Bullous pemphigoid triggered by influenza vaccination? Ecological study in Galicia, Spain

Summary Background  Influenza vaccination has been suggested to be a trigger for bullous pemphigoid (BP). In our area most new patients with BP are admitted to hospital. Objectives  To detect a difference in the rate of admissions to hospital for BP during population influenza vaccination programmes...

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Veröffentlicht in:British journal of dermatology (1951) 2006-10, Vol.155 (4), p.820-823
Hauptverfasser: García‐Doval, I., Mayo, E., Nogueira Fariña, J., Cruces, M.J.
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container_end_page 823
container_issue 4
container_start_page 820
container_title British journal of dermatology (1951)
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creator García‐Doval, I.
Mayo, E.
Nogueira Fariña, J.
Cruces, M.J.
description Summary Background  Influenza vaccination has been suggested to be a trigger for bullous pemphigoid (BP). In our area most new patients with BP are admitted to hospital. Objectives  To detect a difference in the rate of admissions to hospital for BP during population influenza vaccination programmes, which are mainly targeted at individuals aged 65 years or older, start in the last week of September and last for 2 months. Methods  An ecological study in Galicia, north‐west Spain (1997–2005), restricted to people aged 65 years or older. Using Poisson regression, results were controlled for mean age of admission and percentage of the population vaccinated each year. Results  There were 29 admissions registered during ‘vaccination periods’ (i.e. approximately 10 weeks per year, including the period of vaccination and two further weeks), and 158 during nonvaccination periods (the rest of the year). The incidence rate ratio of admissions for BP in vaccination vs. nonvaccination periods was 0·85 (95% confidence interval 0·57–1·27, P = 0·43). Conclusions  Our data do not support the hypothesis of influenza vaccination being an important trigger for severe BP on a population level.
doi_str_mv 10.1111/j.1365-2133.2006.07411.x
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Ecological study in Galicia, Spain</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>García‐Doval, I. ; Mayo, E. ; Nogueira Fariña, J. ; Cruces, M.J.</creator><creatorcontrib>García‐Doval, I. ; Mayo, E. ; Nogueira Fariña, J. ; Cruces, M.J.</creatorcontrib><description>Summary Background  Influenza vaccination has been suggested to be a trigger for bullous pemphigoid (BP). In our area most new patients with BP are admitted to hospital. Objectives  To detect a difference in the rate of admissions to hospital for BP during population influenza vaccination programmes, which are mainly targeted at individuals aged 65 years or older, start in the last week of September and last for 2 months. Methods  An ecological study in Galicia, north‐west Spain (1997–2005), restricted to people aged 65 years or older. Using Poisson regression, results were controlled for mean age of admission and percentage of the population vaccinated each year. Results  There were 29 admissions registered during ‘vaccination periods’ (i.e. approximately 10 weeks per year, including the period of vaccination and two further weeks), and 158 during nonvaccination periods (the rest of the year). The incidence rate ratio of admissions for BP in vaccination vs. nonvaccination periods was 0·85 (95% confidence interval 0·57–1·27, P = 0·43). Conclusions  Our data do not support the hypothesis of influenza vaccination being an important trigger for severe BP on a population level.</description><identifier>ISSN: 0007-0963</identifier><identifier>EISSN: 1365-2133</identifier><identifier>DOI: 10.1111/j.1365-2133.2006.07411.x</identifier><identifier>PMID: 16965434</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>adverse effects ; Aged ; Aged, 80 and over ; bullous pemphigoid ; Hospitalization - statistics &amp; numerical data ; Humans ; Incidence ; influenza vaccines ; Influenza Vaccines - adverse effects ; Pemphigoid, Bullous - epidemiology ; Pemphigoid, Bullous - etiology ; Spain - epidemiology ; Vaccination - adverse effects</subject><ispartof>British journal of dermatology (1951), 2006-10, Vol.155 (4), p.820-823</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2133.2006.07411.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2133.2006.07411.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16965434$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>García‐Doval, I.</creatorcontrib><creatorcontrib>Mayo, E.</creatorcontrib><creatorcontrib>Nogueira Fariña, J.</creatorcontrib><creatorcontrib>Cruces, M.J.