Influenza vaccine effectiveness against influenza A subtypes in Europe: Results from the 2021–2022 I‐MOVE primary care multicentre study

Background In 2021–2022, influenza A viruses dominated in Europe. The I‐MOVE primary care network conducted a multicentre test‐negative study to measure influenza vaccine effectiveness (VE). Methods Primary care practitioners collected information on patients presenting with acute respiratory infect...

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Veröffentlicht in:Influenza and other respiratory viruses 2023-01, Vol.17 (1), p.e13069-n/a
Hauptverfasser: Kissling, Esther, Pozo, Francisco, Martínez‐Baz, Iván, Buda, Silke, Vilcu, Ana‐Maria, Domegan, Lisa, Mazagatos, Clara, Dijkstra, Frederika, Latorre‐Margalef, Neus, Kurečić Filipović, Sanja, Machado, Ausenda, Lazar, Mihaela, Casado, Itziar, Dürrwald, Ralf, Werf, Sylvie, O'Donnell, Joan, Linares Dopido, Juan Antonio, Meijer, Adam, Riess, Maximilian, Višekruna Vučina, Vesna, Rodrigues, Ana Paula, Mihai, Maria Elena, Castilla, Jesús, Goerlitz, Luise, Falchi, Alessandra, Connell, Jeff, Castrillejo, Daniel, Hooiveld, Mariette, Carnahan, Annasara, Ilić, Maja, Guiomar, Raquel, Ivanciuc, Alina, Maurel, Marine, Omokanye, Ajibola, Valenciano, Marta
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container_issue 1
container_start_page e13069
container_title Influenza and other respiratory viruses
container_volume 17
creator Kissling, Esther
Pozo, Francisco
Martínez‐Baz, Iván
Buda, Silke
Vilcu, Ana‐Maria
Domegan, Lisa
Mazagatos, Clara
Dijkstra, Frederika
Latorre‐Margalef, Neus
Kurečić Filipović, Sanja
Machado, Ausenda
Lazar, Mihaela
Casado, Itziar
Dürrwald, Ralf
Werf, Sylvie
O'Donnell, Joan
Linares Dopido, Juan Antonio
Meijer, Adam
Riess, Maximilian
Višekruna Vučina, Vesna
Rodrigues, Ana Paula
Mihai, Maria Elena
Castilla, Jesús
Goerlitz, Luise
Falchi, Alessandra
Connell, Jeff
Castrillejo, Daniel
Hooiveld, Mariette
Carnahan, Annasara
Ilić, Maja
Guiomar, Raquel
Ivanciuc, Alina
Maurel, Marine
Omokanye, Ajibola
Valenciano, Marta
description Background In 2021–2022, influenza A viruses dominated in Europe. The I‐MOVE primary care network conducted a multicentre test‐negative study to measure influenza vaccine effectiveness (VE). Methods Primary care practitioners collected information on patients presenting with acute respiratory infection. Cases were influenza A(H3N2) or A(H1N1)pdm09 RT‐PCR positive, and controls were influenza virus negative. We calculated VE using logistic regression, adjusting for study site, age, sex, onset date, and presence of chronic conditions. Results Between week 40 2021 and week 20 2022, we included over 11 000 patients of whom 253 and 1595 were positive for influenza A(H1N1)pdm09 and A(H3N2), respectively. Overall VE against influenza A(H1N1)pdm09 was 75% (95% CI: 43–89) and 81% (95% CI: 45–93) among those aged 15–64 years. Overall VE against influenza A(H3N2) was 29% (95% CI: 12–42) and 25% (95% CI: −41 to 61), 33% (95% CI: 14–49), and 26% (95% CI: −22 to 55) among those aged 0–14, 15–64, and over 65 years, respectively. The A(H3N2) VE among the influenza vaccination target group was 20% (95% CI: −6 to 39). All 53 sequenced A(H1N1)pdm09 viruses belonged to clade 6B.1A.5a.1. Among 410 sequenced influenza A(H3N2) viruses, all but eight belonged to clade 3C.2a1b.2a.2. Discussion Despite antigenic mismatch between vaccine and circulating strains for influenza A(H3N2) and A(H1N1)pdm09, 2021–2022 VE estimates against circulating influenza A(H1N1)pdm09 were the highest within the I‐MOVE network since the 2009 influenza pandemic. VE against A(H3N2) was lower than A(H1N1)pdm09, but at least one in five individuals vaccinated against influenza were protected against presentation to primary care with laboratory‐confirmed influenza.
