外膜囊泡疫苗对挪威B组脑膜炎球菌病的影响
G Bjune1, E A Høiby, J K Grønnesby
1National Institute of Public Health, Oslo, Norway.
Lancet (London, England)
|November 2, 1991
概括
一种脑膜炎球菌B外膜疫苗在挪威的一项大型试验中显示了57.2%的疗效. 虽然有保护作用,但疫苗具有保护作用.
科学领域:
- 传染性疾病 传染性疾病
- 疫苗学 疫苗学 疫苗学
- 流行病学 流行病学
背景情况:
- 在北欧,挪威是脑膜炎球菌病发病率最高的国家.
- 血清组B脑膜炎球菌导致80%的病例,高死亡率约为10%.
研究的目的:
- 评估外膜囊泡 (OMV) 疫苗对血清组B脑膜炎球菌疾病的疗效.
- 确定疫苗的保护水平是否需要公开的疫苗接种计划.
主要方法:
- 这是一项大规模的,随机的,双盲的,安慰剂控制的疗效试验,涉及挪威171,800名中学生.
- 学校是随机化的单位.
- 在13-21岁的学生中,紧急报告疑似脑膜炎和/或败血症病例.
主要成果:
- 确认了89例由B组脑膜炎球菌引起的严重系统性疾病.
- 在试验中发生了36起病例 (11所接种疫苗的学校,24所安慰剂学校).
- 计算出的疫苗疗效为57.2% (p = 0.012).
结论:
- 脑膜炎球菌B OMV疫苗给予了对B组脑膜炎球菌疾病的保护.
- 观察到的疗效不足以证明公共疫苗接种计划的合理性.
- 可能需要进一步的研究来提高疫苗的有效性或探索替代策略.
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