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[疫苗所致不良事件的客观记录与解读:疫苗接种的关键要素]

[Objective registration and interpretation of adverse events caused by vaccines: an essential element of vaccination].

作者信息

Boot H J

机构信息

Rijksinstituut voor Volksgezondheid en Milieu, Centrum Infectieziekte-bestrijding, Postbus 1, 3720 BA Bilthoven.

出版信息

Ned Tijdschr Geneeskd. 2007 Dec 8;151(49):2707-8.

Abstract

In this era of accelerated communication, information on adverse events following vaccination is spreading more rapidly and becoming accessible to more lay people than ever before. The pace of development and the introduction of new vaccines has also increased considerably in the last decade. Therefore, it is increasingly important to objectively register and interpret possible adverse events following vaccination. In the Netherlands, information on adverse events is collected through passive reporting systems. Two recent reports on adverse events have provided reassuring results, and no new types of adverse reactions were identified. Since the transition from whole-cell pertussis vaccines to acellular vaccines, children have experienced fewer adverse events. A univocal, familiar, and easily accessible system of passive reporting is required to maintain both confidence in the vaccination programme and high vaccination coverage. The current situation in which two separate organisations (the National Institute for Public Health and Environment (RIVM) and the Netherlands Pharmacovigilance Centre Lareb) are responsible for collecting and interpreting reported adverse events following vaccination is suboptimal.

摘要

在这个通讯加速的时代,疫苗接种后不良事件的信息传播得比以往任何时候都更快,并且越来越多的普通民众能够获取到这些信息。在过去十年中,新疫苗的研发和推出速度也大幅提高。因此,客观地记录和解读疫苗接种后可能出现的不良事件变得越来越重要。在荷兰,不良事件信息是通过被动报告系统收集的。最近两份关于不良事件的报告给出了令人安心的结果,且未发现新的不良反应类型。自从从全细胞百日咳疫苗过渡到无细胞疫苗以来,儿童经历的不良事件有所减少。需要一个明确、熟悉且易于使用的被动报告系统,以维持对疫苗接种计划的信心并保持高疫苗接种率。目前由两个独立组织(国家公共卫生和环境研究所(RIVM)和荷兰药品警戒中心Lareb)负责收集和解读报告的疫苗接种后不良事件的情况并不理想。

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