Please wait a minute...
文章检索
预防医学  2016, Vol. 28 Issue (12): 1208-1213    
  论著 本期目录 | 过刊浏览 | 高级检索 |
5岁以下儿童接种b型流感嗜血杆菌疫苗流行病学效果的Meta分析
胡昱, 李倩, 张兵, 陈雅萍
浙江省疾病预防控制中心,浙江杭州 310051
A meta-analysis of vaccine efficacy of haemophilus influenza type b vaccine among children under five years of age
HU Yu,LI Qian,ZHANG Bing,CHEN Ya-ping
The Center for Disease Control and Prevention of Zhejiang Province,Hangzhou,Zhejiang,310051,China
全文: PDF(1277 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 对5岁以下儿童接种b型流感嗜血杆菌疫苗(Hib)的流行病学保护效果进行Meta分析。方法 检索美国国家医学图书馆数据库(NCBI)、Cochrane协作网图书馆数据库、中国生物医学文献数据库、中国期刊全文数据库和万方全文数据库,采用RevMan 5.3软件对纳入的有关5岁以下儿童接种Hib的流行病学保护效果的文献进行Meta分析。结果 共纳入9篇文献,其中7篇为随机对照试验,2篇为半随机对照试验。接种1、2和3剂次Hib后产生的疫苗保护率分别为65%(95%CI:23%~84%)、79%(95%CI: 54%~90%)和85%(95%CI: 77%~90%)。结论 Hib具有良好的保护效果,2剂次和3剂次Hib基础免疫程序在5岁以下儿童中的保护效果相似。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
胡昱
李倩
张兵
陈雅萍
关键词 b型流感嗜血杆菌疫苗基础免疫程序保护率Meta分析    
AbstractObjective To evaluate vaccine efficacy(VE) of Haemophilus influenza type b vaccine (Hib) among children under five years of age . Methods Searching “National Center for Biotechnology Information, NCBI”,“Cochrane Library,CL”,“China Biology Medicine disc, CBMd”,“China National Knowledge Infrastructure, CNKI”,“ Wanfang Database, the studies of VE for Hib among children under five years of age were included, and meta-analysis were made by RevMan 5.3 software. Results A total of 9 studies were included, seven were randomised clinical trial(RCT) design and two were semi RCT design. The VEs of one dose, two doses and three doses of Hib were 65%(95%CI23%-84%), 79%(95%CI 54%-90%), and 85%(95%CI 77%-90%), respectively. Conclusion We found that Hib is highly effective and that the two dose regime is as good as the three dose regime.
Key wordsHaemophilus influenza type b Vaccine    Basic immune program    Vaccine protective efficacy    Meta-analysis
         
中图分类号:  R186  
通信作者: 胡昱,E-mailhusix@163.com   
作者简介: 胡昱,硕士,副主任医师,主要从事免疫规划工作
引用本文:   
胡昱, 李倩, 张兵, 陈雅萍. 5岁以下儿童接种b型流感嗜血杆菌疫苗流行病学效果的Meta分析[J]. 预防医学, 2016, 28(12): 1208-1213.
HU Yu,LI Qian,ZHANG Bing,CHEN Ya-ping. A meta-analysis of vaccine efficacy of haemophilus influenza type b vaccine among children under five years of age. Preventive Medicine, 2016, 28(12): 1208-1213.
链接本文:  
http://www.zjyfyxzz.com/CN/      或      http://www.zjyfyxzz.com/CN/Y2016/V28/I12/1208
[1]钱晓华,王传清,朱启镕,等.社区儿童接种b型流行性感冒嗜血杆菌结合疫苗的前瞻性队列研究[J].中国疫苗和免疫,2010,16(2):157-160.
[2]WHO. Global and regional immunization profile [EB/OL].[2011-12-01]http://www.who.int/immunization_monitoring/en/globalsummary/GS_GLOProfilepdf.
[3]朱启镕, 杨永弘, 刁连东. 中国b 型流感嗜血杆菌疾病及其免疫预防研讨会会议纪要[J].中华传染病杂志,2005,23(6):434-435.
[4]ESKOLA J, KYHTY H, TAKALA A K, et al. A randomized, prospective field trial of a conjugate vaccine in the protection of infants and young children against invasive Haemophilus influenzae type b disease[J]. New England Journal of Medicine, 1990, 323(20):1381-1387.
[5]LAGOS R, HORWITZ I, TORO J, et al. Large scale, postlicensure, selective vaccination of Chilean infants with PRP-T conjugate vaccine: practicality and effectiveness in preventing invasive Haemophilus influenzae type b infections.[J]. Pediatric Infectious Disease Journal, 1996, 15(3):216-222.
[6]MULHOLLAND K, HILTON S, ADEGBOLA R, et al. Randomised trial of Haemophilus influenzae type-b tetanus protein conjugate for prevention of pneumonia and meningitis in Gambian infants[J]. Lancet, 1997, 349(9060):1191-1197.
[7]SANTOSHAM M, WOLFF M, REID R, et al. The efficacy in Navajo infants of a conjugate vaccine consisting of Haemophilus influenzae type b polysaccharide and Neisseria meningitidis outer-membrane protein complex[J]. New England Journal of Medicine, 1991, 324(25): 1767-1772.
[8]WARD J, BRENNEMAN G, LETSON G W, et al. Limited
efficacy of a Haemophilus influenzae type b conjugate vaccine in Alaska native infants[J]. New England Journal of Medicine, 1990, 323(20): 1393-1401.