doi_str_mv 10.1111/irv.13069
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The I‐MOVE primary care network conducted a multicentre test‐negative study to measure influenza vaccine effectiveness (VE). Methods Primary care practitioners collected information on patients presenting with acute respiratory infection. Cases were influenza A(H3N2) or A(H1N1)pdm09 RT‐PCR positive, and controls were influenza virus negative. We calculated VE using logistic regression, adjusting for study site, age, sex, onset date, and presence of chronic conditions. Results Between week 40 2021 and week 20 2022, we included over 11 000 patients of whom 253 and 1595 were positive for influenza A(H1N1)pdm09 and A(H3N2), respectively. Overall VE against influenza A(H1N1)pdm09 was 75% (95% CI: 43–89) and 81% (95% CI: 45–93) among those aged 15–64 years. Overall VE against influenza A(H3N2) was 29% (95% CI: 12–42) and 25% (95% CI: −41 to 61), 33% (95% CI: 14–49), and 26% (95% CI: −22 to 55) among those aged 0–14, 15–64, and over 65 years, respectively. The A(H3N2) VE among the influenza vaccination target group was 20% (95% CI: −6 to 39). All 53 sequenced A(H1N1)pdm09 viruses belonged to clade 6B.1A.5a.1. Among 410 sequenced influenza A(H3N2) viruses, all but eight belonged to clade 3C.2a1b.2a.2. Discussion Despite antigenic mismatch between vaccine and circulating strains for influenza A(H3N2) and A(H1N1)pdm09, 2021–2022 VE estimates against circulating influenza A(H1N1)pdm09 were the highest within the I‐MOVE network since the 2009 influenza pandemic. VE against A(H3N2) was lower than A(H1N1)pdm09, but at least one in five individuals vaccinated against influenza were protected against presentation to primary care with laboratory‐confirmed influenza.</description><identifier>ISSN: 1750-2640</identifier><identifier>ISSN: 1750-2659</identifier><identifier>EISSN: 1750-2659</identifier><identifier>DOI: 10.1111/irv.13069</identifier><identifier>PMID: 36702797</identifier><language>eng</language><publisher>England: John Wiley &amp; Sons, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Antigens ; Case-Control Studies ; Child ; Child, Preschool ; Chronic conditions ; Chronic illnesses ; Disease transmission ; Effectiveness ; Europe ; Europe - epidemiology ; Female ; Health care ; Humans ; Immunization ; Infant ; Infant, Newborn ; Influenza ; Influenza A ; Influenza A Virus, H1N1 Subtype ; Influenza A Virus, H3N2 Subtype - genetics ; influenza vaccine ; Influenza Vaccines ; Influenza, Human - epidemiology ; Influenza, Human - prevention &amp; control ; Life Sciences ; Male ; Middle Aged ; multicentre study ; Original ; Pandemics ; Primary care ; Primary Health Care ; Respiratory diseases ; Vaccination ; vaccine effectiveness ; Vaccine Efficacy ; Vaccines ; Viruses ; Young Adult</subject><ispartof>Influenza and other respiratory viruses, 2023-01, Vol.17 (1), p.e13069-n/a</ispartof><rights>2022 The Authors. published by John Wiley &amp; Sons Ltd.</rights><rights>2022 The Authors. Influenza and Other Respiratory Viruses published by John Wiley &amp; Sons Ltd.