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孙印旗, 何宝花. 肺炎球菌结合疫苗与其他儿童常规免疫疫苗同时接种对免疫原性和安全性影响[J]. 中国公共卫生, 2018, 34(11): 1464-1467. DOI: 10.11847/zgggws1120081
引用本文: 孙印旗, 何宝花. 肺炎球菌结合疫苗与其他儿童常规免疫疫苗同时接种对免疫原性和安全性影响[J]. 中国公共卫生, 2018, 34(11): 1464-1467. DOI: 10.11847/zgggws1120081
Yin-qi SUN, Bao-hua HE. Impacts of simultaneous vaccination of pneumococcal conjugate vaccine and other routine vaccines on immunogenicity and safety of the vaccines[J]. Chinese Journal of Public Health, 2018, 34(11): 1464-1467. DOI: 10.11847/zgggws1120081
Citation: Yin-qi SUN, Bao-hua HE. Impacts of simultaneous vaccination of pneumococcal conjugate vaccine and other routine vaccines on immunogenicity and safety of the vaccines[J]. Chinese Journal of Public Health, 2018, 34(11): 1464-1467. DOI: 10.11847/zgggws1120081

肺炎球菌结合疫苗与其他儿童常规免疫疫苗同时接种对免疫原性和安全性影响

Impacts of simultaneous vaccination of pneumococcal conjugate vaccine and other routine vaccines on immunogenicity and safety of the vaccines

  • 摘要: 婴幼儿期是免疫规划的关键时期,需要接种的疫苗较多,为了使免疫程序更为便捷,可在不干扰疫苗免疫原性和安全性的情况下,将多种疫苗同时接种。肺炎球菌结合疫苗(PCVs)是预防儿童肺炎球菌性疾病的重要手段,在全球儿童中广泛应用。本文对PCVs与其他儿童常规免疫疫苗同时接种的免疫原性及安全性进行了系统综述,发现PCVs与用于预防百日咳、白喉、破伤风、麻疹、风疹、腮腺炎、水痘、脊髓灰质炎、甲肝、乙肝、C群脑膜炎球菌、ACWY群脑膜炎球菌、b型流感嗜血杆菌等疾病的疫苗同时接种对PCVs本身及其他疫苗的免疫原性均不产生明显影响,且具有良好的安全性。在儿童免疫规划过程中,可将PCVs与其他常规免疫疫苗同时接种,从而在不降低疫苗免疫原性和安全性的情况下,减少接种次数,提高免疫效率。

     

    Abstract: Infancy is an important period for the implementation of planned immunization and various vaccines should be administered during this period. In order to make the immune process more convenient, several vaccines may be administered concomitantly under the condition of no interference on immunogenicity and safety. Pneumococcal conjugate vaccines (PCVs), which is effective for the prevention of Pneumococcus-related diseases, has been globally applied among children. The study systematically reviewed published literatures on immunogenicity and safety when PCVs administered concomitantly with other routine pediatric vaccinations, and analyzed their interactions of co-administration. Based on the analyses, few impacts on the immunogenicity of both PCVs and other routine pediatric vaccines were observed when PCVs were administered concomitantly with vaccines against pertussis, tetanus, diphtheria, measles, mumps, rubella, varicella, polio, hepatitis A, hepatitis B, Meningococcus serogroup C, meningococcal ACWY, Haemophilus influenzae type b, and expressed acceptable safety profiles. The results of the study suggest that PCVs could be administered concomitantly with other routine pediatric vaccines so as to reduce the frequency of vaccinations and improve the efficiency of planned immunization under acceptable immunogenicity and safety profiles.

     

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