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[西班牙儿科学会免疫接种计划:2019年建议]

[Immunisation schedule of the Spanish Association of Paediatrics: 2019 recommendations].

作者信息

Moreno-Pérez David, Álvarez García Francisco José, Álvarez Aldeán Javier, Cilleruelo Ortega María José, Garcés Sánchez María, García Sánchez Nuria, Hernández Merino Ángel, Méndez Hernández María, Merino Moína Manuel, Montesdeoca Melián Abián, Ruiz-Contreras Jesús

机构信息

Hospital Materno-Infantil, Hospital Regional Universitario de Málaga, Grupo de Investigación IBIMA; Departamento de Pediatría y Farmacología, Facultad de Medicina, Universidad de Málaga, Málaga, España.

Centro de Salud de Llanera, Asturias, España; Departamento de Medicina, Universidad de Oviedo, Asturias, España.

出版信息

An Pediatr (Engl Ed). 2019 Jan;90(1):56.e1-56.e9. doi: 10.1016/j.anpedi.2018.10.006.

Abstract

The Advisory Committee on Vaccines of the Spanish Association of Paediatrics annually publishes the immunisation schedule considered optimal for children resident in Spain, according to available evidence on current vaccines. As regards funded immunisations, the 2+1 strategy (2, 4, 11 months) with hexavalent (DTPa-IPV-Hib-HB) and 13-valent pneumococcal vaccines are recommended. Administration of the 6-year booster dose with DTPa is recommended, with a poliomyelitis dose for children who had received the 2+1 scheme, as well as Tdap vaccine for adolescents and pregnant women in every pregnancy between 27 and 32 weeks gestation. The 2-dose scheme should be used for MMR (12 months and 3-4 years) and varicella (15 months and 3-4 years). MMRV vaccine could be applied as the second dose. Vaccination against HPV is recommended in both genders, preferably at 12 years of age. A stronger effort should be made to improve vaccination coverage. The new 9-valent vaccine is now available, expanding the coverage for both genders. Tetravalent meningococcal vaccine (MenACWY) is recommended at 12 months and 12-14 years, with a catch-up up at 19 years of age. It is also recommended in infants older than 6 weeks of age with risk factors, or travellers to countries with high incidence of ACWY meningococcal serogroups. As regards non-funded immunisations, it is recommended meningococcal B vaccination, with a 2+1 schedule, and requests that it be included in the National Immunisation Program. Vaccination against rotavirus is recommended in all infants.

摘要

西班牙儿科学会疫苗咨询委员会每年都会根据现有疫苗的证据,发布一份被认为对居住在西班牙的儿童最为理想的免疫接种计划。关于公费免疫接种,推荐采用六价疫苗(白百破-灭活脊髓灰质炎-乙型流感嗜血杆菌-乙肝)和13价肺炎球菌疫苗的2+1策略(2、4、11月龄)。建议在6岁时加强接种白百破疫苗,对于已接种2+1方案的儿童接种一剂脊髓灰质炎疫苗,以及在妊娠27至32周期间,为青少年和孕妇每次妊娠接种一剂破伤风类毒素、白喉、无细胞百日咳疫苗。麻疹、腮腺炎、风疹联合疫苗(MMR)和水痘疫苗应采用2剂次接种方案(12月龄和3至4岁)。MMRV疫苗可作为第2剂次使用。建议两性均接种人乳头瘤病毒疫苗,最佳接种年龄为12岁。应加大力度提高疫苗接种覆盖率。新型9价疫苗现已上市,扩大了两性的接种覆盖范围。建议在12月龄和12至14岁时接种四价脑膜炎球菌疫苗(MenACWY),19岁时进行补种。对于有危险因素的6周龄以上婴儿或前往ACWY脑膜炎球菌血清群高发病率国家的旅行者,也建议接种。关于自费免疫接种,建议采用2+1接种程序接种B型脑膜炎球菌疫苗,并要求将其纳入国家免疫规划。建议所有婴儿接种轮状病毒疫苗。

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