</rights><rights>2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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The I‐MOVE primary care network conducted a multicentre test‐negative study to measure influenza vaccine effectiveness (VE). Methods Primary care practitioners collected information on patients presenting with acute respiratory infection. Cases were influenza A(H3N2) or A(H1N1)pdm09 RT‐PCR positive, and controls were influenza virus negative. We calculated VE using logistic regression, adjusting for study site, age, sex, onset date, and presence of chronic conditions. Results Between week 40 2021 and week 20 2022, we included over 11 000 patients of whom 253 and 1595 were positive for influenza A(H1N1)pdm09 and A(H3N2), respectively. Overall VE against influenza A(H1N1)pdm09 was 75% (95% CI: 43–89) and 81% (95% CI: 45–93) among those aged 15–64 years. Overall VE against influenza A(H3N2) was 29% (95% CI: 12–42) and 25% (95% CI: −41 to 61), 33% (95% CI: 14–49), and 26% (95% CI: −22 to 55) among those aged 0–14, 15–64, and over 65 years, respectively. The A(H3N2) VE among the influenza vaccination target group was 20% (95% CI: −6 to 39). All 53 sequenced A(H1N1)pdm09 viruses belonged to clade 6B.1A.5a.1. Among 410 sequenced influenza A(H3N2) viruses, all but eight belonged to clade 3C.2a1b.2a.2. Discussion Despite antigenic mismatch between vaccine and circulating strains for influenza A(H3N2) and A(H1N1)pdm09, 2021–2022 VE estimates against circulating influenza A(H1N1)pdm09 were the highest within the I‐MOVE network since the 2009 influenza pandemic. VE against A(H3N2) was lower than A(H1N1)pdm09, but at least one in five individuals vaccinated against influenza were protected against presentation to primary care with laboratory‐confirmed influenza.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Antigens</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Chronic conditions</subject><subject>Chronic illnesses</subject><subject>Disease transmission</subject><subject>Effectiveness</subject><subject>Europe</subject><subject>Europe - epidemiology</subject><subject>Female</subject><subject>Health care</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Influenza</subject><subject>Influenza A</subject><subject>Influenza A Virus, H1N1 Subtype</subject><subject>Influenza A Virus, H3N2 Subtype - genetics</subject><subject>influenza vaccine</subject><subject>Influenza Vaccines</subject><subject>Influenza, Human - epidemiology</subject><subject>Influenza, Human - prevention &amp; control</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Middle Aged</subject><subject>multicentre study</subject><subject>Original</subject><subject>Pandemics</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>Respiratory diseases</subject><subject>Vaccination</subject><subject>vaccine effectiveness</subject><subject>Vaccine Efficacy</subject><subject>Vaccines</subject><subject>Viruses</subject><subject>Young Adult</subject><issn>1750-2640</issn><issn>1750-2659</issn><issn>1750-2659</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1ks1u1DAQxyMEoqVw4AWQJS5wSDt2PhxzqLSqFrrSokoV9Go5ybjrKl_YcdBy6gNwQOIN-ySYZllBJXyZGfs3f4-tfxS9pHBMwzoxdjqmCeTiUXRIeQYxyzPxeJ-ncBA9c-4GIMuLLH0aHSQ5B8YFP4y-rzrdeOy-KTKpqjIdEtQaq9FM2KFzRF0r07mRmD23IM6X43ZAFzbJ0tt-wHfkEp1vRke07VsybpAwYPTu9mcIjKzubn98vLhaksGaVtktqZRF0oYGU2E3htyNvt4-j55o1Th8sYtH0ef3y09n5_H64sPqbLGOq7SgImYUSwGc1qBr1LmoGGVJKDgtmaowYawWCHmGtBAcS64LnhaY8ZRqLRSI5Cg6nXUHX7ZY34-gGrkbTvbKyH9POrOR1_0kRZFkKfAgEM8Cmwdt54u1HJQb0VsJKQguIJto4N_sLrT9F49ulK1xFTaN6rD3TjLOgTLgRRbQ1w_Qm97bLnxHoHJRZBwSCNTbmaps75xFvZ-CgvztCRk8Ie89EdhXf792T_4xQQBOZuCraXD7fyW5uryaJX8BiZ3DaQ</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Kissling, Esther</creator><creator>Pozo, Francisco</creator><creator>Martínez‐Baz, Iván</creator><creator>Buda, Silke</creator><creator>Vilcu, Ana‐Maria</creator><creator>Domegan, Lisa</creator><creator>Mazagatos, Clara</creator><creator>Dijkstra, Frederika</creator><creator>Latorre‐Margalef, Neus</creator><creator>Kurečić