脑膜炎球菌疫苗的有效性和接种疫苗的障碍
N Rosenstein1, O Levine, J P Taylor
1Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Ga 30333, USA. nar5@cdc.gov
JAMA
|February 18, 1998
概括
在社区爆发期间,四价脑膜炎球菌疫苗对血清组C疾病有85%的疗效. 高龄是接种疫苗的障碍,强调了在未来的疫苗运动中针对年轻人的必要性.
科学领域:
- 流行病学 流行病学
- 疫苗学 疫苗学 疫苗学
- 公共卫生 公共卫生
背景情况:
- 大规模疫苗接种运动越来越多地使用四价性脑膜炎球菌疫苗.
- 之前的研究没有评估疫苗在美国平民中在疫情爆发期间的有效性.
- 血清组C脑膜炎球菌疾病在某些社区仍然令人担忧.
研究的目的:
- 在社区爆发中确定四价脑膜炎球菌疫苗对血清组C疾病的疗效.
- 为了确定在持续性脑膜炎球菌病的地区接种疫苗的障碍.
主要方法:
- 在德克萨斯州格雷格县 (1993-1995) 进行了一项匹配的病例控制研究.
- 分析了17例血清组C脑膜炎球菌病例和84例对照病例.
- 评估了疫苗的有效性和不接种疫苗的风险因素.
主要成果:
- 脑膜炎球菌疫苗在2至29岁的个体中显示出85%的疗效 (95% CI,27%-97%).
- 年龄较大与对照人群中较低的疫苗接种率有显著的关联.
- 接种疫苗的覆盖率因年龄组而异,在19-29岁的人群中只有20%的覆盖率.
结论:
- 脑膜炎球菌多糖体疫苗有效控制了血清组C的爆发.
- 虽然没有确定具体的障碍,但年龄较大成为未接种疫苗的危险因素.
- 未来的疫情控制战略应优先考虑高疫苗接种率,特别是在年轻人中.
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