人类乳头瘤病毒住院患者产后疫苗接种:临床指南实施
Ellen C Murphy1, Stephanie Alimena, Andrea Pelletier
1Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Obstetrics and gynecology
|June 22, 2023
概括
将九价人乳头瘤病毒 (9vHPV) 疫苗整合到产后护理中,成功地接种了四分之一符合条件的患者的疫苗. 这一战略有望减少不同人群之间的HPV疫苗接种差异.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 妇科 妇科 妇科 妇科
背景情况:
- 美国对九价人乳头瘤病毒 (9vHPV) 疫苗的低疫苗接种率阻碍了宫癌的预防.
- 产后护理为增加HPV疫苗接种覆盖率提供了潜在的机会.
研究的目的:
- 评估将9vHPV疫苗接种纳入符合条件的住院患者的常规产后护理.
- 为了确定与在分娩后期接种HPV疫苗的因素.
主要方法:
- 一项回顾性研究评估了9vHPV疫苗接种在城市学术中心的产后住院患者 (年龄 ≤26岁) 的实施情况.
- 分析了数据,比较了怀孕前的疫苗接种情况,并确定了接受住院疫苗接种的疫苗合格患者的特征.
主要成果:
- 在569名产后住院患者中,23.1%的适应疫苗的患者在住院期间接种了9vHPV疫苗.
- 西班牙裔,西班牙语和公共保险患者更有可能接受住院疫苗接种.
- 经过认证的护士助产士实践的护理独立预测了住院疫苗接种 (OR 2.4).
结论:
- 住院产后9vHPV疫苗接种是可行的,并达到疫苗接种资格的个体的很大比例.
- 这种方法可能有助于解决和缩小HPV疫苗接种率的现有差异.
- 产后护理期间的有针对性的策略可以改善获得关键青少年疫苗接种的机会.
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