Filipović, Sanja</creator><creator>Machado, Ausenda</creator><creator>Lazar, Mihaela</creator><creator>Casado, Itziar</creator><creator>Dürrwald, Ralf</creator><creator>Werf, Sylvie</creator><creator>O'Donnell, Joan</creator><creator>Linares Dopido, Juan Antonio</creator><creator>Meijer, Adam</creator><creator>Riess, Maximilian</creator><creator>Višekruna Vučina, Vesna</creator><creator>Rodrigues, Ana Paula</creator><creator>Mihai, Maria Elena</creator><creator>Castilla, Jesús</creator><creator>Goerlitz, Luise</creator><creator>Falchi, Alessandra</creator><creator>Connell, Jeff</creator><creator>Castrillejo, Daniel</creator><creator>Hooiveld, Mariette</creator><creator>Carnahan, Annasara</creator><creator>Ilić, Maja</creator><creator>Guiomar, Raquel</creator><creator>Ivanciuc, Alina</creator><creator>Maurel, Marine</creator><creator>Omokanye, Ajibola</creator><creator>Valenciano, Marta</creator><general>John Wiley &amp; Sons, Inc</general><general>Wiley Open Access</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2056-1062</orcidid><orcidid>https://orcid.org/0000-0002-1849-1499</orcidid><orcidid>https://orcid.org/0000-0002-6396-7265</orcidid><orcidid>https://orcid.org/0000-0002-3432-0438</orcidid><orcidid>https://orcid.org/0000-0002-6909-6923</orcidid><orcidid>https://orcid.org/0000-0002-7483-6703</orcidid><orcidid>https://orcid.org/0000-0001-7188-8404</orcidid><orcidid>https://orcid.org/0000-0001-8074-7582</orcidid></search><sort><creationdate>202301</creationdate><title>Influenza vaccine effectiveness against influenza A subtypes in Europe: Results from the 2021–2022 I‐MOVE primary care multicentre study</title><author>Kissling, Esther ; Pozo, Francisco ; Martínez‐Baz, Iván ; Buda, Silke ; Vilcu, Ana‐Maria ; Domegan, Lisa ; Mazagatos, Clara ; Dijkstra, Frederika ; Latorre‐Margalef, Neus ; Kurečić Filipović, Sanja ; Machado, Ausenda ; Lazar, Mihaela ; Casado, Itziar ; Dürrwald, Ralf ; Werf, Sylvie ; O'Donnell, Joan ; Linares Dopido, Juan Antonio ; Meijer, Adam ; Riess, Maximilian ; Višekruna Vučina, Vesna ; Rodrigues, Ana Paula ; Mihai, Maria Elena ; Castilla, Jesús ; Goerlitz, Luise ; Falchi, Alessandra ; Connell, Jeff ; Castrillejo, Daniel ; Hooiveld, Mariette ; Carnahan, Annasara ; Ilić, Maja ; Guiomar, Raquel ; Ivanciuc, Alina ; Maurel, Marine ; Omokanye, Ajibola ; Valenciano, Marta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4819-21eb9071d0fdef69c2123d0f71b2ace322d9e065e1897eb7f8748e5741ff9a093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Antigens</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Chronic conditions</topic><topic>Chronic illnesses</topic><topic>Disease transmission</topic><topic>Effectiveness</topic><topic>Europe</topic><topic>Europe - epidemiology</topic><topic>Female</topic><topic>Health care</topic><topic>Humans</topic><topic>Immunization</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Influenza</topic><topic>Influenza A</topic><topic>Influenza A Virus, H1N1 Subtype</topic><topic>Influenza A Virus, H3N2 Subtype - genetics</topic><topic>influenza vaccine</topic><topic>Influenza Vaccines</topic><topic>Influenza, Human - epidemiology</topic><topic>Influenza, Human - prevention &amp; control</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Middle Aged</topic><topic>multicentre