Assessment of efficacy and safety of pandemic A/H1N1/2009 influenza vaccine in a group of health care workers

P. Mascagni, Elisa Vicenzi, Anna Kajaste-Rudnitski, G. Pellicciotta, A. Monti, Carla Cervi, Roberta Vitalucci, F. Toffoletto

Research output: Contribution to journalArticle

Abstract

Introduction: The development in an extremely short time of an efficacious and safe vaccine against the pandemic A/H1N1 virus was a challenge that involved the entire scientific community. Aims: To assess the immunological and clinical efficacy of the new H1N1v monovalent influenza vaccine (Focetria ® Novartis Vaccines, Siena, Italy) in a group of health care workers (HCWs). Methods: A total of 148 volunteer HCWs were enrolled between Mid-Novembre 2009 and December 2009. After measuring antibody titers, a single intramuscular dose of 7.5 μg of Focetria ® monovalent vaccine against A/H1N1/2009 influenza virus with MF59C.1 adjuvant was administered. Results: Antibody titers (median value) before and after a single dose of vaccine, measured by means of standard heamagglutination inhibition test (HAI), increased from 32 to 256 (p<0.001). After vaccination, 79.7% of the subjects showed antibody seroconversion, and in 97.3% seroprotecion was achieved. The ratio between the geometric means of antibody titers (GMTR) was 6.69. For the 3 subjects who reported symptoms of ILI (Influenza-like illness), a regular nasal-pharyngeal swab sample was taken to identify the virus type by RT-PCR, the laboratory results of tests performed on these samples were negative for pandemic A/H1N1/2009 virus. During the entire follow-up period of 6 months no severe adverse events occurred. Conclusions: The vaccine against pandemic A/H1N1/2009 virus provided protection against the virus and not only contributed to a significant immunization (according to EMEA criteria), but kept all 148 subjects under study free from A/H1N1/2009 influenza illness.

Original languageEnglish
Pages (from-to)220-229
Number of pages10
JournalMedicina del Lavoro
Volume103
Issue number3
Publication statusPublished - May 2012

Keywords

  • A/H1N1/2009 virus
  • Health care workers
  • Pandemic influenza vaccine

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Mascagni, P., Vicenzi, E., Kajaste-Rudnitski, A., Pellicciotta, G., Monti, A., Cervi, C., Vitalucci, R., & Toffoletto, F. (2012). Assessment of efficacy and safety of pandemic A/H1N1/2009 influenza vaccine in a group of health care workers. Medicina del Lavoro, 103(3), 220-229.