Table 1.

Descriptive Characteristics, Vaccination History, and 2009 A(H1N1) Pandemic Influenza Virus Hemagglutination Inhibition Antibody Seroresponse of Healthcare Personnel

CharacteristicPreseasonAfter 2010–2011 TIVEnd-of-Season
Serum (n = 1417)Serum (n = 865)Serum (n = 1254)
Descriptive characteristics
 Demographics
  Age, y42 (12)43 (12)42 (12)
  Age group
   18–34 y523 (37%)279 (32%)442 (35%)
   35–49 y508 (36%)300 (35%)449 (36%)
   50–65 y386 (27%)286 (33%)363 (29%)
  Female1132 (80%)712 (82%)1011 (81%)
  White1117 (79%)696 (80%)988 (79%)
  Hispanic165 (12%)99 (11%)144 (11%)
 Health
  Body mass index, kg/m228 (7)29 (7)28 (7)
  Subjective health status (1–5)4.1 (0.7)4.1 (0.7)4.1 (0.7)
  HCP with high-risk condition(s) in 2009–2010477 (34%)316 (37%)431 (34%)
 Proxies for exposure to infection
  HCP with ≥1 MAARI during A(H1N1)pdm09176 (12%)106 (12%)164 (13%)
  HCP with ≥1 MAARI during 2010–2011 influenza season141 (10%)89 (10%)126 (10%)
  Household size2.1 (1.6)2.1 (1.5)2.1 (1.5)
  Hours of direct patient care per week32.6 (11.2)31.8 (11.0)32.4 (11.1)
  Emergency department HCP375 (26%)202 (23%)328 (26%)
 Site
  Kaiser Permanente Northwest, Oregon418 (29%)286 (33%)395 (32%)
  Scott & White Healthcare, Texas999 (71%)579 (67%)859 (69%)
 Timing of sera collection
  No. of days from preseason serum to 2010–2011 TIV15 (13)
  No. of days from 2010–2011 TIV to post-TIV serum31 (8)
  No. of days from preseason to end-of-season serum212 (15)
Influenza vaccination history
 2009–2010 seasonal influenza (TIV or LAIV) vaccination1007 (71%)736 (85%)894 (71%)
 MIIV vaccination598 (42%)489 (57%)545 (43%)
 2010–2011 seasonal TIV vaccination936 (66%)865 (100%)894 (71%)
Vaccination interactions for 2009–2010 and 2010–2011
 No MIIV and No 2010–2011 TIV398 (28%)0 (0%)304 (24%)
 No MIIV and Yes 2010–2011 TIV421 (30%)376 (43%)405 (32%)
 Yes MIIV and No 2010–2011 TIV83 (6%)0 (0%)56 (4%)
 Yes MIIV and Yes 2010–2011 TIV515 (36%)489 (57%)489 (39%)
Preseason serum HI antibody titer
 GMT of A(H1N1)pdm09 HI titers11.9 (3.1)12.4 (3.1)11.9 (3.1)
 Ordinala A(H1N1)pdm09 HI level1.3 (1.6)1.3 (1.6)1.2 (1.6)
CharacteristicPreseasonAfter 2010–2011 TIVEnd-of-Season
Serum (n = 1417)Serum (n = 865)Serum (n = 1254)
Descriptive characteristics
 Demographics
  Age, y42 (12)43 (12)42 (12)
  Age group
   18–34 y523 (37%)279 (32%)442 (35%)
   35–49 y508 (36%)300 (35%)449 (36%)
   50–65 y386 (27%)286 (33%)363 (29%)
  Female1132 (80%)712 (82%)1011 (81%)
  White1117 (79%)696 (80%)988 (79%)
  Hispanic165 (12%)99 (11%)144 (11%)
 Health
  Body mass index, kg/m228 (7)29 (7)28 (7)
  Subjective health status (1–5)4.1 (0.7)4.1 (0.7)4.1 (0.7)
  HCP with high-risk condition(s) in 2009–2010477 (34%)316 (37%)431 (34%)
 Proxies for exposure to infection
  HCP with ≥1 MAARI during A(H1N1)pdm09176 (12%)106 (12%)164 (13%)
  HCP with ≥1 MAARI during 2010–2011 influenza season141 (10%)89 (10%)126 (10%)
  Household size2.1 (1.6)2.1 (1.5)2.1 (1.5)
  Hours of direct patient care per week32.6 (11.2)31.8 (11.0)32.4 (11.1)
  Emergency department HCP375 (26%)202 (23%)328 (26%)
 Site
  Kaiser Permanente Northwest, Oregon418 (29%)286 (33%)395 (32%)
  Scott & White Healthcare, Texas999 (71%)579 (67%)859 (69%)
 Timing of sera collection
  No. of days from preseason serum to 2010–2011 TIV15 (13)
  No. of days from 2010–2011 TIV to post-TIV serum31 (8)
  No. of days from preseason to end-of-season serum212 (15)
Influenza vaccination history
 2009–2010 seasonal influenza (TIV or LAIV) vaccination1007 (71%)736 (85%)894 (71%)
 MIIV vaccination598 (42%)489 (57%)545 (43%)
 2010–2011 seasonal TIV vaccination936 (66%)865 (100%)894 (71%)
Vaccination interactions for 2009–2010 and 2010–2011
 No MIIV and No 2010–2011 TIV398 (28%)0 (0%)304 (24%)
 No MIIV and Yes 2010–2011 TIV421 (30%)376 (43%)405 (32%)
 Yes MIIV and No 2010–2011 TIV83 (6%)0 (0%)56 (4%)
 Yes MIIV and Yes 2010–2011 TIV515 (36%)489 (57%)489 (39%)
Preseason serum HI antibody titer
 GMT of A(H1N1)pdm09 HI titers11.9 (3.1)12.4 (3.1)11.9 (3.1)
 Ordinala A(H1N1)pdm09 HI level1.3 (1.6)1.3 (1.6)1.2 (1.6)

