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预防医学  2018, Vol. 30 Issue (10): 992-996,1001    DOI: 10.19485/j.cnki.issn2096-5087.2018.10.005
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口服人-牛(WC3株)5价轮状病毒基因重配活疫苗保护效果的Meta分析
胡昱,陈雅萍,梁辉,汪颖
浙江省疾病预防控制中心免疫规划所,浙江 杭州 310051
Meta-analysis of protective efficacy of oral pentavalent human-bovine reassortant rotavirus live-attenuated vaccine
HU Yu,CHEN Ya-ping,LIANG Hui,WANG Ying
Department of Immunization Program,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China
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摘要 目的 评价口服人-牛(WC3株)5价轮状病毒基因重配活疫苗(PRV)的保护效果。方法 检索中国生物医学文献数据库等中文数据库和美国国家医学图书馆数据库等外文数据库,检索有关PRV保护效果的研究纳入分析。按照研究地区的社会经济发展水平、疫苗株和流行株的匹配情况,分别合并试验组和对照组针对不同型别轮状病毒感染引起的急性肠炎发病的相对危险度(RR)或比值比(OR),计算疫苗效力(VE)。结果 共纳入5篇病例对照研究。高发展水平国家,在疫苗株和流行株完全匹配的情况下,VE=94%(95%CI:84%~98%);在疫苗株和流行株不完全匹配的情况下,VE=82%(95%CI:70%~89%);在单一抗原匹配的情况下,VE=82%(95%CI:70%~89%);在单一抗原不匹配的情况下,VE=75%(95%CI:47%~88%)。中等发展水平国家,在疫苗株和流行株不完全匹配的情况下,VE=37%(95%CI:10%~56%);在单一抗原匹配的情况下,VE=71%(95%CI:60%~78%);在单一抗原不匹配的情况下,VE=76%(95%CI:61%~85%)。结论 接种PRV可降低轮状病毒感染引起的急性肠炎发病率,PRV的保护效果与疫苗株和流行株匹配情况以及地区因素有关。
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胡昱
陈雅萍
梁辉
汪颖
关键词 口服人-牛(WC3株)5价轮状病毒基因重配活疫苗保护效果轮状病毒    
AbstractObjective To evaluate the protective efficacy(VE)of oral pentavalent human-bovine reassortant rotavirus live-attenuated vaccine(PRV). Methods We searched China Biology Medicine disc,China National Knowledge Infrastructure,Wanfang Database,National Center for Biotechnology Information and Cochrane Library about VE of PRV. Pooled estimates of odds ratio(OR)or relative risk(RR)of the incidence rates of rotavirus gastroenteritis and the vaccine efficacy(VE)were calculated according to the socio-economic development level and match of vaccine strains with pandemic strains,specifically. Results Five studies were included. In the highly developed countries,VE was 94%(95%CI:84%-98%)against homotypic strains,82%(95%CI:70%-89%)against partly heterotypic strains,82%(95%CI:70%-89%)against single-antigen vaccine type strains,and 75% (95%CI:47%-88%)against single-antigen non-vaccine type strains. In the middle developed countries,VE was 37%(95%CI:10%-56%)against partly heterotypic strains,71%(95%CI:60%-78%)against single-antigen vaccine type strains,and 76%(95%CI:61%-85%)against single-antigen non-vaccine type strains. Conclusion PRV can reduce the incidence of rotavirus gastroenteritis. The VE of PRV is related to the socio-economic development level and match of vaccine strains with pandemic strains.
Key wordsPentavalent human-bovine reassortant rotavirus live-attenuated vaccine    Protective efficacy    Rotavirus
          出版日期: 2018-09-26
中图分类号:  R187  
通信作者: 胡昱,E-mail:husix@163.com   
作者简介: 胡昱,硕士,副主任医师,主要从事免疫规划管理工作
引用本文:   
胡昱, 陈雅萍, 梁辉, 汪颖. 口服人-牛(WC3株)5价轮状病毒基因重配活疫苗保护效果的Meta分析[J]. 预防医学, 2018, 30(10): 992-996,1001.
HU Yu, CHEN Ya-ping, LIANG Hui, WANG Ying. Meta-analysis of protective efficacy of oral pentavalent human-bovine reassortant rotavirus live-attenuated vaccine. Preventive Medicine, 2018, 30(10): 992-996,1001.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2018.10.005      或      http://www.zjyfyxzz.com/CN/Y2018/V30/I10/992
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