Università degli Studi di Milano, Milan, Italy.
Pietro Barilla Children's Hospital, Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126, Parma, Italy.
Ital J Pediatr. 2022 Jan 10;48(1):4. doi: 10.1186/s13052-021-01192-4.
Despite the growing evidence of the extreme efficacy of COVID-19 vaccines in adults and the elderly, the administration of the same prophylactic measures to pediatric subjects is debated by some parents and by a number of researchers. The aim of this manuscript is to explain the reasons for overcoming hesitancy towards COVID-19 vaccination in children and adolescents and to highlight the importance of universal COVID-19 vaccination in the pediatric population.
Recent epidemiological data suggest that the risk that a child with COVID-19 is hospitalized or admitted to the pediatric intensive care unit is greater than initially thought. Children may also suffer from long COVID and school closure because of COVID-19 can cause relevant mental health problems in the pediatric population. Placebo-controlled, observer-blinded, clinical trials showed appropriate efficacy, safety and tolerability of authorized mRNA COVID-19 vaccines in children and adolescents 12-17 years old. Vaccination in children younger than 12 years of age will allow further benefits .
COVID-19 vaccine administration seems mandatory in all the children and adolescents because of COVID-19 related complications as well as the efficacy, safety and tolerability of COVID-19 vaccines in this population. Due to the recent approval of COVID-9 vaccines for children 5-10 years old, it is desirable that vaccine opponents can understand how important is the universal immunization against COVID-19 for the pediatric subjects.
尽管有越来越多的证据表明 COVID-19 疫苗在成年人和老年人中的效力极高,但一些家长和一些研究人员对在儿科患者中使用相同的预防措施存在争议。本文旨在解释克服儿童和青少年对 COVID-19 疫苗接种犹豫不决的原因,并强调在儿科人群中普遍接种 COVID-19 疫苗的重要性。
最近的流行病学数据表明,患有 COVID-19 的儿童住院或入住儿科重症监护病房的风险比最初想象的要大。儿童也可能患有长期 COVID,并且由于 COVID-19 而关闭学校可能会导致儿科人群出现相关的心理健康问题。安慰剂对照、观察者盲法临床试验表明,已授权的 mRNA COVID-19 疫苗在 12-17 岁的儿童和青少年中具有适当的疗效、安全性和耐受性。在 12 岁以下的儿童中接种疫苗将带来更多益处。
由于 COVID-19 相关并发症以及 COVID-19 疫苗在该人群中的疗效、安全性和耐受性,COVID-19 疫苗接种在所有儿童和青少年中似乎都是强制性的。由于最近批准了 COVID-9 疫苗用于 5-10 岁的儿童,希望疫苗反对者能够理解普遍接种 COVID-19 疫苗对儿科患者的重要性。