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欧洲孕期疫苗接种综合概述

Comprehensive Overview of Vaccination during Pregnancy in Europe.

作者信息

Simionescu Anca Angela, Streinu-Cercel Anca, Popescu Florin-Dan, Stanescu Ana Maria Alexandra, Vieru Mariana, Danciu Bianca Mihaela, Miron Victor Daniel, Săndulescu Oana

机构信息

Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Department of Obstetrics and Gynecology, Filantropia Clinical Hospital, 011132 Bucharest, Romania.

出版信息

J Pers Med. 2021 Nov 13;11(11):1196. doi: 10.3390/jpm11111196.

Abstract

Vaccinations during pregnancy can protect the mother from several infections, thus blocking vertical transmission. Furthermore, through passive antibody transfer, the newborn can be protected against some infections in the first months of life until their own vaccination regimen is initiated and completed at the appropriate age. Pregnancy can be considered a high-risk condition that increases vulnerability to infectious diseases with potentially unfavorable evolution. We present the current knowledge on vaccination during pregnancy in Europe as a useful information source for different health workers involved in prenatal care. Many European countries implement vaccination policies specifically designed for pregnant women, but there is great heterogeneity among programs. Recommendations on vaccination during pregnancy must be based on current high-quality scientific data. The decisions must be made for each individual case, depending on the associated conditions or special circumstances, with a concomitant assessment of the potential benefits and risks to both the pregnant patient and the fetus. Many vaccines are well-tolerated in pregnant women, with no clinically meaningful injection site reactions, systemic symptoms, or vaccine-related serious adverse events.

摘要

孕期接种疫苗可保护母亲免受多种感染,从而阻断垂直传播。此外,通过被动抗体转移,新生儿在生命的最初几个月可受到保护,免受某些感染,直至其在适当年龄开始并完成自身的疫苗接种程序。孕期可被视为一种高危状况,会增加对传染病的易感性,且病情可能发展不利。我们呈现欧洲孕期接种疫苗的现有知识,作为参与产前护理的不同医护人员的有用信息来源。许多欧洲国家实施了专门为孕妇设计的疫苗接种政策,但各项目之间存在很大差异。孕期接种疫苗的建议必须基于当前高质量的科学数据。必须针对每个具体病例做出决策,这取决于相关状况或特殊情况,同时评估对孕妇和胎儿的潜在益处和风险。许多疫苗在孕妇中耐受性良好,没有临床上有意义的注射部位反应、全身症状或与疫苗相关的严重不良事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42e1/8623700/0c51b73f9623/jpm-11-01196-g001.jpg

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