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Influenza vaccination is associated with a reduced risk of invasive aspergillosis in high-risk individuals in Taiwan: a population-based cohort study

Emerging microbes & infections, 2023-12, Vol.12 (1), p.2155584-2155584 [Peer Reviewed Journal]

2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2022 ;2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2022 The Author(s) ;ISSN: 2222-1751 ;EISSN: 2222-1751 ;DOI: 10.1080/22221751.2022.2155584 ;PMID: 36469743

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  • Title:
    Influenza vaccination is associated with a reduced risk of invasive aspergillosis in high-risk individuals in Taiwan: a population-based cohort study
  • Author: Chen, Yi-Jyun ; Lin, I-Feng ; Chuang, Jen-Hsiang ; Huang, Hung-Ling ; Chan, Ta-Chien
  • Subjects: Aspergillosis ; chronic diseases ; Cohort analysis ; Cohort Studies ; Fungal infections ; health insurance database ; Humans ; Immunization ; Influenza ; Influenza Infections ; influenza superinfection ; Influenza vaccination ; Influenza Vaccines ; Influenza, Human - complications ; Influenza, Human - epidemiology ; Influenza, Human - prevention & control ; invasive aspergillosis ; Invasive Fungal Infections ; Male ; Population-based studies ; Risk Factors ; Taiwan - epidemiology ; Vaccination
  • Is Part Of: Emerging microbes & infections, 2023-12, Vol.12 (1), p.2155584-2155584
  • Description: Invasive aspergillosis (IA) has become the emerging life-threatening disease in recent years. Influenza has been identified as an independent risk factor for IA. Vaccination is the most effective way to prevent influenza, while whether it can reduce IA in high-risk population still uncertain. We aimed to investigate the association between influenza vaccination and the risk of IA in high-risk population. We performed a population-based cohort study of people who qualified for government-funded influenza vaccination and were at high risk for IA at the start of the influenza season each year between 2016 and 2019. We utilized Taiwan's National Health Insurance Research Database to identify the influenza vaccination status and IA diagnosis during the follow-up period. We compared the risk of IA between people with and without vaccination using multivariable logistic regression analysis. Out of total 8,544,451 people who were eligible during the 3 influenza seasons, 3,136,477 (36.7%) were vaccinated. A total of 1179 IA cases with the incidence of 13.8 cases per 100,000 high-risk individuals were identified during the follow-up. Compared to non-vaccinated group, vaccinated individuals had a 21% risk reduction of IA (adjusted odds ratio 0.79, 95% confidence interval 0.70-0.90). Influenza vaccination was associated with a lower risk of IA among males, immunosuppressive conditions, malignancy, diabetes, and those having host factors according to the European Organization for Research and Treatment of Cancer and the Mycoses Study Group Education and Research Consortium. Influenza vaccination is recommended for high-risk population to reduce the risk of IA.
  • Publisher: United States: Taylor & Francis
  • Language: English
  • Identifier: ISSN: 2222-1751
    EISSN: 2222-1751
    DOI: 10.1080/22221751.2022.2155584
    PMID: 36469743
  • Source: Open Access: DOAJ Directory of Open Access Journals
    Open Access: PubMed Central
    Taylor & Francis Open Access Journals
    AUTh Library subscriptions: ProQuest Central
    MEDLINE
    Coronavirus Research Database
    ROAD: Directory of Open Access Scholarly Resources
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