Pediatr Infect Vaccine.  2019 Dec;26(3):161-169. 10.14776/piv.2019.26.e18.

Comparison of Split versus Subunit Seasonal Influenza Vaccine in Korean Children over 3 to under 18 Years of Age

• Kang S
• Kim DH
• Eun BW
• Kim NH
• Kang EK
• Lee BS
• Kim YK

• KMID: 2466460
• DOI: http://doi.org/10.14776/piv.2019.26.e18

Abstract

PURPOSE
This study was conducted to compare immunogenicities and reactogenicities of the trivalent inactivated subunit influenza vaccine and split influenza vaccine in Korean children and adolescents.
METHODS
In total, 202 healthy children aged 36 months to <18 years were enrolled at six hospitals in Korea from October to December 2008. The subjects were vaccinated with either the split or subunit influenza vaccine. The hemagglutinin inhibition antibody titers against the H1N1, H3N2, and B virus strains were measured, and the seroconversion rates, seroprotection rates, and geometric mean titers were calculated. All subjects were observed for local and systemic reactions.
RESULTS
Both the split and subunit vaccine groups had similar seroprotection rates against all strains (95.9%, 94.9%, 96.9% vs. 96.0%, 90.9%, and 87.9%). In children aged 36 to <72 months, the seroprotection rates were similar between the two vaccine groups. In children aged 72 months to <18 years, both vaccines showed high seroprotection rates against the H1N1, H3N2, and B strain (98.4%, 98.4%, 98.4% vs. 97.0%, 95.5%, and 91.0%), but showed relatively low seroconversion rates (39.1%, 73.4%, 35.9% vs. 34.3%, 55.2%, and 38.8%). There were more local and systemic reactions in the split vaccine group than in the subunit vaccine group; however, no serious adverse reactions were observed in both groups.
CONCLUSIONS
Both the split and subunit vaccines showed acceptable immunogenicity in all age groups. There were no serious adverse events with both vaccines.

Keyword

Influenza vaccine; Influenza; Safety; Children

MeSH Terms

Adolescent
Child*
Hemagglutinins
Herpesvirus 1, Cercopithecine
Humans
Influenza Vaccines*
Influenza, Human*
Korea
Seasons*
Seroconversion
Vaccines
Vaccines, Subunit
Hemagglutinins
Influenza Vaccines
Vaccines
Vaccines, Subunit

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