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  4. The impact of timing of maternal influenza immunisation on infant antibody levels at birth.
 
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The impact of timing of maternal influenza immunisation on infant antibody levels at birth.
File(s)
Final submitted.pdf (1.57 MB)
Accepted version
Author(s)
Zhong, Z
Haltalli, M
Holder, B
Rice, T
Donaldson, B
more
Type
Journal Article
Abstract
Pregnant women and infants are at an increased risk of severe disease after influenza infection. Maternal immunisation is a potent tool to protect both of these at-risk groups. Whilst the primary aim of maternal influenza vaccination is to protect the mother, a secondary benefit is the transfer of protective antibodies to the infant. A recent study using the tetanus, diphtheria and acellular pertussis (Tdap) vaccine indicated that children born to mothers immunised in the second trimester of pregnancy had the highest antibody titres compared to children immunised in the third trimester. The aim of the current study was to investigate how timing of maternal influenza immunisation impacts infant antibody levels at birth. Antibody titres were assessed in maternal and cord blood samples by both IgG-binding ELISA and haemagglutination inhibition assay (HAI). Antibody titres to the H1N1 component were significantly higher in infants born to mothers vaccinated in either the second or third trimesters than infants born to unvaccinated mothers. HAI levels in the infant were significantly lower when maternal immunisation was performed less than four weeks before birth. These studies confirm that immunisation during pregnancy increases the antibody titre in infants. Importantly antibody levels in cord blood were significantly higher when mother was vaccinated in either trimester two or three, though titres were significantly lower if the mother was immunised less than 4 weeks before birth. Based on this data, seasonal influenza vaccination should continue to be given in pregnancy as soon as it becomes available.
Date Issued
2019-02
Date Acceptance
2018-11-02
Citation
Clinical and Experimental Immunology, 2019, 195 (2), pp.139-152
URI
http://hdl.handle.net/10044/1/64551
DOI
https://www.dx.doi.org/10.1111/cei.13234
ISSN
1365-2249
Publisher
Wiley
Start Page
139
End Page
152
Journal / Book Title
Clinical and Experimental Immunology
Volume
195
Issue
2
Copyright Statement
© 2018 British Society for Immunology
Sponsor
Imperial College Healthcare NHS Trust- BRC Funding
Medical Research Council
NIHR Imperial BRC
NIHR Imperial BRC
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/30422307
Grant Number
RDA02 79560
IMPRINT
P72781
Subjects
Science & Technology
Life Sciences & Biomedicine
Immunology
human
vaccination
viral
VIRUS-INFECTION
PREGNANT-WOMEN
VACCINATION
IMMUNOGENICITY
HOSPITALIZATIONS
STILLBIRTH
PROTECTION
DELIVERY
TETANUS
ILLNESS
human
vaccination
viral
Immunology
1107 Immunology
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2018-11-13
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