Arsheli Rojas

      Affiliations

    • Instituto Nacional de Pediatría, Secretaria de Salud México, Mexico
  • ,
  • Irma López-Martínez

      Affiliations

    • Instituto de Diagnostico y Referencia Epidemiológica, Secretaria de Salud, Mexico
  • ,
  • Martín Penagos

      Affiliations

    • Instituto Nacional de Pediatría, Secretaria de Salud México, Mexico
  • ,
  • Carlos Franco-Paredes

      Affiliations

    • Hospital Infantil de Mexico, Federico Gomez, Mexico
    • Division of Infectious Diseases, Emory University School of Medicine, 550 Peachtree St., MOT 7th Floor, Atlanta, GA 30308, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 404 686 5885; fax: +1 404 686 4508.
  • ,
  • Christele Deroche

      Affiliations

    • Sanofi Pasteur, Lyon, France
  • ,
  • Cesar Mascareñas

      Affiliations

    • Sanofi Pasteur, Mexico City, Mexico

Received 9 April 2008; accepted 9 August 2008. published online 12 December 2008.

Corresponding Editor: William Cameron, Ottawa, Canada

Summary 

Background

The morbidity and mortality associated with influenza is substantial in children with asthma. There are no available data on the safety and immunogenicity of influenza vaccine in children with asthma in Latin America. Furthermore, it is unclear if influenza vaccination may cause asthma exacerbations.

Methods

We conducted a placebo-controlled trial to investigate the safety and immunogenicity of an inactivated trivalent split virus influenza vaccine in children with asthma in Mexico. We also measured the impact of influenza vaccination on pulmonary function tests in this population.

Results

The inactivated influenza vaccine was immunogenic and safe in terms of local and systemic side effects compared to placebo. We observed no significant impact on pulmonary function tests among vaccine recipients.

Conclusions

Given the significant morbidity associated with influenza in children, strategies to promote increased influenza vaccination coverage in this high-risk group in Latin America and elsewhere are urgently needed.

Keywords: Asthma, Influenza, Vaccine, Safety, Immunogenicity, Forced expiratory volume (FEV)

 

PII: S1201-9712(08)01534-8

doi:10.1016/j.ijid.2008.08.015

International Journal of Infectious Diseases
Volume 13, Issue 4 , Pages 469-475, July 2009