Serra Lidia C, York Laura J, Gamil Amgad, Balmer Paul, Webber Chris
Pfizer Vaccines, Medical Development, Scientific and Clinical Affairs, Collegeville, PA, USA.
Pfizer Vaccines, Global Medical Development, Scientific and Clinical Affairs, Dubai, United Arab Emirates.
Infect Dis Ther. 2018 Jun;7(2):219-234. doi: 10.1007/s40121-018-0196-z. Epub 2018 Mar 17.
International travel has been steadily increasing since the middle of the twentieth century, including travel to regions with high levels of endemic meningococcal disease and areas with sporadic or sustained meningococcal outbreaks. Although invasive meningococcal disease (IMD) is relatively rare in travelers since the advent of quadrivalent meningococcal vaccines, it remains a serious concern because of its rapid progression, poor prognosis and outcomes, associated treatment delays, and the potential to precipitate outbreaks. Moreover, fatality occurs in up to 22% of those infected. This review will focus on IMD in travelers, with an emphasis on IMD epidemiology and the geographic regions of potential concern for international travelers. As vaccination is the best approach for preventing IMD among travelers, currently available meningococcal vaccines and corresponding country-specific national meningococcal vaccination recommendations, where available, will be summarized by age and type of vaccine recommended. The use of the quadrivalent meningococcal vaccines, specifically the tetanus toxoid conjugate vaccine (including MenACWY-TT; Nimenrix), as a protective measure against IMD in travelers will be emphasized.
Pfizer Inc.
自20世纪中叶以来,国际旅行一直在稳步增长,包括前往地方性脑膜炎球菌病高发地区以及零星或持续发生脑膜炎球菌疫情的地区。尽管自四价脑膜炎球菌疫苗问世以来,侵袭性脑膜炎球菌病(IMD)在旅行者中相对罕见,但由于其进展迅速、预后和结局不佳、相关治疗延误以及引发疫情的可能性,它仍然是一个严重问题。此外,高达22%的感染者会死亡。本综述将聚焦于旅行者中的IMD,重点关注IMD流行病学以及国际旅行者可能关注的地理区域。由于接种疫苗是预防旅行者中IMD的最佳方法,将按推荐疫苗的年龄和类型总结目前可用的脑膜炎球菌疫苗以及相应国家特定的国家脑膜炎球菌疫苗接种建议(如有的话)。将强调使用四价脑膜炎球菌疫苗,特别是破伤风类毒素结合疫苗(包括MenACWY-TT;Nimenrix)作为旅行者预防IMD的保护措施。
辉瑞公司