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Published on: August 14, 2019
An update on the prevention of influenza in children and adolescents
1University Children's Hospital (UKBB), PO Box, 4005, Basel, Switzerland. Ulrich.Heininger@unibas.ch
Insights
Annual influenza outbreaks caused by influenza virus types A and B affect all ages. While vaccines are available, poor compliance with immunization recommendations necessitates further attention to identified barriers.
Area of Science:
- Virology
- Immunology
- Public Health
Background:
- Influenza virus types A and B are responsible for annual respiratory tract infection outbreaks affecting all age groups, including children and adolescents.
- Complications such as high fever, febrile convulsions, secondary bacterial infections, and myositis frequently result in hospitalization.
- Safe and effective influenza vaccines (split, subunit, and virosome) are available for individuals aged 6 months and older.
Purpose of the Study:
- To review the current strategies for influenza vaccination in European countries.
- To highlight the challenges and barriers to achieving adequate immunization compliance.
- To discuss the role of neuraminidase inhibitors as a secondary option for influenza prophylaxis.
Main Methods:
- Review of existing European guidelines for influenza vaccine use.
- Analysis of factors contributing to poor physician and patient compliance with immunization recommendations.
- Discussion of the therapeutic and prophylactic applications of neuraminidase inhibitors.
Main Results:
- Current influenza vaccination strategies in Europe primarily focus on high-risk groups, with definitions varying across countries.
- Identified barriers to immunization significantly impact compliance rates among both healthcare providers and patients.
- Neuraminidase inhibitors offer curative and preventive efficacy against influenza A and B, serving as a second-line option.
Conclusions:
- Addressing identified barriers to influenza immunization is crucial for improving public health outcomes.
- Enhanced compliance with vaccination recommendations is needed to reduce the burden of influenza disease.
- Neuraminidase inhibitors provide an important alternative for influenza prevention and treatment in specific circumstances.
Unlabelled:
Influenza virus types A and B cause yearly outbreaks of respiratory tract infections in all age groups including children and adolescents. Complications, such as high fever, febrile convulsions, secondary bacterial infections and myositis frequently lead to hospitalisation. Safe and effective split, subunit and virosome vaccines are available from 6 months of age onwards. Most European countries do have guidelines for the use of influenza vaccines and current strategies primarily aim at decreasing the burden of influenza disease in certain, heterogeneously defined high risk groups.
Conclusion:
unfortunately, compliance of many physicians and patients with immunisation recommendations is rather poor and several barriers to immunisation have been identified. These deserve our specific attention in the future. Recently, neuraminidase inhibitors with curative and preventive efficacy against influenza virus types A and B have become available. They serve as second line weapons for influenza prophylaxis under specific circumstances.
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