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脑膜炎球菌病与大学生疫苗接种。

Meningococcal disease and vaccination in college students.

机构信息

Department of Pediatrics, Children's National Hospital, Washington, DC, USA.

Center for Translational Research, Children's National Hospital, Washington, DC, USA.

出版信息

Hum Vaccin Immunother. 2021 Nov 2;17(11):4675-4688. doi: 10.1080/21645515.2021.1973881. Epub 2021 Oct 6.

DOI:10.1080/21645515.2021.1973881
PMID:34613863
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8828137/
Abstract

is a bacterial pathogen capable of causing rapidly progressing illness from nonspecific symptoms to end-organ failure or death in a matter of hours to days. Despite the availability of meningococcal vaccines, there remains a notable disease incidence peak among individuals aged 18-19 years, with college students at increased risk for disease relative to non-college students. Between 2007 and 2017, as many as one in five colleges in the United States experienced an outbreak of meningococcal disease at their own or a nearby institution. Evidence-based strategies to promote meningococcal vaccination among students can be adapted for the college setting, but barriers exist that limit widespread implementation of these strategies by colleges. In this article, we review meningococcal disease characteristics and epidemiology among US college students, vaccination indications and coverage levels among US college students, as well as college vaccination policies and practices that can impact students' vaccine uptake.

摘要

脑膜炎奈瑟菌是一种细菌病原体,能够在数小时至数天内引起非特异性症状迅速进展为终末器官衰竭或死亡。尽管有脑膜炎球菌疫苗可用,但在 18-19 岁的人群中,仍有显著的疾病发病率高峰,与非大学生相比,大学生患病风险增加。在 2007 年至 2017 年期间,美国多达五分之一的学院在自己或附近的机构发生了脑膜炎球菌病爆发。可以针对大学生群体制定基于证据的脑膜炎球菌疫苗接种促进策略,但存在一些障碍限制了这些策略在高校中的广泛实施。在本文中,我们回顾了美国大学生中脑膜炎奈瑟菌病的特征和流行病学、美国大学生中疫苗接种的适应证和覆盖率,以及可能影响学生疫苗接种率的大学疫苗接种政策和实践。

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本文引用的文献

1
An immunization quality improvement learning collaborative in the college health setting.在高校卫生保健环境中开展免疫接种质量改进学习合作。
J Am Coll Health. 2023 Nov;71(8):2612-2621. doi: 10.1080/07448481.2021.1979560. Epub 2021 Oct 20.
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Persistence of hSBA titers elicited by the meningococcal serogroup B vaccine menB-FHbp for up to 4 years after a 2- or 3-dose primary series and immunogenicity, safety, and tolerability of a booster dose through 26 months.在完成 2 剂或 3 剂基础免疫系列程序后,脑膜炎奈瑟菌 B 型疫苗 menB-FHbp 诱发的 hSBA 滴度可持续长达 4 年,且加强剂的免疫原性、安全性和耐受性可至 26 个月。
Vaccine. 2021 Jul 22;39(32):4545-4554. doi: 10.1016/j.vaccine.2021.06.005. Epub 2021 Jun 30.
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MMWR Recomm Rep. 2020 Sep 25;69(9):1-41. doi: 10.15585/mmwr.rr6909a1.
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Safety Surveillance of Bivalent Meningococcal Group B Vaccine, Vaccine Adverse Event Reporting System, 2014-2018.2014 - 2018年二价B群脑膜炎球菌疫苗的安全性监测,疫苗不良事件报告系统
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Epidemiological impact and cost-effectiveness of universal meningitis b vaccination among college students prior to college entry.大学生入学前普遍接种脑膜炎 B 疫苗的流行病学影响和成本效益。
PLoS One. 2020 Oct 9;15(10):e0239926. doi: 10.1371/journal.pone.0239926. eCollection 2020.
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Serogroup B meningococcal vaccination practice patterns on college campuses.B 群脑膜炎球菌疫苗接种在大学校园的实践模式。
Vaccine. 2020 Oct 27;38(46):7350-7356. doi: 10.1016/j.vaccine.2020.09.035. Epub 2020 Oct 1.
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National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13-17 Years - United States, 2019.2019 年美国 13-17 岁青少年的国家、地区、州和选定局部地区疫苗接种覆盖率。
MMWR Morb Mortal Wkly Rep. 2020 Aug 21;69(33):1109-1116. doi: 10.15585/mmwr.mm6933a1.
8
Adverse events following quadrivalent meningococcal diphtheria toxoid conjugate vaccine (Menactra®) reported to the Vaccine Adverse Event Reporting System (VAERS), 2005-2016.2005-2016 年向疫苗不良事件报告系统(VAERS)报告的四价脑膜炎球菌荚膜多糖结合疫苗(Menactra®)不良事件。
Vaccine. 2020 Sep 11;38(40):6291-6298. doi: 10.1016/j.vaccine.2020.07.039. Epub 2020 Jul 31.
9
Immunogenicity, safety and inter-lot consistency of a meningococcal conjugate vaccine (MenACYW-TT) in adolescents and adults: A Phase III randomized study.在青少年和成年人中使用脑膜炎球菌结合疫苗(MenACYW-TT)的免疫原性、安全性和批次间一致性:一项 III 期随机研究。
Vaccine. 2020 Jul 14;38(33):5194-5201. doi: 10.1016/j.vaccine.2020.06.013. Epub 2020 Jun 19.
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The everchanging epidemiology of meningococcal disease worldwide and the potential for prevention through vaccination.全球脑膜炎奈瑟菌病的不断变化的流行病学和通过疫苗接种进行预防的可能性。
J Infect. 2020 Oct;81(4):483-498. doi: 10.1016/j.jinf.2020.05.079. Epub 2020 Jun 3.