Data are presented as mean (SD) or No. (%).

Abbreviations: GMT, geometric mean titer; HCP, healthcare personnel; HI, hemagglutination inhibition antibody; LAIV, live attenuated influenza vaccine; MAARI, medically attended acute respiratory illness; MIIV, 2009–2010 A(H1N1) pandemic monovalent inactivated influenza vaccine; TIV, trivalent inactivated vaccine.

a Ordinal HI levels are represented with 0–9 levels based on log transformation of HI titers: Log2 (HI titer/5).

Table 1.

Descriptive Characteristics, Vaccination History, and 2009 A(H1N1) Pandemic Influenza Virus Hemagglutination Inhibition Antibody Seroresponse of Healthcare Personnel

CharacteristicPreseasonAfter 2010–2011 TIVEnd-of-Season
Serum (n = 1417)Serum (n = 865)Serum (n = 1254)
Descriptive characteristics
 Demographics
  Age, y42 (12)43 (12)42 (12)
  Age group
   18–34 y523 (37%)279 (32%)442 (35%)
   35–49 y508 (36%)300 (35%)449 (36%)
   50–65 y386 (27%)286 (33%)363 (29%)
  Female1132 (80%)712 (82%)1011 (81%)
  White1117 (79%)696 (80%)988 (79%)
  Hispanic165 (12%)99 (11%)144 (11%)
 Health
  Body mass index, kg/m228 (7)29 (7)28 (7)
  Subjective health status (1–5)4.1 (0.7)4.1 (0.7)4.1 (0.7)
  HCP with high-risk condition(s) in 2009–2010477 (34%)316 (37%)431 (34%)
 Proxies for exposure to infection
  HCP with ≥1 MAARI during A(H1N1)pdm09176 (12%)106 (12%)164 (13%)
  HCP with ≥1 MAARI during 2010–2011 influenza season141 (10%)89 (10%)126 (10%)
  Household size2.1 (1.6)2.1 (1.5)2.1 (1.5)
  Hours of direct patient care per week32.6 (11.2)31.8 (11.0)32.4 (11.1)
  Emergency department HCP375 (26%)202 (23%)328 (26%)
 Site
  Kaiser Permanente Northwest, Oregon418 (29%)286 (33%)395 (32%)
  Scott & White Healthcare, Texas999 (71%)579 (67%)859 (69%)
 Timing of sera collection
  No. of days from preseason serum to 2010–2011 TIV15 (13)
  No. of days from 2010–2011 TIV to post-TIV serum31 (8)
  No. of days from preseason to end-of-season serum212 (15)
Influenza vaccination history
 2009–2010 seasonal influenza (TIV or LAIV) vaccination1007 (71%)736 (85%)894 (71%)
 MIIV vaccination598 (42%)489 (57%)545 (43%)
 2010–2011 seasonal TIV vaccination936 (66%)865 (100%)894 (71%)
Vaccination interactions for 2009–2010 and 2010–2011
 No MIIV and No 2010–2011 TIV398 (28%)0 (0%)304 (24%)
 No MIIV and Yes 2010–2011 TIV421 (30%)376 (43%)405 (32%)
 Yes MIIV and No 2010–2011 TIV83 (6%)0 (0%)56 (4%)
 Yes MIIV and Yes 2010–2011 TIV515 (36%)489 (57%)489 (39%)
Preseason serum HI antibody titer
 GMT of A(H1N1)pdm09 HI titers11.9 (3.1)12.4 (3.1)11.9 (3.1)
