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Published on: August 14, 2019
Present and future of influenza prevention in pediatrics
Nicola Principi1, Susanna Esposito, Paola Marchisio
1Department of Maternal and Pediatric Sciences, Università degli Studi di Milano, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Via Commenda 9, 20122 Milano, Italy. Nicola.Principi@unimi.it
Insights
Pediatric influenza vaccination is crucial for prevention. New strategies are urgently needed to improve influenza vaccine efficacy and administration in children, as current methods are suboptimal compared to other vaccine-preventable diseases.
Area of Science:
- Pediatric infectious diseases
- Vaccinology
- Public health
Background:
- Pediatric influenza causes significant morbidity, hospitalization, and socio-economic impact due to prolonged viral shedding in children.
- Effective prevention strategies, particularly influenza vaccination, are essential for reducing disease incidence and severity in pediatric populations.
Purpose of the Study:
- To review and analyze novel influenza prevention methods relevant to pediatric applications.
- To provide an updated overview of influenza vaccines, focusing on immunogenicity induction and administration strategies for both existing and new vaccines.
Main Methods:
- Systematic review of current literature on influenza prevention and vaccination.
- Analysis of strategies for enhancing immunogenicity and ease of administration of influenza vaccines.
Main Results:
- Current influenza prevention in children is less optimized than for other vaccine-preventable diseases.
- Several promising approaches for adults require adaptation or further investigation for pediatric use.
Conclusions:
- There is an urgent need for novel strategies to improve influenza vaccine effectiveness and administration in children.
- Pediatric clinical trials for new influenza vaccines are essential to address current prevention gaps.
Introduction:
Pediatric influenza not only leads to significant rates of morbidity and an increased risk of hospitalisation, it can also have a substantial socio-economic impact because children shed larger amounts of viruses over longer periods than adults. This makes adequate prevention desirable, and the best means of reducing the incidence and risks of infection in children is influenza vaccination.
Areas Covered:
The main aim of this review is to analyse the characteristics of new means of influenza prevention and identify which may be important in pediatrics. An updated overview of influenza vaccines is provided, concentrating on strategies of inducing immunogenicity and facilitating the administration of both old and new vaccines.
Expert Opinion:
The currently available data clearly indicate that influenza in children is much less optimally prevented than other vaccine-preventable diseases. A number of different approaches seem to be promising in adults, but there is an urgent need for new strategies when using old vaccines in children or testing new vaccines in pediatric trials.
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