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特殊风险人群的麻疹疫苗接种。

Measles vaccination of special risk groups.

机构信息

Third Department of Pediatrics, ATTIKON University Hospital, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Hum Vaccin Immunother. 2021 Dec 2;17(12):5384-5387. doi: 10.1080/21645515.2021.1997034. Epub 2021 Nov 17.

DOI:10.1080/21645515.2021.1997034
PMID:34788199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8903983/
Abstract

Measles is an important vaccine preventable disease with significant morbidity and mortality. Although measles vaccine is a safe and effective vaccine available worldwide for more than 50 years, still immunization efforts have not successfully reached the WHO goal of 95% vaccination coverage. Hesitancy is especially increased amongst parents of children with chronic conditions. Contraindications for measles-containing vaccines are well defined and include history of anaphylactic reactions to neomycin, history of severe allergic reaction to previous vaccination, pregnancy, and severe immunosuppression. Concurrently, precautions for measles-containing vaccines include amongst other, history of thrombocytopenia or thrombocytopenic purpura and personal or family history of seizures of any etiology. This article aims to address misconceptions on measles vaccine safety and review data on adverse events among special groups of subjects at increased risk following measles immunization.

摘要

麻疹是一种重要的疫苗可预防疾病,具有显著的发病率和死亡率。尽管麻疹疫苗是一种安全有效的疫苗,已经在全球范围内使用了 50 多年,但免疫接种工作仍未能成功达到世界卫生组织 95%的疫苗接种覆盖率目标。对有慢性疾病的儿童的父母来说,他们对接种疫苗的犹豫情绪尤为增加。含麻疹疫苗的禁忌症有明确规定,包括对新霉素有过敏反应史、对以前接种疫苗有严重过敏史、怀孕和严重免疫抑制。同时,含麻疹疫苗的预防措施还包括血小板减少症或血小板减少性紫癜病史,以及任何病因的癫痫个人或家族史。本文旨在解决关于麻疹疫苗安全性的误解,并审查在麻疹免疫接种后有更高风险的特殊人群中不良事件的数据。

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Hum Vaccin Immunother. 2021 Dec 2;17(12):5384-5387. doi: 10.1080/21645515.2021.1997034. Epub 2021 Nov 17.
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本文引用的文献

1
Effects of measles-containing vaccination in children with severe underlying neurologic disease.含麻疹成分疫苗接种对严重基础神经疾病患儿的影响。
Vaccine. 2021 Mar 5;39(10):1481-1484. doi: 10.1016/j.vaccine.2020.11.061. Epub 2020 Dec 3.
2
The Changing Global Epidemiology of Measles, 2013-2018.2013-2018 年麻疹的全球流行趋势变化。
J Infect Dis. 2020 Sep 1;222(7):1117-1128. doi: 10.1093/infdis/jiaa044.
3
Determinants of low measles vaccination coverage in children living in an endemic area.导致流行地区儿童麻疹疫苗接种率低的因素。
Eur J Pediatr. 2019 Feb;178(2):243-251. doi: 10.1007/s00431-018-3289-5. Epub 2018 Nov 14.
4
Measles Immunity at 4.5 Years of Age Following Vaccination at 9 and 15-18 Months of Age Among Human Immunodeficiency Virus (HIV)-infected, HIV-exposed-uninfected, and HIV-unexposed Children.9 个月和 15-18 个月龄接种疫苗后,4.5 岁时人类免疫缺陷病毒(HIV)感染、HIV 暴露但未感染以及 HIV 未暴露儿童的麻疹免疫力。
Clin Infect Dis. 2019 Aug 1;69(4):687-696. doi: 10.1093/cid/ciy964.
5
Vaccines in pediatric transplant recipients-Past, present, and future.儿科移植受者的疫苗——过去、现在与未来
Pediatr Transplant. 2018 Nov;22(7):e13282. doi: 10.1111/petr.13282. Epub 2018 Sep 12.
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Postchemotherapy Immunization Practices for Non-HSCT Pediatric Oncology Patients.非造血干细胞移植儿科肿瘤患者化疗后的免疫接种实践
J Pediatr Hematol Oncol. 2019 May;41(4):289-293. doi: 10.1097/MPH.0000000000001293.
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Vaccination and allergy: EAACI position paper, practical aspects.疫苗接种与过敏:欧洲变态反应和临床免疫学会立场文件,实践要点
Pediatr Allergy Immunol. 2017 Nov;28(7):628-640. doi: 10.1111/pai.12762. Epub 2017 Oct 10.
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Adverse events following immunization: real causality and myths.免疫接种后的不良事件:真正的因果关系与误解
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