Table 2.
Pre- and post-TIV immunization HI titers and seroprotection or seroversion rates to H1N1, H3N2, and B vaccine strains in all study subjects and across the nonfrail, prefrail, and frail study groups.
| HI antibody responses | All subjects (n = 71) | Nonfrail (n = 22) | Prefrail (n = 32) | Frail (n = 17) | p values |
|---|---|---|---|---|---|
| H1N1 | |||||
| Pre-immunization HI titersa | 174±2.1 | 201±2.0 | 157±2.2 | 149±1.9 | .17* |
| Post-immunization HI titersa | 308±2.1 | 387±2.0 | 282±2.3 | 201±2.1 | .03* |
| Pre- vs. post- p valuesb | .001 | <.001 | .01 | .43 | .86** |
| Seroprotection ratesc | 94% | 95% | 94% | 96% | ND |
| Seroconversion ratesd | 7% | 13% | 6% | 0 | |
| H3N2 | |||||
| Pre-immunization HI titersa | 279±2.2 | 309±1.6 | 278±2.1 | 255±2.0 | .16 |
| Post-immunization HI titersa | 408±2.6 | 497±1.9 | 388±2.4 | 307±2.3 | .02* |
| Pre- vs. post- p valuesb | .01 | .001 | .01 | .17 | .71** |
| Seroprotection ratesc | 92% | 91% | 94% | 88% | .05** |
| Seroconversion ratesd | 13% | 27% | 6% | 6% | |
| B | |||||
| Pre-immunization HI titersa | 78±1.7 | 88±1.4 | 78±1.6 | 65±2.0 | .19* |
| Post-immunization HI titersa | 85±1.8 | 105±1.5 | 81±1.3 | 67±2.1 | .05* |
| Pre- vs. post- p valuesb | .005 | .01 | .23 | .33 | .87** |
| Seroprotection ratesc | 82% | 86% | 78% | 82% | ND |
| Seroconversion ratesd | 1% | 5% | 0 | 0 |
ND: not done.
These p values derived from linear regression analysis adjusted for age.
These p values derived from Fisher exact test between nonfrail and frail groups.
Mean±geometric SD of geometric mean titers (GMT).
These p values derived from paired t tests of the pre–post immunization difference in log transformed HI titers.
Seroprotection defined by post-vaccination HI titer≥1:40.
Seroconversion defined by 4-fold or higher HI titer increase after TIV immunization or post- over pre-vaccination HI titer ratio ≥4.