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Published on: August 14, 2019
Efficacy and effectiveness of live attenuated influenza vaccine in school-age children
Kathleen Coelingh1, Ifedapo Rosemary Olajide2, Peter MacDonald1
1a 1 MedImmune, Gaithersburg, MD, USA.
Insights
Live attenuated influenza vaccine (LAIV) shows high efficacy in children aged 5 and older. This review confirms its effectiveness in school-aged children, expanding on data for younger age groups.
Area of Science:
- Vaccinology
- Pediatric Infectious Diseases
- Public Health
Background:
- Live attenuated influenza vaccine (LAIV) has demonstrated high efficacy in young children (2-6 years).
- Limited data exist regarding LAIV efficacy and effectiveness in older, school-aged children (≥5 years).
Purpose of the Study:
- To review and synthesize published data on the efficacy and effectiveness of LAIV in children aged 5 years and older.
- To assess the value of LAIV for school-aged populations.
Main Methods:
- A comprehensive literature search was conducted using the QUOSA database (Elsevier).
- Included studies published from January 1990 to June 2014.
- Search terms included 'FluMist', 'LAIV', 'CAIV', 'cold adapted influenza vaccine', 'live attenuated influenza vaccine', 'live attenuated cold adapted', and 'flu mist'.
- Evaluated studies encompassed randomized controlled trials, effectiveness studies, and indirect protection studies.
Main Results:
- The review identified considerable evidence supporting LAIV efficacy in school-aged children.
- Effectiveness data also indicate a positive impact of LAIV in this demographic.
Conclusions:
- LAIV demonstrates significant efficacy and effectiveness in school-aged children (≥5 years).
- These findings support the use of LAIV in older children, complementing existing data for younger age groups.
Abstract:
Evidence of high efficacy of live attenuated influenza vaccine (LAIV) from randomized controlled trials is strong for children 2-6 years of age, but fewer data exist for older school-age children. We reviewed the published data on efficacy and effectiveness of LAIV in children ≥5 years. QUOSA (Elsevier database) was searched for articles published from January 1990 to June 2014 that included 'FluMist', 'LAIV', 'CAIV', 'cold adapted influenza vaccine', 'live attenuated influenza vaccine', 'live attenuated cold adapted' or 'flu mist'. Studies evaluated included randomized controlled trials, effectiveness and indirect protection studies. This review demonstrates that LAIV has considerable efficacy and effectiveness in school-age children.
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