ディフテリアとテタヌスに対するブースター予防接種:成人では必要とされる証拠はない
Lancet (London, England)
|May 11, 1985
まとめ
大人のための常用ディフテリアとテタヌストキソイドブースターは推奨されません. カナダのデータは,年齢とともに疾患のリスクが増加しないことを示しており,成人用ブースタープログラムは不要で高価である.
科学分野:
- 免疫学 免疫学とは
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
背景:
- 大人の予防接種の推奨は,疾患発生率ではなく,抗体レベルに基づいていることが多い.
- 高齢者集団における抗体レベルの低下は,定期的なブースター投与の推奨につながった.
研究 の 目的:
- 常規の成人の喉炎とテタヌス・トキソイド・ブースター予防接種の必要性を評価する.
- 成人における年齢特異性疾患の発生率が増加しているかどうかを判断する.
主な方法:
- ディフテリアとテタヌスに対するカナダの監視データの分析.
- 両疾患の年齢特有の罹病率と死亡率の検討.
主要な成果:
- カナダでは,年齢別ディフテリアやテタンスの罹患率および死亡率の増加は観察されなかった.
- カナダの監視データは,成人の集団における免疫の低下を示さない.
結論:
- 常規の成人用ブースター投与のディフテリアとテタヌス毒素は,現在の証拠によって正当化されていません.
- 大人のブースタープログラムの利点は,関連するリスクとコストを上回らない.
- 継続的な疾病監視は,成人免疫プログラムの将来的な必要性を特定するために不可欠です.
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