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轮状病毒免疫接种对军人眷属轮状病毒胃肠炎住院率的影响。

The effect of rotavirus immunization on rotavirus gastroenteritis hospitalization rates in military dependents.

机构信息

Department of Pediatrics, F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences (USUHS), 4301 Jones Bridge Rd, Bethesda, MD 20814, USA.

出版信息

Vaccine. 2011 Jan 17;29(4):650-9. doi: 10.1016/j.vaccine.2010.11.041. Epub 2010 Dec 1.

DOI:10.1016/j.vaccine.2010.11.041
PMID:21129394
Abstract

We conducted a retrospective review of all U.S. military dependents less than 5 years old hospitalized with rotavirus-associated gastroenteritis from July 2003 to June 2009. The two post-vaccine seasons showed a significant reduction of 62.4% (95% CI, 58.6-65.8, P<0.001) in rotavirus gastroenteritis hospitalization rate compared to the three pre-vaccine seasons. Infants less than 12 months old showed the greatest reduction in incidence at 75.3%. A substantial decrease was also seen in unvaccinated children as well. Vaccine efficacy against hospitalization was 86.0% (95% CI, 77.7-91.3) after just a single dose. The overwhelming majority of children hospitalized for rotavirus since the introduction of the vaccine (ranging from 91.8 to 100% per season) had not received any of the rotavirus vaccine series.

摘要

我们对 2003 年 7 月至 2009 年 6 月期间所有因轮状病毒相关性肠胃炎住院的 5 岁以下美国军人子女进行了回顾性审查。与疫苗接种前的三个季节相比,疫苗接种后的两个季节轮状病毒肠胃炎住院率显著下降 62.4%(95%CI,58.6-65.8,P<0.001)。小于 12 个月大的婴儿发病率下降幅度最大,为 75.3%。未接种疫苗的儿童也出现了明显下降。仅接种一剂疫苗后,疫苗对住院的有效率为 86.0%(95%CI,77.7-91.3)。自疫苗推出以来,绝大多数因轮状病毒住院的儿童(每个季节的比例从 91.8%到 100%不等)都没有接种任何轮状病毒疫苗系列。

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