study</topic><topic>Original</topic><topic>Pandemics</topic><topic>Primary care</topic><topic>Primary Health Care</topic><topic>Respiratory diseases</topic><topic>Vaccination</topic><topic>vaccine effectiveness</topic><topic>Vaccine Efficacy</topic><topic>Vaccines</topic><topic>Viruses</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kissling, Esther</creatorcontrib><creatorcontrib>Pozo, Francisco</creatorcontrib><creatorcontrib>Martínez‐Baz, Iván</creatorcontrib><creatorcontrib>Buda, Silke</creatorcontrib><creatorcontrib>Vilcu, Ana‐Maria</creatorcontrib><creatorcontrib>Domegan, Lisa</creatorcontrib><creatorcontrib>Mazagatos, Clara</creatorcontrib><creatorcontrib>Dijkstra, Frederika</creatorcontrib><creatorcontrib>Latorre‐Margalef, Neus</creatorcontrib><creatorcontrib>Kurečić Filipović, Sanja</creatorcontrib><creatorcontrib>Machado, Ausenda</creatorcontrib><creatorcontrib>Lazar, Mihaela</creatorcontrib><creatorcontrib>Casado, Itziar</creatorcontrib><creatorcontrib>Dürrwald, Ralf</creatorcontrib><creatorcontrib>Werf, Sylvie</creatorcontrib><creatorcontrib>O'Donnell, Joan</creatorcontrib><creatorcontrib>Linares Dopido, Juan Antonio</creatorcontrib><creatorcontrib>Meijer, Adam</creatorcontrib><creatorcontrib>Riess, Maximilian</creatorcontrib><creatorcontrib>Višekruna Vučina, Vesna</creatorcontrib><creatorcontrib>Rodrigues, Ana Paula</creatorcontrib><creatorcontrib>Mihai, Maria Elena</creatorcontrib><creatorcontrib>Castilla, Jesús</creatorcontrib><creatorcontrib>Goerlitz, Luise</creatorcontrib><creatorcontrib>Falchi, Alessandra</creatorcontrib><creatorcontrib>Connell, Jeff</creatorcontrib><creatorcontrib>Castrillejo, Daniel</creatorcontrib><creatorcontrib>Hooiveld, Mariette</creatorcontrib><creatorcontrib>Carnahan, Annasara</creatorcontrib><creatorcontrib>Ilić, Maja</creatorcontrib><creatorcontrib>Guiomar, Raquel</creatorcontrib><creatorcontrib>Ivanciuc, Alina</creatorcontrib><creatorcontrib>Maurel, Marine</creatorcontrib><creatorcontrib>Omokanye, Ajibola</creatorcontrib><creatorcontrib>Valenciano, Marta</creatorcontrib><creatorcontrib>I-MOVE study team</creatorcontrib><creatorcontrib>I‐MOVE study team</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Influenza and other respiratory viruses</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kissling, Esther</au><au>Pozo, Francisco</au><au>Martínez‐Baz, Iván</au><au>Buda, Silke</au><au>Vilcu, Ana‐Maria</au><au>Domegan, Lisa</au><au>Mazagatos, Clara</au><au>Dijkstra, Frederika</au><au>Latorre‐Margalef, Neus</au><au>Kurečić Filipović, Sanja</au><au>Machado, Ausenda</au><au>Lazar, Mihaela</au><au>Casado, Itziar</au><au>Dürrwald, Ralf</au><au>Werf, Sylvie</au><au>O'Donnell, Joan</au><au>Linares Dopido, Juan Antonio</au><au>Meijer, Adam</au><au>Riess, Maximilian</au><au>Višekruna Vučina, Vesna</au><au>Rodrigues, Ana Paula</au><au>Mihai, Maria Elena</au><au>Castilla, Jesús</au><au>Goerlitz, Luise</au><au>Falchi, Alessandra</au><au>Connell, Jeff</au><au>Castrillejo, Daniel</au><au>Hooiveld, Mariette</au><au>Carnahan, Annasara</au><au>Ilić, Maja</au><au>Guiomar, Raquel</au><au>Ivanciuc, Alina</au><au>Maurel, Marine</au><au>Omokanye, Ajibola</au><au>Valenciano, Marta</au><aucorp>I-MOVE study team</aucorp><aucorp>I‐MOVE study team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influenza vaccine effectiveness against influenza A subtypes in Europe: Results from the 2021–2022 I‐MOVE primary care multicentre study</atitle><jtitle>Influenza and other respiratory