在患有慢性肺病的成年患者中进行疫苗接种
Maria Boesing1,2, Werner Albrich3, Pierre-Olivier Bridevaux4,5
1Medicine University Affairs, Cantonal Hospital Baselland, Liestal, Switzerland.
Praxis
|December 19, 2024
概括
对于患有慢性肺部疾病的人来说,建议接种流感,COVID-19,肺炎链球菌,疹病毒 (VZV),百日咳和RSV的疫苗,以预防恶化和降低死亡率. 在瑞士的几个关键疫苗中,摄入量仍然不足于最佳水平.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 疫苗学 疫苗学 疫苗学
背景情况:
- 慢性肺病如COPD,喘和间歇性肺病增加了对严重感染的易感性.
- 感染可能引发恶化,导致这些患者的疾病负担和死亡率更高.
- 推的疫苗旨在减轻这些风险.
研究的目的:
- 为瑞士慢性肺病患者提供推接种疫苗的概述.
- 讨论目前的疫苗接种率和针对流感,COVID-19,肺炎链球菌,VZV,百日咳和RSV的疫苗的有效性.
- 为了突出未来的疫苗开发.
主要方法:
- 审查当前的文献和关于为慢性肺病患者接种疫苗的国际指导方针.
- 分析瑞士的疫苗推和接种情况.
- 讨论疫苗的有效性,局限性和未来前景.
主要成果:
- 在瑞士,65岁以上的个体中,尽管使用了高价值疫苗,但对肺炎链球菌 (Streptococcus pneumoniae) 的疫苗接种率很低 (2020年为10%).
- 流感和COVID-19疫苗接种率较高,高剂量疫苗显示出良好的疗效.
- VZV和百日咳疫苗是有效的,但百日咳疫苗的有效性迅速下降.
结论:
- 接种疫苗对于管理慢性肺病和预防感染严重后果至关重要.
- 提高流感,S.肺炎,VZV,百日咳和RSV的疫苗接种率至关重要.
- 预计新的,高价值疫苗和RSV疫苗将增强保护.
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