Windorfer A
Gesundheitswesen. 1992 Oct;54(10):528-34.
Haemophilus influenzae B was the most frequent pathogen of bacterial meningitis in childhood during the mid-eighties to the end of the eighties of the present century, taking the place of meningococci since approximately 1984 at about twice the rate of that pathogen, as shown by the records kept during 1980-1990 in Bavarian Departments of Paediatrics. In fact, in 1990 the incidence of HIB meningitides was about 2.5 times that of meningococcus meningitides (85 vs. 34, respectively). For practically 2 years now vaccination against HIB is being publicly recommended and should be made use of as intensively as possible to prevent all HIB infections. For several years the principle of on-target rubella vaccination has been applied to schoolgirls in Lower Saxony, Bremen and Hamburg to prevent rubella embryopathy, a procedure that has proved much more successful than blank vaccination. None of the other Federal German Laender have been following this procedure to date; in consequence there of, although the strategy of on-target vaccination will be continued in Lower Saxony, greater uniformity and greater efficiency are being aimed at throughout Germany by public recommendation of rubella vaccination at an infant age.
B型流感嗜血杆菌是本世纪八十年代中期至末期儿童细菌性脑膜炎最常见的病原体，自1984年左右开始取代脑膜炎球菌，其发病率约为该病原体的两倍，这是巴伐利亚儿科部门1980 - 1990年期间的记录所显示的。事实上，1990年B型流感嗜血杆菌脑膜炎的发病率约为脑膜炎球菌脑膜炎发病率的2.5倍（分别为85例和34例）。近两年，公开建议对B型流感嗜血杆菌进行疫苗接种，应尽可能广泛地利用该疫苗来预防所有B型流感嗜血杆菌感染。几年来，下萨克森州、不来梅和汉堡对女学生采用了有针对性的风疹疫苗接种原则，以预防风疹胚胎病，这一做法已被证明比盲目接种更为成功。迄今为止，德国其他联邦州均未采用这一做法；因此，尽管下萨克森州将继续实施有针对性的疫苗接种策略，但通过公开建议在婴儿期接种风疹疫苗，德国全国旨在实现更高的一致性和更高的效率。
