Owed a satisfactory tolerance although CHC patients with ongoing treatment showed more local discomfort after vaccine injection. Conclusion: There appeared to be no differences between CHC patients and healthy controls in serological response and acceptance of (H1N1) influenza vaccination.?? dez Y, de Molina P, Gimeno-Garcia AZ, Carrillo M, et al. (2012) Immunogenicity and Acceptance of Influenza A ?Citation: Hernandez-Guerra M, Gonzalez-Me (H1N1) Vaccine in a Cohort of Chronic Hepatitis C Patients Receiving Pegylated-Interferon Treatment. PLoS ONE 7(11): e48610. doi:10.1371/journal.pone.0048610 Editor: Golo Ahlenstiel, University of Sydney, Australia Received May 23, 2012; Accepted September 27, 2012; Published MK8931 November 8, 2012 dez-Guerra et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which Copyright: ?2012 Herna permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. n eloppement Re ional (FEDER). Dr. M. Herna dez-Guerra is the recipient Funding: This study has been supported in part by grants from Fonds Europe de De ?of a grant from Instituto de Salud Carlos III (538/07) and Programa de Intensificacion de Actividad Investigadora (INT07/173). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing Interests: The authors have declared that no competing interests exist. * E-mail: [email protected] who care for patients with chronic digestive disease were recommended by the World Health Organization to encourage patients to receive the novel (H1N1) influenza A vaccine during the global pandemic of 2009. The recommendations concerned elderly patients (.65 years) and those with chronic medical conditions or immunosuppression [1], considered to be at high risk of developing influenza-related complications [2]. The latter conditions are important in chronic hepatitis C (CHC) patients, especially those receiving standard medical treatment (pegylated-interferon and ribavirin). Indeed, hepatologists are aware that CHC patients may experience bacterial infectionsduring pegylated-interferon based regimens related or not to neutropenia[3?]. During the 2009 (H1N1) influenza A virus outbreak, scarce data were available to reassure CHC patients regarding tolerance and serological response to the vaccine. This provoked anxiety in patients potentially at risk of severe infection and even among physicians without guidelines to follow. In addition, CHC patients with ongoing pegylated-interferon based therapy may have a lower immunogenic response [7] and experience side effects that may be Fruquintinib aggravated by vaccination adverse effects, thus compromising CHC treatment adherence. Therefore, the present study was conducted to evaluate the (H1N1) influenza A virus vaccine immunogenic response in CHCInfluenza A Vaccine in Chronic Hepatitis Cpatients with and without ongoing standard medical treatment and compared it with that of healthy subjects. Recently, a lower immunogenic response has been found in pediatric patients with inflammatory bowel disease (IBD) under immunosuppression therapy [8]. Therefore, an additional group of patients with 
IBD were included. In addition, perception and acceptance of influenza vaccination was assessed using a validated outcome questionnaire designed for this purpose [9].Methods Ethics S.Owed a satisfactory tolerance although CHC patients with ongoing treatment showed more local discomfort after vaccine injection. Conclusion: There appeared to be no differences between CHC patients and healthy controls in serological response and acceptance of (H1N1) influenza vaccination.?? dez Y, de Molina P, Gimeno-Garcia AZ, Carrillo M, et al. (2012) Immunogenicity and Acceptance of Influenza A ?Citation: Hernandez-Guerra M, Gonzalez-Me (H1N1) Vaccine in a Cohort of Chronic Hepatitis C Patients Receiving Pegylated-Interferon Treatment. PLoS ONE 7(11): e48610. doi:10.1371/journal.pone.0048610 Editor: Golo Ahlenstiel, University of Sydney, Australia Received May 23, 2012; Accepted September 27, 2012; Published November 8, 2012 dez-Guerra et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which Copyright: ?2012 Herna permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. n 
eloppement Re ional (FEDER). Dr. M. Herna dez-Guerra is the recipient Funding: This study has been supported in part by grants from Fonds Europe de De ?of a grant from Instituto de Salud Carlos III (538/07) and Programa de Intensificacion de Actividad Investigadora (INT07/173). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing Interests: The authors have declared that no competing interests exist. * E-mail: [email protected] who care for patients with chronic digestive disease were recommended by the World Health Organization to encourage patients to receive the novel (H1N1) influenza A vaccine during the global pandemic of 2009. The recommendations concerned elderly patients (.65 years) and those with chronic medical conditions or immunosuppression [1], considered to be at high risk of developing influenza-related complications [2]. The latter conditions are important in chronic hepatitis C (CHC) patients, especially those receiving standard medical treatment (pegylated-interferon and ribavirin). Indeed, hepatologists are aware that CHC patients may experience bacterial infectionsduring pegylated-interferon based regimens related or not to neutropenia[3?]. During the 2009 (H1N1) influenza A virus outbreak, scarce data were available to reassure CHC patients regarding tolerance and serological response to the vaccine. This provoked anxiety in patients potentially at risk of severe infection and even among physicians without guidelines to follow. In addition, CHC patients with ongoing pegylated-interferon based therapy may have a lower immunogenic response [7] and experience side effects that may be aggravated by vaccination adverse effects, thus compromising CHC treatment adherence. Therefore, the present study was conducted to evaluate the (H1N1) influenza A virus vaccine immunogenic response in CHCInfluenza A Vaccine in Chronic Hepatitis Cpatients with and without ongoing standard medical treatment and compared it with that of healthy subjects. Recently, a lower immunogenic response has been found in pediatric patients with inflammatory bowel disease (IBD) under immunosuppression therapy [8]. Therefore, an additional group of patients with IBD were included. In addition, perception and acceptance of influenza vaccination was assessed using a validated outcome questionnaire designed for this purpose [9].Methods Ethics S.