 Ordinala A(H1N1)pdm09 HI level1.3 (1.6)1.3 (1.6)1.2 (1.6)
CharacteristicPreseasonAfter 2010–2011 TIVEnd-of-Season
Serum (n = 1417)Serum (n = 865)Serum (n = 1254)
Descriptive characteristics
 Demographics
  Age, y42 (12)43 (12)42 (12)
  Age group
   18–34 y523 (37%)279 (32%)442 (35%)
   35–49 y508 (36%)300 (35%)449 (36%)
   50–65 y386 (27%)286 (33%)363 (29%)
  Female1132 (80%)712 (82%)1011 (81%)
  White1117 (79%)696 (80%)988 (79%)
  Hispanic165 (12%)99 (11%)144 (11%)
 Health
  Body mass index, kg/m228 (7)29 (7)28 (7)
  Subjective health status (1–5)4.1 (0.7)4.1 (0.7)4.1 (0.7)
  HCP with high-risk condition(s) in 2009–2010477 (34%)316 (37%)431 (34%)
 Proxies for exposure to infection
  HCP with ≥1 MAARI during A(H1N1)pdm09176 (12%)106 (12%)164 (13%)
  HCP with ≥1 MAARI during 2010–2011 influenza season141 (10%)89 (10%)126 (10%)
  Household size2.1 (1.6)2.1 (1.5)2.1 (1.5)
  Hours of direct patient care per week32.6 (11.2)31.8 (11.0)32.4 (11.1)
  Emergency department HCP375 (26%)202 (23%)328 (26%)
 Site
  Kaiser Permanente Northwest, Oregon418 (29%)286 (33%)395 (32%)
  Scott & White Healthcare, Texas999 (71%)579 (67%)859 (69%)
 Timing of sera collection
  No. of days from preseason serum to 2010–2011 TIV15 (13)
  No. of days from 2010–2011 TIV to post-TIV serum31 (8)
  No. of days from preseason to end-of-season serum212 (15)
Influenza vaccination history
 2009–2010 seasonal influenza (TIV or LAIV) vaccination1007 (71%)736 (85%)894 (71%)
 MIIV vaccination598 (42%)489 (57%)545 (43%)
 2010–2011 seasonal TIV vaccination936 (66%)865 (100%)894 (71%)
Vaccination interactions for 2009–2010 and 2010–2011
 No MIIV and No 2010–2011 TIV398 (28%)0 (0%)304 (24%)
 No MIIV and Yes 2010–2011 TIV421 (30%)376 (43%)405 (32%)
 Yes MIIV and No 2010–2011 TIV83 (6%)0 (0%)56 (4%)
 Yes MIIV and Yes 2010–2011 TIV515 (36%)489 (57%)489 (39%)
Preseason serum HI antibody titer
 GMT of A(H1N1)pdm09 HI titers11.9 (3.1)12.4 (3.1)11.9 (3.1)
 Ordinala A(H1N1)pdm09 HI level1.3 (1.6)1.3 (1.6)1.2 (1.6)

Data are presented as mean (SD) or No. (%).

Abbreviations: GMT, geometric mean titer; HCP, healthcare personnel; HI, hemagglutination inhibition antibody; LAIV, live attenuated influenza vaccine; MAARI, medically attended acute respiratory illness; MIIV, 2009–2010 A(H1N1) pandemic monovalent inactivated influenza vaccine; TIV, trivalent inactivated vaccine.

a Ordinal HI levels are represented with 0–9 levels based on log transformation of HI titers: Log2 (HI titer/5).

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