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社区儿童接种b型流行性感冒嗜血杆菌结合疫苗的前瞻性队列研究
引用本文:钱晓华,王传清,朱启镕,章影,高文熙,何磊燕,吴志芳,徐巍.社区儿童接种b型流行性感冒嗜血杆菌结合疫苗的前瞻性队列研究[J].中国计划免疫,2010(2).
作者姓名:钱晓华  王传清  朱启镕  章影  高文熙  何磊燕  吴志芳  徐巍
作者单位:上海市虹口区疾病预防控制中心;复旦大学附属儿科医院;上海市虹口区提蓝社区卫生服务中心;上海市虹口区江湾社区卫生服务中心;
基金项目:2006年上海市虹口区医学科学研究重大课题(编号2006-01-01)
摘    要:目的评价社区儿童接种b型流行性感冒嗜血杆菌Haemophilus Influenzae(Hi)Type b,Hib]结合疫苗的免疫效果。方法采用前瞻性队列研究方法分为疫苗接种组与非疫苗接种(对照)组,用细菌培养法、巢式聚合酶链反应检测两组儿童Hi携带状况,分析Hi携带率及下呼吸道疾病罹患率。结果两组儿童Hib携带率均较低;对照组未定型Hi阳性率显著高于接种组,以2~3岁尤为明显;各年龄组中对照组儿童支气管炎罹患率均显著高于接种组,Hib结合疫苗对儿童支气管炎发病的保护效果>90%;对照组中Hi培养阳性者气管炎发病显著高于Hi培养阴性者。结论儿童支气管炎的发病与Hi携带率高有关,接种Hib疫苗后导致Hi携带率下降以及支气管炎发病减少。

关 键 词:流行性感冒嗜血杆菌  b型流行性感冒嗜血杆菌结合疫苗  下呼吸道感染  

A Prospective Cohort Study on Community Children Vaccinated with Haemophilus Influenzae Type b
QIAN Xiao-hua,WANG Chuan-qing,ZHU Qi-rong,et al..A Prospective Cohort Study on Community Children Vaccinated with Haemophilus Influenzae Type b[J].Chinese Journal of Vaccines and Immunization,2010(2).
Authors:QIAN Xiao-hua  WANG Chuan-qing  ZHU Qi-rong  
Institution:QIAN Xiao-hua,WANG Chuan-qing,ZHU Qi-rong,et al.(Hongkou District Center of Disease Control , Prevention of Shanghai Municipal,Shanghai 200082,China)
Abstract: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...
Keywords:Haemophilus influenzae  Haemophilus influenzae type b conjugate vacclne  Lower respiratory tract infection  
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