《中国2018-2019年季节性流感疫苗接种技术指南》

[Technical guidelines for seasonal influenza vaccination in China, 2018-2019].

作者信息

Feng L Z, Peng Z B, Wang D Y, Yang P, Yang J, Zhang Y Y, Chen J, Jiang S Q, Xu L L, Kang M, Chen T, Zheng Y M, Zheng J D, Qin Y, Zhao M J, Tan Y Y, Li Z J, Feng Z J

机构信息

Division of Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing 102206, China.

National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Nov 10;39(11):1413-1425. doi: 10.3760/cma.j.issn.0254-6450.2018.11.001.

Abstract

Seasonal influenza vaccination is the most effective way to prevent influenza virus infection and its complications. Currently, China has licensed trivalent (IIV3) and quadrivalent inactivated influenza vaccine (IIV4), including split-virus influenza vaccine and subunit vaccine. In most parts of China, influenza vaccine is a category Ⅱ vaccine, which means influenza vaccination is voluntary, and recipients need to pay for it. To strengthen the technical guidance for prevention and control of influenza and the operational research on influenza vaccination in China, the National Immunization Advisory Committee (NIAC), Influenza Vaccine Technical Working Group (TWG), updated the 2014 technical guidelines and compiled the " (-)" , based on most recent existing scientific evidences. The main updates include: epidemiology and disease burden of influenza, types of influenza vaccines, northern hemisphere influenza vaccination composition for the 2018-2019 season, and, IIV3 and IIV4 vaccines'major immune responses, durability of immunity, immunogenicity, vaccine efficacy, effectiveness, safety, cost-effectiveness and cost-benefit. The recommendations include: Points of Vaccination clinics (PoVs) should provide influenza vaccination to all persons aged 6 months and above who are willing to be vaccinated and do not have contraindications. No preferential recommendation is made for any influenza vaccine product for persons who can accept ≥1 licensed, recommended, and appropriate products. To decrease the risk of severe infections and complications due to influenza virus infection among high risk groups, the recommendations prioritize seasonal influenza vaccination for children aged 6-60 months, adults ≥60 years of age, persons with specific chronic diseases, healthcare workers, the family members and caregivers of infants <6 months of age, and pregnant women or women who plan to pregnant during the influenza season. Children aged 6 months to 8 years old require 2 doses of influenza vaccine administered a minimum of 4 weeks apart during their first season of vaccination for optimal protection. If they were vaccinated in previous influenza season, 1 dose is recommended. People ≥ 9 years old require 1 dose of influenza vaccine. It is recommended that people receive their influenza vaccination by the end of October. Influenza vaccination should be offered as soon as the vaccination is available. Influenza vaccination should continue to be available for those unable to be vaccinated before the end of October during the whole season. Influenza vaccine is also recommended for use in pregnant women during any trimester. These guidelines are intended for CDC members who are working on influenza control and prevention, PoVs members, healthcare workers from the departments of pediatrics, internal medicine, and infectious diseases, and members of maternity and child care institutions at all levels.

摘要

季节性流感疫苗接种是预防流感病毒感染及其并发症的最有效方法。目前,中国已批准三价(IIV3)和四价灭活流感疫苗(IIV4),包括裂解流感疫苗和亚单位疫苗。在中国大部分地区,流感疫苗属于二类疫苗,这意味着流感疫苗接种是自愿的,接种者需要自费。为加强中国流感防控技术指导和流感疫苗接种工作研究,国家免疫咨询委员会(NIAC)、流感疫苗技术工作组(TWG),基于最新现有科学证据更新了2014年技术指南并编写了《(-)》。主要更新内容包括:流感的流行病学和疾病负担、流感疫苗类型、2018 - 2019年北半球流感疫苗接种成分,以及IIV3和IIV4疫苗的主要免疫反应、免疫持久性、免疫原性、疫苗效力、有效性、安全性、成本效益和成本效益分析。建议包括:接种门诊应为所有6个月及以上愿意接种且无禁忌证的人群提供流感疫苗接种。对于能够接受≥1种已获许可、推荐且合适产品的人群,不针对任何流感疫苗产品进行优先推荐。为降低高危人群因流感病毒感染导致严重感染和并发症的风险,建议优先为6 - 60月龄儿童、≥60岁成年人、患有特定慢性病的人群、医护人员、<6月龄婴儿的家庭成员和照料者,以及流感季节期间的孕妇或计划怀孕的女性接种季节性流感疫苗。6月龄至8岁儿童在首次接种流感疫苗的季节需要接种2剂,间隔至少4周以获得最佳保护。如果他们在上一个流感季节接种过疫苗,建议接种1剂。≥9岁人群需要接种1剂流感疫苗。建议人们在10月底前接种流感疫苗。一旦有疫苗供应应尽快接种。对于10月底前无法接种的人群,整个流感季节都应持续提供流感疫苗接种服务。也建议在孕期的任何阶段为孕妇接种流感疫苗。这些指南适用于从事流感防控工作的疾控人员、接种门诊人员、儿科、内科和感染科医护人员以及各级妇幼保健机构人员。

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