No association between inactivated influenza vaccination and influenza viral load at diagnosis among young Japanese children: An observational study of the 2013/2014 through 2017/2018 influenza seasons Article Swipe
Emiko Mukai
,
Wakaba Fukushima
,
Saeko Morikawa
,
Keiko Nakata
,
Satoshi Hiroi
,
Masashi Fujioka
,
Tohru Matsushita
,
Megumi Kubota
,
Yoshina Yagi
,
Tetsuhisa Takechi
,
Yoshio Takasaki
,
Shizuo Shindo
,
Yuji Yamashita
,
Takato Yokoyama
,
Yumi Kiyomatsu
,
Kazuhiro Matsumoto
,
Akiko Maeda
,
Kyoko Kondo
,
Kazuya Ito
,
Tetsuo Kase
,
Satoko Ohfuji
,
Yoshio Hirota
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1111/irv.13213
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1111/irv.13213
Background The association between inactivated influenza vaccination and viral load in young children remains unclear. Methods During the 2013/2014 to 2017/2018 influenza seasons in Japan, children under 6 years of age with pre‐defined influenza‐like illness and influenza‐positive status by real‐time RT‐PCR were recruited at pediatric clinics for this observational study. Influenza viral load was measured for the most predominant subtype/lineage in each season. Using median dichotomized viral load as an outcome, a multilevel logistic regression model was applied to estimate the multivariable adjusted odds ratio (MOR) and 95% confidence interval (CI) for higher viral load. Results A total of 1,185 influenza‐positive children were analyzed. The median log 10 viral load copy number (copies per milliliter) was 5.5 (interquartile range, 4.6 to 6.1) and did not differ by vaccination status: 5.5 for unvaccinated, 5.7 for one dose, and 5.5 for two doses ( p = 0.67). The MOR of vaccinated (one or two doses) versus unvaccinated children was 1.19 (95% CI: 0.86–1.64). Other factors showing significant associations with higher viral load were positive results for A(H1N1)pdm09 and A(H3N2) in comparison with B/Yamagata. The respective MORs were 3.25 (95% CI: 2.28–4.64) and 1.81 (95% CI: 1.32–2.49). Significantly elevated MORs against higher viral load were also observed for higher body temperature at influenza diagnosis and shorter duration from fever onset to specimen collection. Conclusion No association was observed between inactivated‐influenza vaccination and viral load at influenza‐positive diagnosis. Influenza subtype/lineage, body temperature, and time elapsed since fever onset were significantly associated with viral load.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/irv.13213
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/irv.13213
- OA Status
- gold
- Cited By
- 2
- References
- 24
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4387966928
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4387966928Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/irv.13213Digital Object Identifier
- Title
-
No association between inactivated influenza vaccination and influenza viral load at diagnosis among young Japanese children: An observational study of the 2013/2014 through 2017/2018 influenza seasonsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-10-01Full publication date if available
- Authors
-
Emiko Mukai, Wakaba Fukushima, Saeko Morikawa, Keiko Nakata, Satoshi Hiroi, Masashi Fujioka, Tohru Matsushita, Megumi Kubota, Yoshina Yagi, Tetsuhisa Takechi, Yoshio Takasaki, Shizuo Shindo, Yuji Yamashita, Takato Yokoyama, Yumi Kiyomatsu, Kazuhiro Matsumoto, Akiko Maeda, Kyoko Kondo, Kazuya Ito, Tetsuo Kase, Satoko Ohfuji, Yoshio HirotaList of authors in order
- Landing page
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https://doi.org/10.1111/irv.13213Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/irv.13213Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/irv.13213Direct OA link when available
- Concepts
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Viral load, Medicine, Vaccination, Confidence interval, Odds ratio, Interquartile range, Logistic regression, Immunology, Influenza vaccine, Young adult, Internal medicine, Influenza-like illness, Virology, VirusTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2023: 1Per-year citation counts (last 5 years)
- References (count)
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24Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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