[一项针对社区儿童接种b型流感嗜血杆菌的前瞻性队列研究]。

中国疫苗和免疫 Pub Date : 2010-04-01
Xiao-hua Qian, Chuan-qing Wang, Qi-rong Zhu
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引用次数: 0

摘要

目的:评价乙型流感嗜血杆菌结合疫苗(Hib)的流行病学效果。方法:采用前瞻性队列研究,采用细菌培养和Nest-PCR检测未接种疫苗和接种疫苗儿童Hi的携带率。分析两组患儿Hi携带率及下呼吸道感染发生率。结果:两组患儿Hib携带率均较低。未接种疫苗儿童NTHi阳性率明显高于接种疫苗儿童,主要发生在2 ~ 3岁儿童。未接种疫苗儿童下呼吸道感染发生率明显高于接种疫苗儿童。Hib疫苗对支气管炎的保护作用达90%以上。Hi培养阳性的支气管炎发病率明显高于Hi培养阴性的支气管炎发病率。结论:小儿支气管炎与Hi携带者率有关。接种Hib疫苗可降低Hib带菌率和支气管炎发病率。
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[A prospective cohort study on community children vaccinated with Haemophilus influenzae type b].

Objective: To evaluate the epidemiological effect of Haemophilus influenzae type b conjugate vaccine (Hib).

Methods: Prospective Cohort Study was conducted to detect carrier rate of Hi in unvaccinated and vaccinated children by bacteria culture and Nest-PCR. Carrier rate of Hi and the incidence of lower respiratory tract infection in two groups children were analysed.

Results: The carrier rate of Hib in two groups children was very lower. The positive rate of NTHi in unvaccinated children was higher than vaccinated children significantly, which was mainly happened in the Children of 2-3 years old. The incidence of lower respiratory tract infection in unvaccinated children was higher than vaccinated children obviously. The protective effect of Hib vaccine against bronchitis was over 90%. The incidence of bronchitis of Hi culture positive was higher than that of Hi culture negative significantly.

Conclusion: Children's bronchitis is related to the Hi carrier rate. To inoculate Hib vaccine can reduce the carrier rate of Hi and the incidence of bronchitis.

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