[9]BLACK S B, SHINEFIELD H R, FIREMAN B, et al. Efficacy in infancy of oligosaccharide conjugate Haemophilus influenzae type b (HbOC) vaccine in a United States population of 61 080 children[J]. The Pediatric infectious disease journal, 1991, 10(2): 97-103.
[10]BOOY R, HODGSON S, MOXON E R, et al. Efficacy of Haemophilus influenzae type b conjugate vaccine PRP-T[J]. The Lancet, 1994, 344(8919): 362-366.
[11]VADHEIM C M, GREENBERG D P, PARTRIDGE S, et al. Effectiveness and safety of an Haemophilus influenzae type b conjugate vaccine (PRP-T) in young infants[J]. Pediatrics, 1993, 92(2): 272-279.
[12]GESSNER B D, SUTANTO A, LINEHAN M, et al. Incidences of vaccine-preventable Haemophilus influenzae type b pneumonia and meningitis in Indonesian children: hamlet-randomised vaccine-probe trial[J]. The Lancet, 2005, 365(9453): 43-52.
[13]FITZWATER S P, WATT J P, LEVINE O S, et al. Haemophilus influenzae type b conjugate vaccines: considerations for vaccination schedules and implications for developing countries[J]. Human vaccines, 2010, 6(10): 810-818.
[14]GRIFFITHS U K, CLARK A, GESSNER B, et al. Dose-specific efficacy of Haemophilus influenzae type b conjugate vaccines: a systematic review and meta-analysis of controlled clinical trials[J]. Epidemiology & Infection, 2012, 140(8):1343-1355.
[15]O'LOUGHLIN R E, EDMOND K, MANGTANI P, et al. Methodology and measurement of the effectiveness of Haemophilus influenzae type b vaccine: systematic review[J]. European Heart Journal Acute Cardiovascular Care, 2010, 28(38):6128-6136.
[16]JACKSON C, MANN A, MANGTANI P, et al. Effectiveness of Haemophilus influenzae type b vaccines administered according to various schedules: systematic review and meta-analysis of observational data[J]. The Pediatric Infectious Disease Journal, 2013, 32(11): 1261-1269.
[1] 贾铭, 彭菊意, 刘星宇, 刘宇丹, 赵华. 心血管代谢性共病危险因素的Meta分析[J]. 预防医学, 2023, 35(9): 790-795.
[2] 刘溦, 宋杰, 陈伟伟, 叶丁, 毛盈颖. 硒水平与慢性肾脏病关联的Meta分析[J]. 预防医学, 2023, 35(8): 669-676.
[3] 柏旭, 苏洁, 李凤, 徐倩, 沈源, 肖凌凤. 我国成人糖尿病视网膜病变影响因素的Meta分析[J]. 预防医学, 2023, 35(7): 595-601.
[4] 段恬筱, 黄希汇, 刘诗川, 胡薇薇, 刘涛, 李亚, 岑斌. 新型冠状病毒感染流行期间医护人员职业倦怠的Meta分析[J]. 预防医学, 2023, 35(6): 526-532.
[5] 方子思, 廖辉, 周筱丛, 徐虹. 我国公共场所集中空调通风系统嗜肺军团菌污染的Meta分析[J]. 预防医学, 2023, 35(5): 425-430.
[6] 张家佳, 陈小玉, 卿雪莲. 我国空巢老人跌倒发生率的Meta分析[J]. 预防医学, 2023, 35(10): 844-848,855.
[7] 沈强, 张月琴, 江圣洁, 甘露, 尉莹莹. 新冠肺炎疫情期间医务人员焦虑状况的Meta分析[J]. 预防医学, 2022, 34(7): 720-726.
[8] 杨丹丹, 姚学成, 张昕涵, 唐梦龄, 王建炳, 金明娟, 陈坤. 中国人群胃癌发病影响因素的Meta分析[J]. 预防医学, 2022, 34(6): 561-570.
[9] 严睿, 周洋, 邓璇, 唐学雯, 朱瑶, 何寒青. 浙江省居民麻疹抗体水平调查[J]. 预防医学, 2022, 34(5): 496-502.
[10] 郑云枝, 侯灿灿, 曹锦程, 崔总文, 王茂, 崔俊鹏. 心肺适能与心脑血管疾病发病关系的Meta分析[J]. 预防医学, 2022, 34(3): 282-288,293.
[11] 韩梦蝶, 许明慧, 陈旭, 赵雪, 程明慧, 高静, 李惠菊. 中国HIV/AIDS病例自杀意念发生率的Meta分析[J]. 预防医学, 2022, 34(11): 1132-1138.
[12] 何佳晋, 居豪, 吴超. 中国MSM人群HIV新发感染率及其影响因素的Meta分析[J]. 预防医学, 2022, 34(1): 70-77.
[13] 朱琳, 高静, 柏丁兮, 陈昕羽. 中国居民肺炎球菌疫苗接种意愿的Meta分析[J]. 预防医学, 2021, 33(9): 935-939,943.
[14] 黄勤竹, 费安裕, 李高春, 项振扬. 中国在校大学生眼干燥症患病率的Meta分析[J]. 预防医学, 2021, 33(8): 793-796.
[15] 严波, 周倩意, 郑晓晖, 余昭锋, 鲁影, 刘紫瑜, 陈维清. 中国儿童家长疑似预防接种异常反应知晓率的Meta分析[J]. 预防医学, 2021, 33(3): 250-254.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed