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兰州羔羊轮状病毒疫苗对儿童肠胃炎的有效性。

Effectiveness of the Lanzhou lamb rotavirus vaccine against gastroenteritis among children.

机构信息

Guangzhou Center for Disease Control and Prevention, Guangzhou, China.

出版信息

Vaccine. 2012 Dec 17;31(1):154-8. doi: 10.1016/j.vaccine.2012.10.078. Epub 2012 Nov 2.

Abstract

The Lanzhou lamb rotavirus (LLR) vaccine has been in use in China since 2000. This study evaluated this vaccine's effectiveness using a case-control design in Guangzhou. In the study area, there were 3130 laboratory-confirmed rotavirus gastroenteritis cases in children between 2 and 35 months old from 2009 to 2011. A total of 3607 controls were also enrolled in this study. Of the subjects, 970 (14.4%) had received 1 dose of the LLR vaccine. Because of the low vaccination rate, we only obtained an effectiveness of 44.3% (95% CI, 28.4-56.7%) for children 9-11 months old, 52.8% (40.8-62.3%) for children 12-17 months old, and 51.8% (11.6-73.8%) for children 18-35 months old for one dose. This post-marketing study found that one dose of the LLR vaccine confers partial protection when given to children between 9 and 35 months old. Therefore, earlier immunization and the administration of the full immunization regimen should be encouraged.

摘要

兰州羔羊轮状病毒(LLR)疫苗自 2000 年起就在中国使用。本研究采用病例对照设计,在广州评估了该疫苗的效果。在研究区域,2009 年至 2011 年期间,2 至 35 个月龄儿童中共有 3130 例实验室确诊的轮状病毒胃肠炎病例。本研究共纳入 3607 例对照。其中,970 例(14.4%)接受了 1 剂 LLR 疫苗。由于接种率较低,我们仅获得了 9-11 个月龄儿童一剂的 44.3%(95%CI,28.4-56.7%)、12-17 个月龄儿童一剂的 52.8%(40.8-62.3%)和 18-35 个月龄儿童一剂的 51.8%(11.6-73.8%)的有效性。这项上市后研究发现,9 至 35 个月龄儿童接种一剂 LLR 疫苗可提供部分保护。因此,应鼓励更早的免疫接种和全程免疫接种方案。

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