《用疫苗预防和控制季节性流感:美国免疫实践咨询委员会的建议——2017 - 18流感季》
Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices - United States, 2017-18 Influenza Season.
作者信息
Grohskopf Lisa A, Sokolow Leslie Z, Broder Karen R, Walter Emmanuel B, Bresee Joseph S, Fry Alicia M, Jernigan Daniel B
机构信息
Influenza Division, National Center for Immunization and Respiratory Diseases, CDC.
Battelle Memorial Institute, Atlanta, Georgia.
出版信息
MMWR Recomm Rep. 2017 Aug 25;66(2):1-20. doi: 10.15585/mmwr.rr6602a1.
This report updates the 2016-17 recommendations of the Advisory Committee on Immunization Practices (ACIP) regarding the use of seasonal influenza vaccines (MMWR Recomm Rep 2016;65[No. RR-5]). Routine annual influenza vaccination is recommended for all persons aged ≥6 months who do not have contraindications. A licensed, recommended, and age-appropriate vaccine should be used.For the 2017-18 season, quadrivalent and trivalent influenza vaccines will be available. Inactivated influenza vaccines (IIVs) will be available in trivalent (IIV3) and quadrivalent (IIV4) formulations. Recombinant influenza vaccine (RIV) will be available in trivalent (RIV3) and quadrivalent (RIV4) formulations. Live attenuated influenza vaccine (LAIV4) is not recommended for use during the 2017-18 season due to concerns about its effectiveness against (H1N1)pdm09 viruses during the 2013-14 and 2015-16 seasons. Recommendations for different vaccine types and specific populations are discussed. No preferential recommendation is made for one influenza vaccine product over another for persons for whom more than one licensed, recommended product is available.Updates to the recommendations described in this report reflect discussions during public meetings of ACIP held on October 20, 2016; February 22, 2017; and June 21, 2017. New and updated information in this report includes the following:•Vaccine viruses included in the 2017-18 U.S. trivalent influenza vaccines will be an A/Michigan/45/2015 (H1N1)pdm09-like virus, an A/Hong Kong/4801/2014 (H3N2)-like virus, and a B/Brisbane/60/2008-like virus (Victoria lineage). Quadrivalent influenza vaccines will contain these three viruses and an additional influenza B vaccine virus, a B/Phuket/3073/2013-like virus (Yamagata lineage).• Information on recent licensures and labelling changes is discussed, including licensure of Afluria Quadrivalent (IIV4; Seqirus, Parkville, Victoria, Australia); Flublok Quadrivalent (RIV4; Protein Sciences, Meriden, Connecticut); and expansion of the age indication for FluLaval Quadrivalent (IIV4; ID Biomedical Corporation of Quebec, Quebec City, Quebec, Canada), previously licensed for ≥3 years, to ≥6 months.• Pregnant women may receive any licensed, recommended, age-appropriate influenza vaccine.• Afluria (IIV3; Seqirus, Parkville, Victoria, Australia) may be used for persons aged ≥5 years, consistent with Food and Drug Administration-approved labeling.• FluMist Quadrivalent (LAIV4; MedImmune, Gaithersburg, Maryland) should not be used during the 2017-18 season due to concerns about its effectiveness against influenza A(H1N1)pdm09 viruses in the United States during the 2013-14 and 2015-16 influenza seasons.This report focuses on the recommendations for use of vaccines for the prevention and control of influenza during the 2017-18 season in the United States. A Background Document containing further information and a summary of these recommendations are available at https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/flu.html. These recommendations apply to licensed influenza vaccines used within Food and Drug Administration-licensed indications, including those licensed after the publication date of this report. Updates and other information are available at CDC's influenza website (https://www.cdc.gov/flu). Vaccination and health care providers should check CDC's influenza website periodically for additional information.
本报告更新了免疫实践咨询委员会(ACIP)2016 - 2017年关于季节性流感疫苗使用的建议(《发病率与死亡率周报》建议报告2016;65[第RR - 5号])。建议所有年龄≥6个月且无禁忌证的人群每年常规接种流感疫苗。应使用获得许可、推荐且适合年龄的疫苗。
对于2017 - 2018流感季,将有四价和三价流感疫苗可供使用。灭活流感疫苗(IIV)有三价(IIV3)和四价(IIV4)两种剂型。重组流感疫苗(RIV)有三价(RIV3)和四价(RIV4)两种剂型。由于担心其在2013 - 2014年和2015 - 2016年流感季对甲型(H1N1)pdm09病毒的有效性,不建议在2017 - 2018流感季使用减毒活流感疫苗(LAIV4)。文中讨论了针对不同疫苗类型和特定人群的建议。对于有多种获得许可且推荐产品可供选择的人群,未对一种流感疫苗产品优于另一种产品给出优先推荐。
本报告所述建议的更新反映了2016年10月20日、2017年2月22日和2017年6月21日ACIP公开会议期间的讨论情况。本报告中的新信息和更新信息包括以下内容:
• 2017 - 2018年美国三价流感疫苗所含的疫苗病毒将是一株A/密歇根/45/2015(H1N1)pdm09类似病毒、一株A/香港/4801/2014(H3N2)类似病毒和一株B/布里斯班/60/2008类似病毒(维多利亚系)。四价流感疫苗将包含这三种病毒以及另一种乙型流感疫苗病毒,即B/普吉特/3073/2013类似病毒(山形系)。
• 讨论了近期的许可情况和标签变更信息,包括Afluria四价疫苗(IIV4;Seqirus公司,澳大利亚维多利亚州帕克维尔)、Flublok四价疫苗(RIV4;Protein Sciences公司,美国康涅狄格州梅里登)的许可情况,以及FluLaval四价疫苗(IIV4;加拿大魁北克省魁北克市ID Biomedical Corporation of Quebec公司)年龄适应证的扩大,该疫苗之前的许可年龄为≥3岁,现扩大至≥6个月。
• 孕妇可接种任何获得许可、推荐且适合年龄的流感疫苗。
• Afluria(IIV3;Seqirus公司,澳大利亚维多利亚州帕克维尔)可用于年龄≥5岁的人群,与美国食品药品监督管理局批准的标签一致。
• 由于担心其在2013 - 2014年和2015 - 2016年流感季对美国甲型(H1N1)pdm09病毒的有效性,不建议在2017 - 2018流感季使用FluMist四价疫苗(LAIV4;MedImmune公司,美国马里兰州盖瑟斯堡)。
本报告重点关注2017 - 2018年美国流感预防和控制疫苗使用的建议。可在https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/flu.html获取包含更多信息和这些建议摘要的背景文件。这些建议适用于在美国食品药品监督管理局许可适应证范围内使用的获得许可的流感疫苗,包括本报告发布日期之后获得许可的疫苗。可在疾病预防控制中心的流感网站(https://www.cdc.gov/flu)获取更新信息和其他信息。疫苗接种人员和医疗保健提供者应定期查看疾病预防控制中心的流感网站以获取更多信息。