肺炎球菌结合疫苗接种时间表与儿童哮喘加重的发生率

Sahel Rasmi Ali Al-Zeghoul, Obeidallah Abdelmajeed Obeidallah Alkhatatbeh, Saif Ali Mohamad Jabali, Shawq Walid Atallah Althaher, Osama Ibrahim Suleiman Abu Quta
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引用次数: 0

摘要

背景:慢性哮喘是一种复杂的疾病:慢性哮喘是一种复杂的疾病。嗜酸性粒细胞计数的突然上升、哮喘症状的恶化、对使用或不使用口服/静脉注射皮质类固醇的支气管扩张剂的依赖性增加,以及因住院或使用抗生素而去急诊室就诊的频率增加,已被确定为肺炎球菌结合疫苗预防疾病有效性的指标。目的:如前所述,本研究旨在评估安排接种肺炎球菌结合疫苗对减少儿童哮喘加重及其后续并发症发生的临床重要性。研究方法约旦安曼拉尼娅-阿卜杜拉王后儿童医院的一项研究对 2022 年至 2023 年期间因喘息而住院的 200 名 3-14 岁慢性哮喘儿童进行了检查。根据接种流感疫苗和 PCV13 的经验,这些儿童被分为四组。研究采用详细的调查问卷收集儿童的背景、健康史、疫苗接种史和接种史等信息。研究结果采用卡方检验和 95% 置信区间进行分析。结果约旦一家儿科诊所有 200 名哮喘儿童,其中 40.5% 的儿童没有接种过流感疫苗或 PCV13 疫苗。其余 43.5%的儿童注射过流感疫苗,但忘记注射 PCV13。第二组中约有 11% 的儿童患有哮喘,但同时接种了流感疫苗和 PCV13。研究发现,第一至第四组之间存在正相关,男性如此,女性则不然。各年龄组的分布率相似,3 至 6 岁为 21.0%,6 至 9 岁为 34.0%,9 至 12 岁为 37.5%,12 至 15 岁为 7.5%。第一至第四组的喘息发作率与过去一季中偶尔发作率和频繁发作率之间存在密切联系。
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Schedule of pneumococcal conjugated vaccination and incidence of asthmatic exacerbation in children
Background: Chronic asthma is a complex condition. An abrupt rise in eosinophil counts, deterioration of asthma symptoms, increased reliance on bronchodilators with or without oral/IV corticosteroids, and a higher frequency of emergency room visits with hospitalisations or antibiotic use have been identified as indicators of the effectiveness of the pneumococcal conjugate vaccine in preventing illness. Aim: The objective of this study was to assess the clinical importance of scheduling the pneumococcal conjugate vaccine in reducing the occurrences of asthma exacerbations and their subsequent complications in children, as previously described. Methods: A study at Queen Rania Abdullah for Children Hospital in Amman, Jordan, examined 200 children aged 3-14 with chronic asthma who were hospitalized from 2022 to 2023 due to wheezing. The children were divided into four groups based on their experience with the flu vaccine and PCV13. The study used a detailed questionnaire to gather information about the children's background, health history, vaccination history, and vaccination history. The results were analyzed using chi-square testing and a 95% confidence interval. Results: A paediatric clinic in Jordan had 200 asthmatic kids, with 40.5% having not received the flu or PCV13 shot. The remaining 43.5% had received the flu shot but forgot to get the PCV13. About 11% of the kids in Group II were asthmatic and received both the flu shot and PCV 13. The study found a positive correlation between Groups I-IV for men but not for women. Age groups had similar distribution rates, with 21.0% for ages 3 to 6, 34.0% for ages 6 to 9, 37.5% for ages 9 to 12, and 7.5% for ages 12 to 15. There was a strong link between the rates of wheezing episodes in Groups I through IV compared to rates of occasional versus frequent episodes in the past seasonal year.
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