</creatorcontrib><title>Bullous pemphigoid triggered by influenza vaccination? Ecological study in Galicia, Spain</title><title>British journal of dermatology (1951)</title><addtitle>Br J Dermatol</addtitle><description>Summary Background  Influenza vaccination has been suggested to be a trigger for bullous pemphigoid (BP). In our area most new patients with BP are admitted to hospital. Objectives  To detect a difference in the rate of admissions to hospital for BP during population influenza vaccination programmes, which are mainly targeted at individuals aged 65 years or older, start in the last week of September and last for 2 months. Methods  An ecological study in Galicia, north‐west Spain (1997–2005), restricted to people aged 65 years or older. Using Poisson regression, results were controlled for mean age of admission and percentage of the population vaccinated each year. Results  There were 29 admissions registered during ‘vaccination periods’ (i.e. approximately 10 weeks per year, including the period of vaccination and two further weeks), and 158 during nonvaccination periods (the rest of the year). The incidence rate ratio of admissions for BP in vaccination vs. nonvaccination periods was 0·85 (95% confidence interval 0·57–1·27, P = 0·43). Conclusions  Our data do not support the hypothesis of influenza vaccination being an important trigger for severe BP on a population level.</description><subject>adverse effects</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>bullous pemphigoid</subject><subject>Hospitalization - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Incidence</subject><subject>influenza vaccines</subject><subject>Influenza Vaccines - adverse effects</subject><subject>Pemphigoid, Bullous - epidemiology</subject><subject>Pemphigoid, Bullous - etiology</subject><subject>Spain - epidemiology</subject><subject>Vaccination - adverse effects</subject><issn>0007-0963</issn><issn>1365-2133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtOwzAQRS0EoqXwC8grViT4kTjOAiFaSgFVYkE3rCzHdoIr50Ee0PL1JLTAbO5I92ikOQBAjHzcz9Xax5SFHsGU-gQh5qMowNjfHIDxX3EIxgihyEMxoyNw0jRrhDBFIToGI8xiFgY0GIPXaedc2TWwMnn1ZrPSatjWNstMbTRMttAWqetM8SXhh1TKFrK1ZXED56p0ZWaVdLBpOz1wcCGdVVZewpdK2uIUHKXSNeZsnxOwup-vZg_e8nnxOLtdehWOKfYSpuMAp4YgJhnXqQl5nPCAEBUhSXjKgihUjDCeUkoZ4SGRoeZSYRwRpRM6ARe7s1VdvnemaUVuG2Wck4Xp_xKM84DHjPXg-R7sktxoUdU2l_VW_Lrogesd8Gmd2f73SAzOxVoMasWgVgzOxY9zsRHTp7tho98MGHSF</recordid><startdate>200610</startdate><enddate>200610</enddate><creator>García‐Doval, I.</creator><creator>Mayo, E.</creator><creator>Nogueira Fariña, J.</creator><creator>Cruces, M.J.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200610</creationdate><title>Bullous pemphigoid triggered by influenza vaccination? Ecological study in Galicia, Spain</title><author>García‐Doval, I. ; Mayo, E. ; Nogueira Fariña, J. ; Cruces, M.J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p1931-b6d941fe206a68dfe589b8422c70a28f6475c6268f33362852a5d8ac1172cdb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>adverse effects</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>bullous pemphigoid</topic><topic>Hospitalization - statistics &amp; numerical data</topic><topic>Humans</topic><topic>Incidence</topic><topic>influenza vaccines</topic><topic>Influenza Vaccines - adverse effects</topic><topic>Pemphigoid, Bullous - epidemiology</topic><topic>Pemphigoid, Bullous - etiology</topic><topic>Spain - epidemiology</topic><topic>Vaccination - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>García‐Doval, I.</creatorcontrib><creatorcontrib>Mayo, E.</creatorcontrib><creatorcontrib>Nogueira Fariña, J.</creatorcontrib><creatorcontrib>Cruces, M.J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of dermatology (1951)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>García‐Doval, I.</au><au>Mayo, E.</au><au>Nogueira Fariña, J.</au><au>Cruces, M.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bullous pemphigoid triggered by influenza vaccination? Ecological study in Galicia, Spain</atitle><jtitle>British journal of dermatology (1951)</jtitle><addtitle>Br J Dermatol</addtitle><date>2006-10</date><risdate>2006</risdate><volume>155</volume><issue>4</issue><spage>820</spage><epage>823</epage><pages>820-823</pages><issn>0007-0963</issn><eissn>1365-2133</eissn><abstract>Summary Background  Influenza vaccination has been suggested to be a trigger for bullous pemphigoid (BP). In our area most new patients with BP are admitted to hospital. Objectives  To detect a difference in the rate of admissions to hospital for BP during population influenza vaccination programmes, which are mainly targeted at individuals aged 65 years or older, start in the last week of September and last for 2 months. Methods  An ecological study in Galicia, north‐west Spain (1997–2005), restricted to people aged 65 years or older. Using Poisson regression, results were controlled for mean age of admission and percentage of the population vaccinated each year. Results  There were 29 admissions registered during ‘vaccination periods’ (i.e. approximately 10 weeks per year, including the period of vaccination and two further weeks), and 158 during nonvaccination periods (the rest of the year). The incidence rate ratio of admissions for BP in vaccination vs. nonvaccination periods was 0·85 (95% confidence interval 0·57–1·27, P = 0·43). Conclusions  Our data do not support the hypothesis of influenza vaccination being an important trigger for severe BP on a population level.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>16965434</pmid><doi>10.1111/j.1365-2133.2006.07411.x</doi><tpages>4</tpages></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects adverse effects
Aged
Aged, 80 and over
bullous pemphigoid
Hospitalization - statistics & numerical data
Humans
Incidence
influenza vaccines
Influenza Vaccines - adverse effects
Pemphigoid, Bullous - epidemiology
Pemphigoid, Bullous - etiology
Spain - epidemiology
Vaccination - adverse effects
title Bullous pemphigoid triggered by influenza vaccination? Ecological study in Galicia, Spain
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