The present prophylactic trends of rubella and measles.

O Zardi, B Soubotian
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Abstract

Starting from the epidemiological investigation on a sample of 22.560 subjects of different chronological age classes in the Latium region with the research of hemoagglutinoinhibiting antibodies of the Rubella virus, and of 9.800 subjects with the research of hemoagglutinoinhibiting antibodies of the Measles virus, the authors observe that the diffusion of the seroprotection presents on an average 82.5% for Rubella and 79.8% for Measles. On the strength of the results, referred also according to the established chronological age classes, any obligatory treatment against Rubella is excluded in prepuberal age. In order to prevent the risk of congenital malformation in cases of pregnant and not seroprotected subjects who, during the first three months of gestation might come into contact with sick affected by Rosolia or with healthy carriers, the authors suggest the vaccination three months before the conception. Evidently, this involves a screening of the adult female population before their marriage. On the contrary as concerns Measles, the vaccination within the second year of life is being hypothesized exactly on the basis of the consideration that this is a matter of a serious illness and not always free from grave complications. In these cases, after shortly referring on the results of the experiments of different authors, the mixed anti-Measles and anti-Rubella vaccination might be taken into consideration, though with all the precautions that are suggested.

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目前风疹和麻疹的预防趋势。
本文从风疹病毒血凝素抑制抗体和麻疹病毒血凝素抑制抗体对拉丁地区22560名不同年龄层人群的流行病学调查和9800名不同年龄层人群的流行病学调查结果来看,风疹和麻疹的血清保护扩散率分别为82.5%和79.8%。根据结果的力量,也根据既定的实足年龄类别,在青春期前排除任何针对风疹的强制性治疗。为了防止在妊娠头三个月期间可能接触感染Rosolia的病人或健康携带者的孕妇和未受疫苗保护的受试者发生先天性畸形的风险,作者建议在怀孕前三个月接种疫苗。显然,这涉及到在成年女性结婚前对她们进行筛查。就麻疹而言,恰恰相反,在生命第二年内接种疫苗的假设是基于这一考虑,即这是一种严重的疾病,并非总是没有严重的并发症。在这些情况下,在简要参考不同作者的实验结果后,可以考虑混合接种抗麻疹和抗风疹疫苗,尽管有所有建议的预防措施。
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