与美国的天花疫苗接种相关的不良事件,2003年1月至10月
Christine G Casey1, John K Iskander, Martha H Roper
1Smallpox Vaccine Adverse Event Monitoring and Response Activity, Epidemiology and Surveillance Division, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga 30333, USA. ccasey@cdc.gov
JAMA
|December 8, 2005
概括
美国天花疫苗准备计划监测了不良事件,发现了罕见的心脏问题,但没有可预防的危及生命的反应. 老年接种疫苗的人经历了更严重的事件,突出了持续安全监测的必要性.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 流行病学 流行病学
背景情况:
- 美国卫生与人类服务部 (DHHS) 在2003年启动了一项天花 (vaccinia) 疫苗准备计划.
- 针对潜在的生物恐怖主义事件,疫苗接种给了急救人员.
研究的目的:
- 报告DHHS天花疫苗安全监测和响应系统的发现.
- 分析2003年1月至10月期间收集的不良事件数据.
主要方法:
- 一项描述性研究分析了来自疫苗不良事件报告系统 (VAERS) 和CDC的不良事件报告.
- 数据包括55个司法管辖区的37,901名志愿者接受了天花疫苗.
- 记录了不良事件和报告率.
主要成果:
- 接种了超过38000次疫苗,接种率为92%.
- 报告了822个不良事件 (每10,000名接种疫苗的人中有217人),其中72%发生在14天内.
- 100个严重的不良事件包括住院,永久性残疾,危及生命的疾病和死亡,并指出了意外的心脏事件.
结论:
- 严格的安全查和教育可能减少了可预防的严重反应.
- 与年轻的首次接种疫苗者相比,老年重接种疫苗的严重不良事件发生率更高.
- 及时审查VAERS数据发现了罕见但重要的心脏事件.
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