AN OVERVIEW OF CURRENT VACCCINES FOR THE PROPHYLAXIS OF BACTERICAL INFECTIONS

Dragana D. Božić, Biljana Bufan
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Abstract

Antibacterial vaccines play a central role in modern medicine by providing an effective approach to combating infectious diseases caused by bacteria. The importance of these vaccines lies in their ability to stimulate the immune system to recognise and neutralise bacterial pathogens, or exotoxins produced by them, thereby preventing, or mitigating the severity of bacterial infections. The development and widespread use of antibacterial vaccines have contributed significantly to reducing the global burden of diseases such as pneumonia, meningitis, and sepsis. Today, the global increase in vaccine-preventable diseases is a worrying trend that is closely linked to the emergence and advocacy of anti-vaccination policies. According to the latest World Health Organisation report, vaccination coverage in Serbia has declined over the past decade, jeopardising the collective immunity and led to recent outbreaks of vaccine-preventable diseases such as whooping cough and measles. Understanding the significance of antibacterial vaccines underscores their importance in promoting individual and community immunity, which ultimately leads to a healthier population and the prevention of antibiotic resistance. This paper summarises the main characteristics of the different types of antibacterial vaccines, such as whole cell vaccines, subunit vaccines and toxoid vaccines, and provides an overview of the types of bacterial antigens contained in vaccines available for mandatory immunisation (vaccines against tuberculosis, diphtheria, tetanus, pertussis, Haemophilus influenzae and pneumoccus) or for non-mandatory immunisation (meningococcal vaccine, typhoid vaccine, cholera vaccine).
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目前用于预防细菌感染的疫苗概述
抗菌疫苗在现代医学中发挥着核心作用,它提供了一种有效的方法来对抗由细菌引起的传染性疾病。这些疫苗的重要性在于它们能够刺激免疫系统识别和中和细菌病原体或其产生的外毒素,从而预防或减轻细菌感染的严重程度。抗菌疫苗的开发和广泛使用为减轻肺炎、脑膜炎和败血症等疾病的全球负担做出了巨大贡献。如今,全球疫苗可预防疾病的增加趋势令人担忧,这与反疫苗接种政策的出现和倡导密切相关。根据世界卫生组织的最新报告,塞尔维亚的疫苗接种覆盖率在过去十年中有所下降,损害了集体免疫力,导致百日咳和麻疹等疫苗可预防疾病在近期爆发。了解抗菌疫苗的意义突出了其在促进个人和社区免疫力方面的重要性,这最终会带来更健康的人口并防止抗生素耐药性的产生。本文总结了全细胞疫苗、亚单位疫苗和类毒素疫苗等不同类型抗菌疫苗的主要特点,并概述了可用于强制免疫接种(结核病疫苗、白喉疫苗、破伤风疫苗、百日咳疫苗、流感嗜血杆菌疫苗和肺炎球菌疫苗)或非强制免疫接种(脑膜炎球菌疫苗、伤寒疫苗、霍乱疫苗)的疫苗中所含的细菌抗原类型。
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