Hills S L, Wong J M, Staples J E
Arboviral Diseases Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, CO, USA.
Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, PR, USA.
Travel Med Infect Dis. 2023 Sep-Oct;55:102624. doi: 10.1016/j.tmaid.2023.102624. Epub 2023 Jul 28.
Pregnant women traveling abroad can be exposed to a variety of arboviruses, primarily spread by mosquitoes or ticks. Some arboviral infections can be of particular concern for pregnant women or their fetuses. Vaccination is one preventive measure that can reduce the risk for infection. Several arboviral vaccines have been licensed for many years and can be used to prevent infection in travelers, namely Japanese encephalitis, yellow fever, and tick-borne encephalitis vaccines. Recommendations on use of these vaccines in pregnancy vary. Other arboviral vaccines have been licensed but are not indicated for use in pregnant travelers (e.g., dengue vaccines) or are in development (e.g., chikungunya, Zika vaccines). This review describes arboviral vaccines for travelers, focusing on women who are pregnant and those planning travel during pregnancy.
出国旅行的孕妇可能会接触到多种虫媒病毒,这些病毒主要通过蚊子或蜱传播。一些虫媒病毒感染对孕妇或其胎儿可能尤为值得关注。接种疫苗是一种可以降低感染风险的预防措施。几种虫媒病毒疫苗已经获批多年,可用于预防旅行者感染,即日本脑炎疫苗、黄热病疫苗和蜱传脑炎疫苗。关于这些疫苗在孕期使用的建议各不相同。其他虫媒病毒疫苗已经获批,但不建议用于怀孕的旅行者(如登革热疫苗)或仍在研发中(如基孔肯雅热疫苗、寨卡疫苗)。本综述介绍了用于旅行者的虫媒病毒疫苗,重点关注孕期妇女以及计划在孕期旅行的人群。