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低出生体重儿在首次到基层保健单位时接种卡介苗的小型随机试验。

Small randomized trial among low-birth-weight children receiving bacillus Calmette-Guérin vaccination at first health center contact.

机构信息

Bandim Health Project, Indepth Network, Bissau, Guinea-Bissau.

出版信息

Pediatr Infect Dis J. 2012 Mar;31(3):306-8. doi: 10.1097/INF.0b013e3182458289.

Abstract

A total of 105 low-birth-weight children presenting for first vaccination were randomized to receive bacillus Calmette-Guérin (BCG) immediately or later (current practice). The mortality rate ratio for BCG was 0.17 (95% CI = 0.02-1.35) within 3 days of enrollment, 0.28 (0.06-1.37) in the first month, and 0.27 (0.07-0.98) after 2 months of age. The mortality rate ratio was 0.41 (0.14-1.18) (P = 0.098) in infancy. Administration of BCG vaccine at first contact may contribute to lower mortality.

摘要

共有 105 名低出生体重儿在首次接种时被随机分为立即接种卡介苗(BCG)组和延迟接种组(当前做法)。在登记后 3 天内,BCG 组的死亡率比值为 0.17(95%CI=0.02-1.35),第 1 个月为 0.28(0.06-1.37),2 个月后为 0.27(0.07-0.98)。在婴儿期,BCG 疫苗的死亡率比值为 0.41(0.14-1.18)(P=0.098)。首次接触时接种 BCG 疫苗可能有助于降低死亡率。

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