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.

Expert Review of Vaccines
|September 16, 2015
PubMed

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.