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在未来,妊娠期接种 HPV 疫苗是否可行?

Is administration of the HPV vaccine during pregnancy feasible in the future?

机构信息

Department of Obstetrics and Gynecology and the Center for Interdisciplinary Research in Women's Health, The University of Texas Medical Branch, Galveston, TX, USA.

出版信息

Expert Rev Vaccines. 2014 Feb;13(2):213-9. doi: 10.1586/14760584.2014.867236. Epub 2013 Nov 28.

Abstract

Despite the strong evidence supporting the efficacy of the HPV vaccine, the uptake rate remains low. One reason for this is that young females do not interact frequently with the healthcare system. In fact, pregnancy is often the first time young women experience multiple scheduled visits to a health provider. We review the data regarding safety of administering the HPV vaccine during pregnancy and consider the possibility of incorporating vaccination into prenatal care. Although the optimal time for vaccination is prior to sexual debut, this does not always occur, and as such, a broader approach to HPV vaccination may be necessary. Increasing the vaccine uptake rate among young women who did not initiate or complete the series earlier may significantly contribute to the decline in HPV-associated diseases.

摘要

尽管有强有力的证据支持 HPV 疫苗的疗效,但接种率仍然很低。造成这种情况的一个原因是年轻女性与医疗保健系统的互动频率不高。事实上,怀孕通常是年轻女性第一次多次定期去看医生。我们回顾了关于在怀孕期间接种 HPV 疫苗的安全性的数据,并考虑了将疫苗接种纳入产前保健的可能性。虽然接种疫苗的最佳时间是在性行为开始之前,但这种情况并不总是发生,因此,可能需要更广泛的 HPV 疫苗接种方法。增加没有在早期开始或完成疫苗系列接种的年轻女性的疫苗接种率,可能会显著有助于降低 HPV 相关疾病的发病率。

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