新生儿BCG疫苗接种预防喘:MIS BAIR随机对照试验的结果
Laure F Pittet1,2,3, Emily K Forbes1, Susan Donath2,4
1Infectious Diseases Group, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
概括
新生儿BCG疫苗接种显示出预防儿童喘的趋势,尽管需要进一步的研究来证实这些发现. 这项研究探讨了BCG疫苗预防过敏的有效性.
科学领域:
- 免疫学 免疫学 免疫学
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 喘是一个全球性的健康问题,预防策略有限.
- 早期免疫调节是预防喘的一个潜在途径.
研究的目的:
- 评估新生儿BCG疫苗在预防儿童喘方面的有效性.
- 评估BCG疫苗对早期免疫力的影响,以预防过敏.
主要方法:
- 进行了一项第三期多中心随机对照试验 (墨尔本婴儿研究:BCG对过敏和感染减少 - MIS BAIR).
- 1272名婴儿随机接受BCG-丹麦疫苗或在出生后10天内没有干预.
- 在使用国际儿童喘和过敏研究 (ISAAC) 标准评估5年喘发病率.
主要成果:
- 调整后的喘发病率在BCG组为14.4%,对照组为16.0% (aRD-1.7%).
- 趋势有利于BCG组的严重喘 (aRD -3.9%) 和预防药物使用 (aRD -5.6%).
- 在BCG疫苗接种的父母患喘的儿童中观察到较低的喘率 (17.6%vs24.7%),尽管在统计学上并不显著.
结论:
- 点评估计表明BCG疫苗接种可能会对喘提供保护.
- 广泛的不确定性间隔需要更大的研究来证实长期益处.
- 需要进一步的研究来验证BCG疫苗接种在喘预防中的作用,超出其已确定的适用范围.
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