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成人呼吸道合胞病毒(RSV)感染:当前趋势及预防建议——从地方视角看全球挑战

Respiratory syncytial virus (RSV) infections in adults: Current trends and recommendations for prevention - a global challenge from a local perspective.

作者信息

Tanriover Mine Durusu, Azap Alpay, Cakir Edis Ebru, Ozger Hasan Selcuk, Pullukcu Husnu, Sonmezer Meliha Cagla, Dursun Oldac Uras, Merter Seyhmus, Sayiner Abdullah

机构信息

Vaccine Institute, Hacettepe Üniversitesi Aşı Enstitüsü, Ankara, Türkiye.

Department of Infectious Diseases and Clinical Microbiology, Ankara University Faculty of Medicine, Ankara, Türkiye.

出版信息

Hum Vaccin Immunother. 2025 Dec;21(1):2514357. doi: 10.1080/21645515.2025.2514357. Epub 2025 Jun 18.

Abstract

Respiratory syncytial virus (RSV) is a leading cause of lower respiratory tract infections (LRTI) and a major health threat especially for children and older adults. Epidemiological data reveal that RSV-associated global mortality rates in individuals aged ≥ 70 years exceeded those in children aged < 5 years in 2019. Although effective interventions have decreased RSV-related deaths in children aged < 5 years over time, RSV appears increasingly significant issue for the elderly and adults with underlying health conditions. Furthermore, there is currently no specific treatment for RSV infections in adults, highlighting the importance of prevention. Recently, three vaccines (RSVPreF3, RSVpreF, and mRNA-1345) have been approved for adults to date. In this article, we aimed to review the characteristics of RSV infections in adults and the evidence on the safety and efficacy of RSV vaccines, with a glimpse of the current situation in Türkiye- one of the low- and middle- income countries (LMICs).

摘要

呼吸道合胞病毒(RSV)是下呼吸道感染(LRTI)的主要病因,尤其是对儿童和老年人构成重大健康威胁。流行病学数据显示,2019年70岁及以上人群中与RSV相关的全球死亡率超过了5岁以下儿童。尽管随着时间的推移,有效的干预措施已降低了5岁以下儿童中与RSV相关的死亡人数,但RSV对老年人和有基础健康状况的成年人而言似乎是一个日益重要的问题。此外,目前尚无针对成人RSV感染的特异性治疗方法,这凸显了预防的重要性。最近,三种疫苗(RSVPreF3、RSVpreF和mRNA-1345)已获批用于成人。在本文中,我们旨在综述成人RSV感染的特征以及RSV疫苗安全性和有效性的证据,并简要介绍土耳其(中低收入国家之一)的现状。

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