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预防和控制流感的疫苗:免疫实践咨询委员会(ACIP)的建议,2010 年。

Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010.

机构信息

Influenza Division, National Center for Immunization and Respiratory Diseases, CDC, 1600 Clifton Road, N.E., MS A-20, Atlanta, GA 30333, USA.

出版信息

MMWR Recomm Rep. 2010 Aug 6;59(RR-8):1-62.

Abstract

This report updates the 2009 recommendations by CDC's Advisory Committee on Immunization Practices (ACIP) regarding the use of influenza vaccine for the prevention and control of influenza (CDC. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices [ACIP]. MMWR 2009;58[No. RR-8] and CDC. Use of influenza A (H1N1) 2009 monovalent vaccine---recommendations of the Advisory Committee on Immunization Practices [ACIP], 2009. MMWR 2009;58:[No. RR-10]). The 2010 influenza recommendations include new and updated information. Highlights of the 2010 recommendations include 1) a recommendation that annual vaccination be administered to all persons aged >or=6 months for the 2010-11 influenza season; 2) a recommendation that children aged 6 months--8 years whose vaccination status is unknown or who have never received seasonal influenza vaccine before (or who received seasonal vaccine for the first time in 2009-10 but received only 1 dose in their first year of vaccination) as well as children who did not receive at least 1 dose of an influenza A (H1N1) 2009 monovalent vaccine regardless of previous influenza vaccine history should receive 2 doses of a 2010-11 seasonal influenza vaccine (minimum interval: 4 weeks) during the 2010--11 season; 3) a recommendation that vaccines containing the 2010-11 trivalent vaccine virus strains A/California/7/2009 (H1N1)-like (the same strain as was used for 2009 H1N1 monovalent vaccines), A/Perth/16/2009 (H3N2)-like, and B/Brisbane/60/2008-like antigens be used; 4) information about Fluzone High-Dose, a newly approved vaccine for persons aged >or=65 years; and 5) information about other standard-dose newly approved influenza vaccines and previously approved vaccines with expanded age indications. Vaccination efforts should begin as soon as the 2010-11 seasonal influenza vaccine is available and continue through the influenza season. These recommendations also include a summary of safety data for U.S.-licensed influenza vaccines. These recommendations and other information are available at CDC's influenza website (http://www.cdc.gov/flu); any updates or supplements that might be required during the 2010-11 influenza season also will be available at this website. Recommendations for influenza diagnosis and antiviral use will be published before the start of the 2010-11 influenza season. Vaccination and health-care providers should be alert to announcements of recommendation updates and should check the CDC influenza website periodically for additional information.

摘要

本报告更新了美国疾病预防控制中心(CDC)免疫实践咨询委员会(ACIP)在 2009 年就流感疫苗的使用提出的建议,以预防和控制流感(CDC. 预防和控制流感:免疫实践咨询委员会(ACIP)的建议[ACIP]。MMWR 2009;58[No. RR-8]和 CDC. 使用甲型 H1N1 2009 单价疫苗-免疫实践咨询委员会(ACIP)的建议,2009 年。MMWR 2009;58:[No. RR-10])。2010 年流感建议包括新的和更新的信息。2010 年建议的重点包括:1)建议在 2010-11 流感季节对所有年龄大于或等于 6 个月的人进行年度疫苗接种;2)建议对 6 个月至 8 岁的儿童,其疫苗接种状况未知或以前从未接种过季节性流感疫苗(或在 2009-10 年首次接种季节性疫苗,但在第一年接种疫苗时仅接种了 1 剂)以及未接种至少 1 剂甲型 H1N1 2009 单价疫苗的儿童,无论以前的流感疫苗接种史如何,都应在 2010-11 季节期间接种 2 剂 2010-11 季节性流感疫苗(最小间隔:4 周);3)建议使用含有 2010-11 三价疫苗病毒株 A/California/7/2009(H1N1)样(与 2009 年 H1N1 单价疫苗相同的菌株)、A/Perth/16/2009(H3N2)样和 B/Brisbane/60/2008 样抗原的疫苗;4)关于 Fluzone 高剂量疫苗的信息,这是一种新批准的适用于年龄大于或等于 65 岁的人群的疫苗;以及 5)关于其他新批准的标准剂量流感疫苗和以前批准的扩大年龄适应证的疫苗的信息。疫苗接种工作应在 2010-11 季节性流感疫苗上市后尽快开始,并持续到流感季节。这些建议还包括对美国许可的流感疫苗的安全性数据的总结。这些建议和其他信息可在 CDC 的流感网站(http://www.cdc.gov/flu)上获取;在 2010-11 流感季节期间可能需要的任何更新或补充信息也将在该网站上提供。流感诊断和抗病毒使用的建议将在 2010-11 流感季节开始前公布。疫苗接种和卫生保健提供者应注意建议更新的公告,并应定期检查 CDC 流感网站以获取其他信息。

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