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Antibody response to 1995-1996 influenza vaccine in institutionalized and non-institutionalized elderly women
Author(s)A M Iorio, A Alatri, B Camilloni
Journal titleGerontology, vol 45, no 1, January/February 1999
Pagespp 31-38
KeywordsInfluenza ; Immunisation ; Older women ; Nursing homes ; Living in the community ; Comparison ; Italy.
AnnotationThe background to this Italian study is concern about poor responsiveness to influenza vaccination by institutionalised older people. The study compared haemagglutination-inhibiting antibody response after 1995-1996 vaccination (A/Shandong/9/93 -H3N2; A/Taiwan/1/86 - H1N1; B/Panama 45/90) in 80 older women living in a nursing home with that of 51 non-institutionalised women. No differences were found in pre-vaccination status; after vaccination, a significant humoral response was elicited from both groups against all three influenza strains tested. Institutionalised patients' immune response was satisfactory and significantly higher than that observed in non-institutionalised women. Results were confirmed both by a separate analysis of homogeneous subgroups stratified according to the presence in the two cohorts of potential causes of different antibody response (pre-vaccination antibody titre, long-term drug treatment, risk factors for influenza infection, and physical disability) and by logistic regression analysis to adjust immune responses for the different variables. The vaccination is effective; however, post-vaccination antibody response is influenced by different factors directly or indirectly related to residence. (RH).
Accession NumberCPA-990215001 A
ClassmarkCJM: LLF: BD: LHB: K4: 48: 76V

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