传染病,感染控制,疫苗和长期护理:一个关于老龄化的欧洲跨学科理事会共识文件
Nicola Veronese1,2,3, Jane Barratt4, Eveline Coemans5,6
1Department of Medicine, Geriatrics Section, University of Palermo, Palermo, Italy. nicola.veronese@unipa.it.
Aging clinical and experimental research
|December 21, 2025
概括
长期护理设施 (LTCF) 的疫苗接种率较低,老年人越来越多.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 全球人口老龄化带来了重大的公共卫生挑战,特别是对长期护理机构 (LTCF) 居民来说,他们容易受到疫苗可以预防的疾病的影响.
- 在LTCF中免疫覆盖率不足的原因是政策分散,缺乏授权,以及对成年人接种疫苗的监测不足.
- 虽然COVID-19大流行突显了脆弱性,但并没有为老年人提供可持续的免疫框架.
研究的目的:
- 综合有关LTCF感染风险,疾病负担和疫苗接种缺口的证据.
- 强调疫苗和综合感染控制战略的成本效益.
- 倡导成年人常规疫苗接种作为老年护理的结构性组成部分.
主要方法:
- 一份由欧洲跨学科老龄化委员会 (EICA) 在San Servolo 2025会议之后开发的共识文件.
- 综合关于内在/环境感染风险,感染的健康/经济负担以及疫苗接种差距的证据.
- 审查预防干预和非药物感染控制的成本效益.
主要成果:
- 在LTCF居民和工作人员中,对于流感,肺炎球菌肺炎,COVID-19,RSV,百日咳和疹等疾病的疫苗接种存在重大差距.
- 预防性疫苗接种具有成本效益,对于控制抗菌素耐药性至关重要.
- 除了疫苗接种外,非药物感染控制措施也起着至关重要的作用.
结论:
- 常规成年人疫苗接种必须整合到老年护理计划中,以数字注册和系统评估为支持.
- 需要加强政策领导力,以使LTCF免疫与终身方法和初级医疗保健保持一致.
- 通过疫苗接种保护脆弱的老年人是健康老龄化的社会义务.
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