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[传染病和非传染病免疫预防的当前问题]

[Current problems of immunoprophylaxis of infectious and non-infectious diseases].

作者信息

Tatochenko V K, Namazova L S

出版信息

Vestn Ross Akad Med Nauk. 2008(12):14-21.

Abstract

Progress in immunology greatly contributed to the understanding of mechanisms of infectious immunity and vaccine action. Moreover, it facilitated the development of new vaccines and vaccination not only of healthy children but also of subjects with health problems and chronic diseases including the use of several vaccines. The number of contraindications could be decreased without a rise in the frequency of post-vaccination complications. Immunoprophylaxis allowed the incidence of controllable infections to be reduced; the level of epidemiologic well-being achieved in the course of this work provided a basis for eradication of some diseases. At the same time, successes of vaccination made mankind dependent on the use of vaccines. As a result, discontinuation of mass vaccination and even temporal decrease of its scale in the absence of certain infections or in the situation of their sporadic occurrence (i.e. the lack of natural immunization) lead to their reappearance. Specific features of modern immunoprophylaxis of infectious and non-infectious pathology and its timetable are described.

摘要

免疫学的进展极大地促进了对感染性免疫机制和疫苗作用的理解。此外,它不仅推动了新疫苗的研发以及健康儿童的疫苗接种,还促进了有健康问题和慢性病患者的疫苗接种,包括多种疫苗的联合使用。在不增加疫苗接种后并发症发生率的情况下,禁忌证的数量得以减少。免疫预防降低了可控感染的发病率;在此过程中实现的流行病学健康水平为根除某些疾病奠定了基础。与此同时,疫苗接种的成功使人类依赖于疫苗的使用。因此,在没有特定感染或其零星发生(即缺乏自然免疫)的情况下停止大规模疫苗接种,甚至暂时缩小其规模,都会导致这些疾病再次出现。本文描述了现代感染性和非感染性疾病免疫预防的特点及其时间表。

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