viruses</jtitle><addtitle>Influenza Other Respir Viruses</addtitle><date>2023-01</date><risdate>2023</risdate><volume>17</volume><issue>1</issue><spage>e13069</spage><epage>n/a</epage><pages>e13069-n/a</pages><issn>1750-2640</issn><issn>1750-2659</issn><eissn>1750-2659</eissn><abstract>Background In 2021–2022, influenza A viruses dominated in Europe. The I‐MOVE primary care network conducted a multicentre test‐negative study to measure influenza vaccine effectiveness (VE). Methods Primary care practitioners collected information on patients presenting with acute respiratory infection. Cases were influenza A(H3N2) or A(H1N1)pdm09 RT‐PCR positive, and controls were influenza virus negative. We calculated VE using logistic regression, adjusting for study site, age, sex, onset date, and presence of chronic conditions. Results Between week 40 2021 and week 20 2022, we included over 11 000 patients of whom 253 and 1595 were positive for influenza A(H1N1)pdm09 and A(H3N2), respectively. Overall VE against influenza A(H1N1)pdm09 was 75% (95% CI: 43–89) and 81% (95% CI: 45–93) among those aged 15–64 years. Overall VE against influenza A(H3N2) was 29% (95% CI: 12–42) and 25% (95% CI: −41 to 61), 33% (95% CI: 14–49), and 26% (95% CI: −22 to 55) among those aged 0–14, 15–64, and over 65 years, respectively. The A(H3N2) VE among the influenza vaccination target group was 20% (95% CI: −6 to 39). All 53 sequenced A(H1N1)pdm09 viruses belonged to clade 6B.1A.5a.1. Among 410 sequenced influenza A(H3N2) viruses, all but eight belonged to clade 3C.2a1b.2a.2. Discussion Despite antigenic mismatch between vaccine and circulating strains for influenza A(H3N2) and A(H1N1)pdm09, 2021–2022 VE estimates against circulating influenza A(H1N1)pdm09 were the highest within the I‐MOVE network since the 2009 influenza pandemic. VE against A(H3N2) was lower than A(H1N1)pdm09, but at least one in five individuals vaccinated against influenza were protected against presentation to primary care with laboratory‐confirmed influenza.</abstract><cop>England</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>36702797</pmid><doi>10.1111/irv.13069</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-2056-1062</orcidid><orcidid>https://orcid.org/0000-0002-1849-1499</orcidid><orcidid>https://orcid.org/0000-0002-6396-7265</orcidid><orcidid>https://orcid.org/0000-0002-3432-0438</orcidid><orcidid>https://orcid.org/0000-0002-6909-6923</orcidid><orcidid>https://orcid.org/0000-0002-7483-6703</orcidid><orcidid>https://orcid.org/0000-0001-7188-8404</orcidid><orcidid>https://orcid.org/0000-0001-8074-7582</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Antigens
Case-Control Studies
Child
Child, Preschool
Chronic conditions
Chronic illnesses
Disease transmission
Effectiveness
Europe
Europe - epidemiology
Female
Health care
Humans
Immunization
Infant
Infant, Newborn
Influenza
Influenza A
Influenza A Virus, H1N1 Subtype
Influenza A Virus, H3N2 Subtype - genetics
influenza vaccine
Influenza Vaccines
Influenza, Human - epidemiology
Influenza, Human - prevention & control
Life Sciences
Male
Middle Aged
multicentre study
Original
Pandemics
Primary care
Primary Health Care
Respiratory diseases
Vaccination
vaccine effectiveness
Vaccine Efficacy
Vaccines
Viruses
Young Adult
title Influenza vaccine effectiveness against influenza A subtypes in Europe: Results from the 2021–2022 I‐MOVE primary care multicentre study
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