Ann Intern Med. 1984 Jun;100(6):859-65. doi: 10.7326/0003-4819-100-6-859.
This is the first statement by the Immunization Practices Advisory Committee on the use of varicella-zoster immune globulin ( VZIG ). Prior recommendations have been made by the manufacturer in cooperation with the Centers for Disease Control and approved by the Office of Biologics, National Center for Drugs and Biologics, U.S. Food and Drug Administration. Because of exceedingly limited supplies, VZIG use has been restricted to proven high-risk individuals--for prophylaxis against chickenpox in immunocompromised children and prevention of postnatal chickenpox following intrauterine exposure. With increasing supplies, some of these restrictions can be lifted. This statement includes use of VZIG for immunocompromised persons of any age, normal adults, pregnant women, and premature and full-term infants. However, because the supply of VZIG is still limited, it continues to be recommended primarily for immunocompromised children and certain neonates exposed in utero. It should not be used indiscriminately.
这是免疫实践咨询委员会关于水痘-带状疱疹免疫球蛋白(VZIG)使用的首份声明。此前的建议由制造商与疾病控制中心合作提出,并经美国食品药品监督管理局国家药品和生物制品中心生物制品办公室批准。由于供应极为有限,VZIG的使用一直限于经证实的高危个体——用于免疫功能低下儿童预防水痘以及预防宫内暴露后产后水痘。随着供应增加,其中一些限制可予以解除。本声明涵盖VZIG在任何年龄的免疫功能低下者、正常成年人、孕妇以及早产和足月婴儿中的使用。然而,由于VZIG的供应仍然有限,仍建议主要用于免疫功能低下儿童和某些宫内暴露的新生儿。不应随意使用。