Miazga Wojciech, Tatara Tomasz, Gujski Mariusz, Pinkas Jarosław, Ostrowski Janusz, Religioni Urszula
School of Public Health, Centre of Postgraduate Medical Education of Warsaw, Warsaw, Poland.
Departmentt of Public Health, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.
Med Sci Monit. 2025 Apr 24;31:e947173. doi: 10.12659/MSM.947173.
Cervical cancer remains a significant global health challenge, with persistent infection by oncogenic human papillomavirus (HPV) types identified as a necessary condition for its development. HPV vaccines have emerged as a crucial tool for preventing precancerous genital lesions and cervical cancer linked to specific HPV types. Over recent years, leading oncology and gynecology societies across the United States, Europe, and Australia have issued clinical guidelines aimed at optimizing the implementation of population-based HPV vaccination programs. This narrative review synthesizes key recommendations for HPV vaccination programs, focusing on guidelines published between 2019 and 2024. A total of 16 guidelines were analyzed, revealing unanimous support for vaccinating children - ideally before the age of 15 years - to ensure protection prior to sexual activity. Most recommendations emphasize the vaccination of girls and boys, with the 9-valent Gardasil 9 vaccine identified as the preferred option. A major milestone was reached in 2022, when the World Health Organization proposed a single-dose regimen as an effective strategy, offering potential benefits in public health accessibility and program efficiency. This article aims to review and compare current international guidelines for vaccination programs for human papilloma virus.
宫颈癌仍然是一项重大的全球卫生挑战,致癌性人乳头瘤病毒(HPV)的持续感染被确定为其发展的必要条件。HPV疫苗已成为预防与特定HPV类型相关的癌前生殖器病变和宫颈癌的关键工具。近年来,美国、欧洲和澳大利亚的主要肿瘤学和妇产科学会发布了临床指南,旨在优化基于人群的HPV疫苗接种计划的实施。这篇叙述性综述综合了HPV疫苗接种计划的关键建议,重点关注2019年至2024年期间发布的指南。共分析了16项指南,结果显示一致支持为儿童接种疫苗——理想情况下在15岁之前——以确保在开始性活动之前获得保护。大多数建议强调对女孩和男孩都进行接种,九价佳达修9疫苗被确定为首选。2022年取得了一个重要里程碑,当时世界卫生组织提出单剂量接种方案作为一种有效策略,这在公共卫生可及性和计划效率方面具有潜在益处。本文旨在回顾和比较当前关于人乳头瘤病毒疫苗接种计划的国际指南。