狂犬病疫苗接种后不良事件的危险因素:对现实世界数据的多变量分析
Hao Xu1, Wenjie Yan2, Qiye Ma1
1Department of Emergency, Ningbo Ninth Hospital, Ningbo, China.
Frontiers in public health
|February 20, 2026
概括
狂犬病疫苗接种的不良反应与高风险暴露,双边骨内射,过敏和伤口护理延迟有关. 一个4剂量方案和皮肤的厚度是保护性的,有助于风险管理.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 流行病学 流行病学
背景情况:
- 狂犬病疫苗接种对于暴露后预防至关重要.
- 了解不良反应的风险因素对于患者安全至关重要.
- 预测模型可以帮助预防狂犬病的临床决策.
研究的目的:
- 确定中国人口中狂犬病疫苗接种不良反应的独立风险和保护因素.
- 开发和验证一个用于临床实用性的预测性名ogram.
- 支持临床实践中的风险分层和风险管理.
主要方法:
- 追溯分析了806名来自动物咬伤门诊的患者.
- 用于变量选的 LASSO 回归和用于名图构造的多变量后勤回归.
- 使用ROC曲线,校准曲线,决策曲线分析和交叉验证的模型验证.
主要成果:
- 高风险暴露,双边状体疫苗接种,过敏史和延迟的伤口治疗是显著的风险因素.
- 四剂量免疫接种计划和注射部位皮厚度增加是保护因素.
- 命名图显示出优异的区别 (AUC 0.826训练,0.817测试) 通过交叉验证,准确度为 80.0%.
结论:
- 双边三角体疫苗接种是狂犬病疫苗不良反应的新型独立风险因素.
- 经过验证的名录精确识别高风险个体.
- 建议包括一次性接种疫苗,4剂量方案,及时治疗伤口,以及加强对高血压患者的监测.
更多相关视频
04:10A Trap-Vaccinate-Release Protocol for Immunization of Skunks and Additional Rabies Vectors Against Rabies
Published on: November 29, 2024
1.3K
09:54Postmortem Diagnosis of Rabies in Animals by the Updated, Multiplexed LN34 Real-Time Reverse Transcription-Polymerase Chain Reaction Assay
Published on: May 2, 2025
778
相关概念视频
Pharmacovigilance
1.8K
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
1.8K
Drug Toxicity: Risk factors
33
Adverse Drug Reactions (ADRs) are potential complications that arise during pharmacotherapy, influenced by multiple risk factors. Age plays a significant role; both neonates and the elderly are at heightened risk due to their respective immature and diminished metabolic and elimination processes. Gender also impacts ADRs, with females experiencing a 1.5 to 1.7-fold greater risk than males, which may be linked to pharmacokinetic, pharmacodynamic, and hormonal differences. Notably, neonates, the...
33
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
489
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
489
Relative Risk
2.2K
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
2.2K
Factors Affecting the Risk of Infection
14.0K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
14.0K
Vaccinations
52.1K
Overview
52.1K
