在中国上海,5岁以下儿童中,rotavirus疫苗的有效性和覆盖率:一项试验负病例对照研究
Xiaohuan Gong1, Zhuoying Huang2, Yaxu Zheng1
1Department of Epidemiology, School of Public Health, Fudan University, Shanghai, China; Division of Infectious Disease Control and Prevention, Shanghai Municipal Center of Disease Control and Prevention, Shanghai, China.
Vaccine
|January 14, 2025
概括
罗塔泰克疫苗对儿童的轮状病毒腹具有强烈的有效性,而兰州羔羊轮状病毒疫苗提供部分保护. 上海的罗塔病毒疫苗覆盖率很高,并且在增加.
科学领域:
- 儿科 儿科 儿科
- 疫苗学 疫苗学 疫苗学
- 传染病流行病学 传染病流行病学
背景情况:
- 对于兰州羔羊轮状病毒疫苗 (LLR) 和中国的RotaTeq存在有限的营销后研究.
- 罗塔病毒是全球幼儿严重腹的主要原因.
研究的目的:
- 在中国上海评估LLR和RotaTeq的疫苗有效性 (VE).
- 为了评估在RotaTeq获得许可之后的轮状病毒疫苗覆盖率趋势.
主要方法:
- 在上海五家医院使用前性监测进行了一项检测阴性病例对照研究.
- 实时RT-PCR用于确认5岁及以下儿童的轮状病毒感染.
- 逻辑回归模型用于匹配和不匹配的分析.
主要成果:
- 部分LLR疫苗接种 (2剂) 显示49.09%的VE对抗轮状病毒腹.
- 在所有分析中,完整的RotaTeq疫苗接种显示出强大的VE (85.69%89.46%).
- 在2018年RotaTeq获得许可后,rotavirus疫苗的覆盖率从45.02%增加到61.77%.
结论:
- 在儿童中,RotaTeq对轮状病毒腹提供了显著的保护.
- LLR提供中等程度的保护;建议进行完整的疫苗接种.
- 上海的高罗塔病毒疫苗覆盖率表明成功实施;国家政策需要进一步研究.
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