大学生患脑膜炎球菌病的危险因素
M G Bruce1, N E Rosenstein, J M Capparella
1Meningitis and Special Pathogens Branch, Division of Bacterial and Mycotic Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Mailstop C-09, Atlanta, GA 30333, USA.
JAMA
|August 10, 2001
概括
大学生,特别是宿舍的新生,面临更高的脑膜炎球菌疾病的风险. 接种疫苗可以显著降低这种风险.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在20世纪90年代中期,脑膜炎球菌疾病的发病率在18至22岁的年轻人中特别高.
- 美国大学生的国家数据收集始于1998年.
研究的目的:
- 为了确定美国大学生脑膜炎球菌病率.
- 在这个人口群体中确定脑膜炎球菌病的危险因素.
主要方法:
- 进行了前性监测和嵌套病例控制研究.
- 在1998年9月至1999年8月期间,从美国大学生收集了数据.
- 50个州卫生部门和231个大学健康中心参加了.
主要成果:
- 在美国大学生中发现了96例脑膜炎球菌病例.
- 本科生患病率较低 (0.7/100,000) 比一般18至23岁非学生人口 (1.4/100,000).
- 住在宿舍的新生表现出最高的发病率 (5.1/100,000) 和高风险 (OR,3.6).
- 大多数病例 (68%) 是由疫苗可预防的血清组引起的.
结论:
- 住在宿舍的新生有独立的,患脑膜炎球菌病的风险增加.
- 四价多糖疫苗可以显著降低大学生脑膜炎球菌疾病的风险.
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