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预防医学  2016, Vol. 28 Issue (9): 874-878,895    
  论著 本期目录 | 过刊浏览 | 高级检索 |
7岁以下儿童接种1剂次或2剂次Salk-IPV免疫效果的Meta分析
李倩, 胡昱, 张兵, 陈雅萍
浙江省疾病预防控制中心,浙江杭州310051
A meta-analysis on immunogenicity of one dose or two dose salk strain inactivated poliovirus vaccine among children under seven years
LI Qian, HU Yu, ZHANG Bing, CHEN Ya-ping
The Center for Disease Control and Prevention of Zhejiang Province, Hangzhou, Zhejiang, 310051, China
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摘要 目的 评价7岁以下儿童接种1剂次或2剂次Salk株脊髓灰质炎灭活疫苗(Salk-IPV)的免疫效果,为实施灭活脊髓灰质炎疫苗(IPV)序贯免疫时制定相应的免疫程序提供参考。方法 通过检索美国国家医学图书馆数据库(NCBI)、Cochrane协作网图书馆、中国生物医学文献数据库(CBMdisc)、知网数据库(CNKI)和万方数据库,将评价Salk-IPV免疫效果的研究纳入分析。以<7岁儿童接种疫苗至少1个月后诱导中和抗体的血清阳转率(SR)作为观察指标进行Meta分析;描述接种不同剂次Salk-IPV接种后血清型脊髓灰质炎中和抗体的SR的变化趋势。结果 共纳入11篇文献,Meta分析结果显示:接种1剂次Salk-IPV后,I、Ⅱ和Ⅲ型脊髓灰质炎病毒中和抗体的SR分别为29%(95% CI:19%~39%)、41%(95% CI:31%~51%)和38%(95% CI:28%~48%);接种2剂次Salk-IPV后,I、Ⅱ和Ⅲ型脊髓灰质炎病毒中和抗体的SR分别为82%(95% CI:74%~90%)、83%(95% CI:77%~88%)和91%(95% CI:87%~95%)。随着免疫起始月龄推后,无论接种1剂次还是2剂次Salk-IPV,不同血清型脊髓灰质炎病毒中和抗体的SR均呈上升趋势。结论 7岁以下儿童采用二价口服脊髓灰质炎减毒活疫苗和Salk-IPV序贯免疫策略时,建议在常规免疫中至少接种2剂次以上Salk-IPV疫苗,血清中和抗体才有较高的阳性率。
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李倩
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陈雅萍
关键词 Salk株脊髓灰质炎灭活疫苗接种剂次免疫效果Meta分析    
AbstractObjective To evaluate immunogenicity of one dose or two dose salk strain inactivated poliovirus vaccine(Salk-IPV) among children under seven years. Methods Searching "National Center for Biotechnology Information, NCBI",
"Cochrane Library" "China Biology Medicine disc, CBMd", "China National Knowledge Infrastructure, CNKI",
"Wanfang Database, WF", studies for assessing immunogenicity of Salk-IPV were included. The seroconversion rate (SR) of neutralization antibody (NA) of specific type of polio virus with an interval of one month after vaccination was used as our endpoints. Pooled SR with 95% Confidence Interval (CI) was calculated by RevMan5.1 software. The association between seroconversion and age at administration was described by R 3.2.2 program. Results A total of 11 studies were included. One dose of Salk-IPV seroconvert 29% (95%CI:19%-39%),41%(95%CI:31%-51%) and 38% (95%CI:28%-48%) of infants aged 7 years against serotypes I, Ⅱ, and Ⅲ on average, while 2 doses seroconvert 82% (95%CI:74%-90%),83% (95%CI:77%-88%) and 91% (95%CI:87%-95%), respectively. Seroconversion increased with the starting age for both one dose and two dose schedules.Conclusion Routine immunization with at least 2 doses of Salk-IPV was recommended as a sequential schedule with two-valent oral polio virus vaccine and Salk-IPV was applied.
Key wordsSalk strain inactivated poliovirus vaccine    Dose schedule    Immunogenicity    Meta analysis
收稿日期: 2016-01-06          
中图分类号:  R186  
通信作者: 李倩,E-mail:qianli@cdc.zj.cn   
作者简介: 李倩,本科,副主任医师,主要从事免疫规划工作
引用本文:   
李倩, 胡昱, 张兵, 陈雅萍. 7岁以下儿童接种1剂次或2剂次Salk-IPV免疫效果的Meta分析[J]. 预防医学, 2016, 28(9): 874-878,895.
LI Qian, HU Yu, ZHANG Bing, CHEN Ya-ping. A meta-analysis on immunogenicity of one dose or two dose salk strain inactivated poliovirus vaccine among children under seven years. Preventive Medicine, 2016, 28(9): 874-878,895.
链接本文:  
http://www.zjyfyxzz.com/CN/      或      http://www.zjyfyxzz.com/CN/Y2016/V28/I9/874
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