Influenza vaccination in the prevention of acute otitis media in children
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Updated: Aug 16, 2026

Rapid Molecular Detection and Differentiation of Influenza Viruses A and B
Published on: January 30, 2017
T Heikkinen1, O Ruuskanen, M Waris
1Department of Pediatrics, University of Turku, Finland.
Insights
Influenza vaccination significantly reduced acute otitis media (AOM) incidence in young children during an influenza A epidemic. This study highlights the potential of viral vaccines for preventing AOM.
Area of Science:
- Pediatrics
- Immunology
- Infectious Diseases
Background:
- Acute otitis media (AOM) is a common childhood illness, frequently associated with viral respiratory infections.
- Influenza A is a significant contributor to respiratory infections in children, potentially leading to AOM.
Purpose of the Study:
- To evaluate the efficacy of influenza vaccination in preventing acute otitis media in young children.
- To determine the impact of influenza A infection on AOM incidence in vaccinated versus unvaccinated children.
Main Methods:
- A prospective study involving 374 children aged 1-3 years, divided into a vaccine group (n=187) and a control group (n=187).
- Children received influenza vaccine before the 1988-1989 influenza A epidemic.
- Incidence of influenza A infection and acute otitis media was monitored over a 6-week period.
Main Results:
- Influenza A infection occurred in 3% of vaccinees versus 16% of controls.
- AOM associated with influenza A was reduced by 83% in vaccinees.
- Overall AOM incidence decreased by 36% in the influenza vaccine group compared to controls.
Conclusions:
- Influenza vaccination is effective in reducing the incidence of acute otitis media in children during an influenza A epidemic.
- Vaccination against other respiratory viruses may also be a viable strategy for AOM prevention.
Abstract:
We studied a new approach to the prevention of acute otitis media through the administration of influenza vaccine to 187 day-care center children aged 1 to 3 years before the influenza A epidemic of 1988-1989. The control group consisted of 187 unvaccinated children of similar age and background. During the 6-week study period, influenza A infection was diagnosed in five (3%) of 187 vaccinees and in 29 (16%) of 187 controls. Acute otitis media developed in three (60%) of five vaccinees with an influenza A infection compared with 18 (67%) of 27 controls (excluded were two children with a double viral infection). The incidence of acute otitis media associated with influenza A was reduced by 83% in the vaccinees. The total number of children with acute otitis media in the vaccine group was 35, compared with 55 in the control group, disclosing a 36% reduction among the vaccinees. We conclude that influenza vaccination decreases the incidence of acute otitis media in children during an influenza A epidemic, suggesting also that other vaccines against respiratory viruses may be an effective way to reduce the incidence of acute otitis media.
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