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关于台湾成年人接种疹疫苗的建议和指导

Kuan-Yin Lin¹, Ching-Hsun Wang², Lian-Yi Su³

¹Department of Internal Medicine, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan.

Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi

|July 10, 2024

概括

建议成年人接种疹疫苗,以预防痛苦的并发症. 本指南为医疗保健提供者提供了通过有效的免疫实践来减少HZ疾病负担的策略.

科学领域:

免疫学免疫学免疫学
流行病学流行病学
公共卫生公共卫生

背景情况:

疹 (HZ),由疹病毒 (VZV) 再激活引起,呈现为痛苦的皮疹,可能导致严重的并发症.
整个生命中HZ的风险为20-30%,在老年人和免疫受损的人群中发病率更高.
接种疫苗是对HZ及其后果的最有效的预防策略.

研究的目的:

为成年人提供HZ疫苗接种的建议.
为了减少HZ的疾病负担及其并发症.
引导医疗保健提供者评估个体风险和疫苗接种需求.

主要方法:

由台湾传染病学会 (IDST) 任命的成人免疫实践工作组制定指导意见.
根据使用推,评估,开发和评估 (GRADE) 系统进行全面的文献审查而起草的建议.
在专家审查和共识会议之后,多个台湾医学会的认可.

主要成果:

该指南涉及HZ流行病学和成人疫苗接种策略.
建议考虑不同的风险水平,VZV感染史和先前的疫苗接种状态.
有两种已批准的HZ疫苗可供使用:生疫苗和复合性疫苗.

结论:

该指南旨在支持一线医疗保健提供者制定HZ预防策略.
在个人患者推中,临床判断仍然至关重要.
实施HZ疫苗接种对于减轻成人群体疾病影响至关重要.

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