Suppr超能文献

早期接触含硫柳汞疫苗与儿童认知发育。波兰一项为期9年的前瞻性出生队列研究。

Early exposure to thimerosal-containing vaccines and children's cognitive development. A 9-year prospective birth cohort study in Poland.

作者信息

Mrozek-Budzyn Dorota, Majewska Renata, Kiełtyka Agnieszka

机构信息

Department of Epidemiology, Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, Kopernika 7a St, 31-034, Krakow, Poland,

出版信息

Eur J Pediatr. 2015 Mar;174(3):383-91. doi: 10.1007/s00431-014-2412-5. Epub 2014 Sep 5.

Abstract

UNLABELLED

The controversial topic of the early exposure to mercury is regarding ethylmercury, which is present in the thimerosal-containing vaccines (TCVs). The objective of this study was to determine the relationship between the early exposure to TCVs and cognitive development in children during the first 9 years of life. The cohort included 318 children vaccinated in an early period (neonatal and up to 6 months) against hepatitis B and diphtheria-tetanus-pertussis (DTP) using formulation with or without thimerosal. The children's development was assessed using the Fagan test (6th month of life), the Bayley Scales of Infant Development (BSID)-II (12th-36th month), the Raven test (5th, 8th year), and the Wechsler Intelligence Scale for Children (WISC-R) (6th, 7th, 9th year). Results were determined by multivariable linear and logistic regression, adjusted to potential confounders. Children exposed and not exposed to TCVs in the neonatal period had similar outcomes of cognitive-developmental tests; only the results of BSID-II at the 36th month and WISC-R at the 9th year were significantly higher for those exposed to TCVs. Developmental test results in children exposed to TCVs up to the 6th month of life also did not depend on thimerosal dose.

CONCLUSION

TCV administration in early infancy did not affect children's cognitive development.

摘要

未标注

早期接触汞这一有争议的话题涉及乙基汞,它存在于含硫柳汞的疫苗(TCV)中。本研究的目的是确定生命最初9年中早期接触TCV与儿童认知发育之间的关系。该队列包括318名儿童,他们在早期(新生儿期及6个月以内)接种了含或不含硫柳汞配方的乙肝疫苗和白喉-破伤风-百日咳(DTP)疫苗。使用费根测试(出生后第6个月)、贝利婴儿发育量表(BSID)-II(第12至36个月)、瑞文测试(第5、8岁)和韦氏儿童智力量表(WISC-R)(第6、7、9岁)对儿童的发育进行评估。结果通过多变量线性和逻辑回归确定,并对潜在混杂因素进行了调整。新生儿期接触和未接触TCV的儿童在认知发育测试中的结果相似;仅对于接触TCV的儿童,第36个月时BSID-II的结果和第9岁时WISC-R的结果显著更高。在出生后6个月内接触TCV的儿童的发育测试结果也不取决于硫柳汞剂量。

结论

婴儿早期接种TCV不会影响儿童的认知发育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acf4/4334107/8d2dc685fa8e/431_2014_2412_Fig1_HTML.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验