Effectiveness of Influenza Vaccination Among General Practitioners
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Purpose
Besides the personal protection, influenza vaccination especially needs to prevent transmission of influenza between GPs and their patients. The question remains if the vaccine is adding substantial benefit to the natural acquired immunity of GPs. Doubts are raised if an inactivated vaccine, which elicit especially humoral immune response, can give enough protection against virus replication and subclinical influenza infections. Until now no effectiveness studies of influenza vaccination were performed among GPs. This study will assess the effectiveness of an inactivated influenza vaccine in GPs against clinical respiratory tract infections and more particular against influenza cases with influenza positive nose and throat swabs (diagnosed by RT-PCR).
| Condition | Intervention | Phase |
|---|---|---|
|
Influenza |
Biological: Alfarix |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Effectiveness of Influenza Vaccination (Alfarix)in Preventing Clinical Influenza Cases Among General Practitioners: Non-Randomized Clinical Trial. |
- number of respiratory tract infections
- number of influenza cases defined as a RTI with positive nose and throat swabs
- number of influenza cases defined as a RTI with 4-fold IgG titre rise
| Estimated Enrollment: | 300 |
| Study Start Date: | July 2002 |
| Estimated Study Completion Date: | June 2004 |
Two important aspects emerge when considering influenza vaccination of general practitioners as advocated by many guidelines. Besides the personal protection the vaccine especially needs to prevent transmission of influenza between GPs and their patients. In long-term elderly hospitals a possible benefit of influenza vaccination of the healthcare workers was noticed in reducing mortality among the elderly. But this specific situation is not fully transmissible to the general practice.
GPs, having yearly close contact with several influenza cases, built up a high basic immunity and probably only suffer from minor symptoms. The question remains if the vaccine is adding substantial benefit to this natural acquired immunity. In addition doubts are raised in the literature if an inactivated vaccine, which elicit especially humoral immune response, can give enough protection against virus replication and subclinical influenza infections. Until now no effectiveness studies of influenza vaccination were performed among GPs. High time to look more closer to these issues.
Comparisons: the effectiveness of an inactivated influenza vaccine compared with no vaccine in GPs against clinical respiratory tract infections and more particular against influenza cases with influenza positive nose and throat swabs (diagnosed by RT-PCR), besides serological defined influenza cases and taking important independent variables into account
Eligibility| Ages Eligible for Study: | 25 Years to 76 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:general practitioner with an active practice in Flanders, Belgium -
Exclusion Criteria:other specialists in medicine
-
Contacts and Locations
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00221676 History of Changes |
| Other Study ID Numbers: | CHA-UA-20011207 |
| Study First Received: | September 13, 2005 |
| Last Updated: | November 27, 2006 |
| Health Authority: | Belgium: Directorate general for the protection of Public health: Medicines |
Keywords provided by University Hospital, Antwerp:
|
influenza vaccine general practitioner |
Additional relevant MeSH terms:
|
Influenza, Human Orthomyxoviridae Infections RNA Virus Infections |
Virus Diseases Respiratory Tract Infections Respiratory Tract Diseases |
ClinicalTrials.gov processed this record on May 19, 2013