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帕利珠单抗:预防性免疫对呼吸道合胞病毒引起的感染发生率的影响

Palivizumab: The Effects of Prophylactic Immunization on the Occurrence of Infections Caused by the Respiratory Syncytial Virus.

作者信息

Raguz Marjana Jerkovic, Brzica Jerko, Grgic Ivana

机构信息

NICU Department, Clinic for Children's Diseases, Sveucilisna Klinicka Bolnica Mostar, Mostar, Bosnia and Herzegovina.

Clinic of Anesthesiology, Sveucilisna Klinicka Bolnica Mostar, Mostar, Bosnia and Herzegovina.

出版信息

Klin Padiatr. 2017 Sep;229(5):281-285. doi: 10.1055/s-0043-112499. Epub 2017 Sep 25.

DOI:10.1055/s-0043-112499
PMID:28946159
Abstract

The aim of this research is to analyze the characteristics of children immunized during immunization season, and their readmission to hospital due to infections of the respiratory tract in the period from 2008 to 2016. The retrospective cohort study included 101 children. The test group consists of infants who met the strict criteria for immunization. The national guidance was determined on the basis of earlier research and recommendations by the AAP. All the children who had been readmitted for hospitalization were quickly tested for RSV. Of this total, 47 children were preterm children (46.5%), 43 (42.5%) were children with CHD, and 11 (11%) exhibited other individual risk factors (gestational age 33-34 weeks, neurological disorders, respiratory anomalies, multi-organ anomalies). 25 (24%) patients of the immunized study population readmitted the ward due to respiratory infections. Of these, 50% were under the age of 6 months and were treated for less than a week on average. Upon readmission, a quick test to diagnose for RSV infections was conducted, which was negative for all of the previously immunized children. Palivizumab represents an effective prevention to avoid RSV infections, that significantly contributes to mortality for children at risk, especially in developing countries.

摘要

本研究旨在分析免疫接种季节期间接种疫苗的儿童的特征,以及他们在2008年至2016年期间因呼吸道感染再次入院的情况。这项回顾性队列研究纳入了101名儿童。试验组由符合严格免疫标准的婴儿组成。国家指南是根据美国儿科学会(AAP)早期的研究和建议制定的。所有再次入院的儿童都迅速接受了呼吸道合胞病毒(RSV)检测。其中,47名儿童为早产儿(46.5%),43名(42.5%)患有先天性心脏病(CHD),11名(11%)有其他个体风险因素(胎龄33 - 34周、神经疾病、呼吸异常、多器官异常)。免疫接种研究人群中有25名(24%)患者因呼吸道感染再次入院。其中,50%的患者年龄在6个月以下,平均治疗时间不到一周。再次入院时,进行了快速检测以诊断RSV感染,结果显示所有之前接种过疫苗的儿童检测结果均为阴性。帕利珠单抗是预防RSV感染的有效药物,对高危儿童的死亡率有显著影响,尤其是在发展中国家。

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