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新生儿抗感染免疫及当前预防策略。

Neonatal Immunity to Infection and Current Prevention Strategies.

机构信息

Institute of Tropical Medicine, University of São Paulo, Dr. Enéas de Carvalho Aguiar Avenue 470 Jardim América, São Paulo, SP 05403-000, Brazil.

Immunology Centre, Adolfo Lutz Institute, Dr. Arnaldo Avenue 351 Cerqueira César, São Paulo, SP 01246-000, Brazil.

出版信息

J Immunol Res. 2019 Feb 10;2019:7134168. doi: 10.1155/2019/7134168. eCollection 2019.

Abstract

is the bacterial agent of whooping cough, an infectious disease that is reemerging despite high vaccine coverage. Newborn children are the most affected, not only because they are too young to be vaccinated but also due to qualitative and quantitative differences in their immune system, which makes them more susceptible to infection and severe manifestations, leading to a higher mortality rate comparing to other groups. Until recently, prevention consisted of vaccinating children in the first year of life and the herd vaccination of people directly in touch with them, but the increase in cases demands more effective strategies that can overcome the developing immune response in early life and induce protection while children are most vulnerable.

摘要

百日咳是一种传染病的细菌病原体,尽管疫苗接种率很高,但它仍在重新出现。新生儿受影响最大,不仅因为他们太小而不能接种疫苗,还因为他们的免疫系统存在质量和数量上的差异,这使他们更容易受到感染和严重症状的影响,与其他群体相比,死亡率更高。直到最近,预防措施还包括在生命的第一年为儿童接种疫苗,并对直接接触他们的人群进行群体疫苗接种,但病例的增加需要更有效的策略,这些策略可以克服生命早期发育中的免疫反应,并在儿童最脆弱的时候诱导保护。

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