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Published on: September 21, 2019
The Unexpected Impact of Vaccines on Secondary Bacterial Infections Following Influenza
Amber M Smith1, Victor C Huber2
11 Department of Pediatrics, University of Tennessee Health Science Center , Memphis, Tennessee.
Abstract:
Influenza virus infections remain a significant health burden worldwide, despite available vaccines. Factors that contribute to this include a lack of broad coverage by current vaccines and continual emergence of novel virus strains. Further complicating matters, when influenza viruses infect a host, severe infections can develop when bacterial pathogens invade. Secondary bacterial infections (SBIs) contribute to a significant proportion of influenza-related mortality, with Streptococcus pneumoniae, Staphylococcus aureus, Streptococcus pyogenes, and Haemophilus influenzae as major coinfecting pathogens. Vaccines against bacterial pathogens can reduce coinfection incidence and severity, but few vaccines are available and those that are, may have decreased efficacy in influenza virus-infected hosts. While some studies indicate a benefit of vaccine-induced immunity in providing protection against SBIs, a comprehensive understanding is lacking. In this review, we discuss the current knowledge of viral and bacterial vaccine availability, the generation of protective immunity from these vaccines, and the effectiveness in limiting influenza-associated bacterial infections.
Insights
Influenza vaccines offer limited protection against secondary bacterial infections (SBIs). This review examines viral and bacterial vaccines, their immune responses, and effectiveness against SBIs complicating flu.
Area of Science:
- Immunology
- Infectious Diseases
- Vaccinology
Background:
- Influenza virus infections pose a global health challenge, exacerbated by limited vaccine coverage and evolving viral strains.
- Secondary bacterial infections (SBIs) significantly increase influenza-related mortality, with key pathogens including Streptococcus pneumoniae and Staphylococcus aureus.
- Existing bacterial vaccines have limited availability and may be less effective in individuals with influenza virus infections.
Purpose of the Study:
- To review current knowledge on viral and bacterial vaccine availability.
- To discuss the generation of protective immunity induced by these vaccines.
- To evaluate the effectiveness of vaccines in mitigating influenza-associated bacterial infections.
Main Methods:
- Literature review of existing studies on influenza and bacterial vaccines.
- Analysis of data on vaccine-induced immunity against coinfections.
- Synthesis of information on vaccine efficacy in preventing secondary bacterial infections.
Main Results:
- Current influenza vaccines have narrow strain coverage.
- Bacterial vaccines can reduce SBI incidence but have limitations in availability and efficacy.
- Understanding of vaccine-induced protection against SBIs in influenza-infected hosts is incomplete.
Conclusions:
- There is a critical need for broadly protective influenza vaccines and more effective bacterial vaccines.
- Further research is required to understand and enhance vaccine-induced immunity against SBIs.
- Improved vaccination strategies are essential to reduce morbidity and mortality associated with coinfections.
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