疫苗的许可后安全监测
R P Wise1, M E Salive, M M Braun
1Division of Epidemiology, Office of Biostatistics and Epidemiology, Center for Biologics Evaluation and Research, Food and Drug Administration, 1401 Rockville Pike, FDA CBER HFM-225, Rockville, MD 20852-1448, USA. rpwise@cber.fda.gov
JAMA
|September 9, 2000
概括
麻疹疫苗通常是安全的,大多数不良事件是轻微的. 严重的风险很少见,但对某些事件需要进一步研究,并改善疫苗使用教育.
科学领域:
- 免疫学 免疫学 免疫学
- 疫苗学 疫苗学 疫苗学
- 公共卫生 公共卫生
背景情况:
- 自1995年以来,对疹疫苗使用的广泛许可后监测允许检测罕见的不良事件.
- 临床试验在样本大小上有局限性,以确定不常见的风险.
研究的目的:
- 为了确定与水疫苗相关的潜在危险和罕见事件.
- 评估报告的不良事件的临床和流行病学意义.
主要方法:
- 一项许可后的案例系列研究分析了向美国疫苗不良事件报告系统 (VAERS) 报告的疑似不良事件.
- 从1995年3月17日至1998年7月25日收集的数据.
- 分析包括每10万剂量的不良事件计数,比例和报告率.
主要成果:
- 收到6574份不良事件报告 (每10万剂量67.5例).
- 大约4%的报告是严重的,包括14例死亡. 常见的事件包括皮疹和注射部位反应.
- 分析了潜在的疫苗失败和疹病例,其中一些与疫苗或野生型疹病毒 (VZV) 有关.
结论:
- 大多数报告的水疫苗不良反应都是轻微的;严重的风险很少出现.
- 最严重事件的因果关系仍未得到证实,需要进一步调查.
- 需要改善关于疹血清学解释和区分疫苗与疹疹免疫球蛋白的教育.
相关概念视频
Vaccinations
Overview
Pharmacovigilance
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
Principles of Disease Surveillance
Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
Vaccine Production
Vaccine production involves a sequence of upstream and downstream processes to generate a safe and effective immunological product. It begins with cultivating microorganisms, such as viruses or bacteria, to obtain antigenic material. For viral vaccines, mammalian host cells are grown in bioreactors and subsequently infected with the target virus. The virus replicates within the host cells, which are lysed to release viral particles. This lysate is then clarified through filtration or...
Vaccines
Vaccines are among the most effective tools in preventive medicine, designed to prepare the immune system to recognize and combat infectious agents. By introducing antigens—substances that the immune system identifies as foreign—vaccines stimulate an adaptive immune response that leads to immunological memory. This immunological memory enables the body to mount a faster and more effective response upon future exposures to the actual pathogen.Vaccines can be categorized based on the type of...
Diphtheria
Diphtheria is an acute, toxin-mediated infectious disease that primarily affects the upper respiratory tract. It is caused by Corynebacterium diphtheriae, a Gram-positive, pleomorphic rod that lacks spore-forming capability and exhibits a characteristic club-shaped morphology under microscopic examination. While C. diphtheriae can asymptomatically colonize mucosal surfaces, clinical disease manifests only when the bacterial strain is lysogenized by a specific β-corynephage. This phage...


