肺炎球菌疫苗接种是儿科变态反应学家面临的挑战

IF 0.3 Q4 ALLERGY Astim Allerji Immunoloji Pub Date : 2022-12-07 DOI:10.21911/aai.011
Sinem Polat Terece, H. I. Ertoy Karagol, A. Bakirtas
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摘要

目的:据报道,在引入肺炎球菌疫苗(PV)之前,哮喘儿童患侵袭性肺炎球菌疾病(IPD)的风险增加。然而,PV进入常规免疫计划后,证据有限。我们的目的是调查儿科过敏专科医生是否建议哮喘儿童服用额外的PV(aPV),如果是,他们是否考虑了任何哮喘特异性风险因素。我们还想确定在新冠肺炎大流行期间他们的建议是否有任何变化。材料和方法:通过电子邮件向土耳其儿科过敏和哮喘学会的所有成员发送了一份问卷。问卷是在线填写的,共有14个问题。结果:问卷已通过电子邮件发送给220名成员。有效率分别为56.3%和60.5%。aPV最常见的哮喘特异性因素是严重哮喘(70.2%),长期口服皮质类固醇使用(65.3%)和频繁恶化/住院(62.9%)。与前一时期相比,新冠肺炎大流行增加了向PA询问哮喘儿童aPV问题的比率(75.8%对33.9%)(p<0.001),并且在大流行期间,PA的%27改变了他们的建议,支持aPV。结论:哮喘儿童并不罕见。严重哮喘和相关因素似乎是推荐哮喘儿童使用aPV的主要原因。在新冠肺炎大流行期间,PA的aPV建议增加。
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Pneumococcal Vaccination is a Challenge of Pediatric Allergists
Objective: An increased risk of invasive pneumococcal disease (IPD) has been reported in children with asthma before the introduction of pneumococcal vaccines (PVs). However, the evidence is limited after PV entered the routine immunization schedule. We aimed to investigate whether pediatric allergists recommend additional PV (aPV) to asthmatic children and if so whether there are any asthma-specific risk factors they consider. We also wanted to determine any changes in their recommendations during the COVID-19 pandemic. Materials and Methods: A questionnaire was e-mailed to all members of the Academy of Pediatric Allergy and Asthma in Turkey. The questionnaire was filled online and consisted of 14 questions. Results: The questionnaire was e-mailed to 220 members. The response rate was 56.3% and 60.5% of PA recommended aPV. The most frequent asthma specific factors for aPV were severe asthma (70.2%), long term oral corticosteroid use (65.3%) and frequent exacerbations / hospitalizations (62.9%). COVID-19 pandemic increased the rate of questions asked to PA about aPV for asthmatic children compared to previous periods (75.8 vs 33.9%) (p<0.001) and %27 of PA changed their recommendations in favor of aPV during pandemic.Conclusion: Asthmatic children is not infrequent. Severe asthma and related factors seem to be the leading reasons to recommend aPV for asthmatic children. The aPV recommendation by PA is increased during COVID-19 pandemic.
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
10
期刊介绍: Asthma Allergy Immunology has been published three times a year in April, August and December as the official and periodical journal of the Turkish National Society of Allergy and Clinical Immunology since 2003. All articles published in the journal have been available online since 2003. A peer reviewed system is used in evaluation of the manuscripts submitted to Asthma Allergy Immunology. The official language of the journal is English. The aim of the journal is to present advances in the field of allergic diseases and clinical immunology to the readers. In accordance with this goal, manuscripts in the format of original research, review, case report, articles about clinical and practical applications and editorials, short report and letters to the editor about allergic diseases and clinical immunology are published in the journal. The target reader population of the Asthma Allergy Immunology includes specialists and residents of allergy and clinical immunology, pulmonology, internal medicine, pediatrics, dermatology and otolaryngology as well as physicians working in other fields of medicine interested in allergy and immunological diseases.
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