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卡介苗接种与结核性脑膜炎(作者译)

[BCG Vaccination and Tuberculous Meningitis (author's transl)].

作者信息

Mayser P

出版信息

MMW Munch Med Wochenschr. 1977 Jan 21;119(3):75-8.

PMID:403425
Abstract

While BCG Vaccination of newborn infants has been carried out in North Germany for many years, in BadenWurttemberg and Bavaria it has only become standard practice in a few "islands" Nevertheless, tuberculosis, and especially tuberculosis of children, has regressed fairly uniformly in all the Federal States, as is shown by tuberculous meningitis, for example. In June 1975, the single modified serum used was withdrawn in the Federal Republic because of the increased complication rate. The point for discussion now is whether routine vaccination of the newborn should be started again as soon as a vaccine is available. Since the probability of a child falling ill with tuberculosis in the Republic nowadays is small and in addition the protection is not complete and of limited duration, the complications of the vaccination must be taken very seriously into consideration. But all children who are a high risk (e.g foreigners) should receive BCG vaccination in infancy even now.

摘要

虽然在德国北部,对新生儿接种卡介苗已经实施多年,但在巴登 - 符腾堡州和巴伐利亚州,仅在少数“地区”成为标准做法。然而,所有联邦州的结核病,尤其是儿童结核病,都有相当程度的消退,例如结核性脑膜炎的情况就表明了这一点。1975年6月,由于并发症发生率增加,联邦共和国停用了唯一的一种改良血清。现在讨论的问题是,一旦有可用疫苗,是否应立即重新开始对新生儿进行常规接种。鉴于如今在联邦共和国儿童患结核病的可能性较小,而且此外疫苗的保护并不完全且持续时间有限,因此必须非常认真地考虑接种疫苗的并发症。但即使是现在,所有高危儿童(如外国人)在婴儿期都应接种卡介苗。

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