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呼吸道合胞病毒预防:疫苗的新时代

Respiratory Syncytial Virus Prevention: A New Era of Vaccines.

作者信息

Lee Calvin Yee Fen, Khan Salman J, Vishal Fnu, Alam Sadaf, Murtaza Syeda Fatima

机构信息

Internal Medicine, Jiangsu University, Zhenjiang, CHN.

Public Health, University of Massachusetts, Amherst, USA.

出版信息

Cureus. 2023 Sep 11;15(9):e45012. doi: 10.7759/cureus.45012. eCollection 2023 Sep.

Abstract

Respiratory syncytial virus (RSV) is a pathogen that primarily affects the respiratory system, leading to upper and lower respiratory tract infections. Children, individuals aged 60 and above, and individuals with impaired immune systems are more susceptible to developing RSV lower respiratory tract infections (LRTIs), which can result in fatalities in some instances. Symptoms of LRTI include shortness of breath, wheezing, pneumonia, and bronchiolitis. Current management of RSV-LRTI includes conservative and symptomatic treatment. The Food and Drug Administration (FDA) recently approved two vaccines that effectively prevent acute and severe RSV-LRTI requiring hospitalizations. Nirsevimab (Beyfortus) is approved for infants born at 35 weeks of gestation and above. At the same time, RSVPreF3 OA (Arexvy) is recommended for adults aged 60 and older. Both vaccines are effective against the two major strains of RSV and require single doses to induce immunity. In this article, we will discuss the mechanism of action, effectiveness, and side effects of these novel vaccines and their possible impact.

摘要

呼吸道合胞病毒(RSV)是一种主要影响呼吸系统的病原体,可导致上、下呼吸道感染。儿童、60岁及以上的人群以及免疫系统受损的个体更容易发生RSV下呼吸道感染(LRTIs),在某些情况下可能导致死亡。LRTI的症状包括呼吸急促、喘息、肺炎和细支气管炎。目前RSV-LRTI的治疗包括保守治疗和对症治疗。美国食品药品监督管理局(FDA)最近批准了两种有效预防需要住院治疗的急性和重度RSV-LRTI的疫苗。尼塞韦单抗(Beyfortus)被批准用于妊娠35周及以上出生的婴儿。同时,RSVPreF3 OA(Arexvy)被推荐用于60岁及以上的成年人。这两种疫苗对RSV的两种主要毒株均有效,且只需单剂量即可诱导免疫。在本文中,我们将讨论这些新型疫苗的作用机制、有效性、副作用及其可能产生的影响。

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