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[人乳头瘤病毒疫苗接种]

[Vaccination against human papillomavirus].

作者信息

Hillemanns Peter, Kampers Johanna, Hachenberg Jens, Jentschke Matthias

机构信息

Klinik für Frauenheilkunde und Geburtshilfe, Medizinische Hochschule Hannover (MHH), Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

出版信息

Internist (Berl). 2021 Aug;62(8):816-826. doi: 10.1007/s00108-021-01102-0. Epub 2021 Jul 14.

DOI:10.1007/s00108-021-01102-0
PMID:34259907
Abstract

Vaccination against human papillomavirus (HPV), which has been proven to be highly effective and safe, is recommended as part of standard vaccination by the German Standing Committee on Vaccination (STIKO) for 9‑ to 14-year-old girls and boys. Up to 90% of cervical cancer and its precancerous lesions can be prevented with timely vaccination (before first intercourse). In addition, the effectiveness extends to the primary prevention of HPV-associated neoplasms of the vulva, vagina, anus, penis and oropharynx. The HPV vaccination is the focus of the global initiative of the WHO calling on German health policymakers to significantly increase the immunization coverage of the German population, which is currently only 45-60%. Due to the high immunogenicity and the convincing long-term effects, the goals of eliminating cervical cancer and significantly reducing other HPV-associated cancers are theoretically achievable.

摘要

人乳头瘤病毒(HPV)疫苗已被证明高度有效且安全,德国疫苗接种常设委员会(STIKO)建议将其作为9至14岁女孩和男孩标准疫苗接种的一部分。及时接种疫苗(首次性交前)可预防高达90%的宫颈癌及其癌前病变。此外,该疫苗的有效性还扩展到对外阴、阴道、肛门、阴茎和口咽HPV相关肿瘤的一级预防。HPV疫苗接种是世界卫生组织全球倡议的重点,该倡议呼吁德国卫生政策制定者大幅提高德国人口的免疫覆盖率,目前德国的免疫覆盖率仅为45%-60%。由于高免疫原性和令人信服的长期效果,消除宫颈癌和显著减少其他HPV相关癌症的目标在理论上是可以实现的。

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[Vaccination against human papillomavirus].[人乳头瘤病毒疫苗接种]
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Moving forward: human papillomavirus vaccination and the prevention of cervical cancer.展望未来:人乳头瘤病毒疫苗接种与宫颈癌预防
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本文引用的文献

1
Real-World Effectiveness of Human Papillomavirus Vaccination Against Vulvovaginal High-Grade Precancerous Lesions and Cancers.人乳头瘤病毒疫苗接种对阴道外阴高级别癌前病变和癌症的真实世界有效性。
J Natl Cancer Inst. 2021 Jul 1;113(7):869-874. doi: 10.1093/jnci/djaa209.
2
Efficacy, effectiveness and safety of vaccination against human papillomavirus in males: a systematic review.男性接种人乳头瘤病毒疫苗的功效、效果和安全性:系统评价。
BMC Med. 2018 Jul 18;16(1):110. doi: 10.1186/s12916-018-1098-3.
3
Prophylactic vaccination against human papillomaviruses to prevent cervical cancer and its precursors.
接种人乳头瘤病毒预防性疫苗以预防宫颈癌及其癌前病变。
Cochrane Database Syst Rev. 2018 May 9;5(5):CD009069. doi: 10.1002/14651858.CD009069.pub3.
4
The efficacy and duration of vaccine protection against human papillomavirus: a systematic review and meta-analysis.人乳头瘤病毒疫苗保护的效力和持续时间:一项系统评价与荟萃分析
Dtsch Arztebl Int. 2014 Sep 1;111(35-36):584-91. doi: 10.3238/arztebl.2014.0584.
5
Human Papillomavirus prevalence and probable first effects of vaccination in 20 to 25 year-old women in Germany: a population-based cross-sectional study via home-based self-sampling.德国20至25岁女性的人乳头瘤病毒流行率及疫苗接种的可能初步影响:一项基于家庭自我采样的人群横断面研究
BMC Infect Dis. 2014 Feb 19;14:87. doi: 10.1186/1471-2334-14-87.
6
Impact of a population-based HPV vaccination program on cervical abnormalities: a data linkage study.基于人群的 HPV 疫苗接种计划对宫颈异常的影响:一项数据关联研究。
BMC Med. 2013 Oct 22;11:227. doi: 10.1186/1741-7015-11-227.
7
Prevalence of rotavirus and adenovirus associated with diarrhea among displaced communities in Khartoum, Sudan.苏丹喀土穆流离失所社区腹泻患者中轮状病毒和腺病毒的流行情况。
BMC Infect Dis. 2013 May 8;13:209. doi: 10.1186/1471-2334-13-209.
8
Human papillomavirus and cervical cancer.人乳头瘤病毒与宫颈癌
Clin Microbiol Rev. 2003 Jan;16(1):1-17. doi: 10.1128/CMR.16.1.1-17.2003.