Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Department of Pediatrics, Children's National Hospital, Washington, DC.
Pediatrics. 2023 Nov 1;152(5). doi: 10.1542/peds.2023-063955.
The Advisory Committee on Immunization Practices (ACIP), a group of medical and public health experts that provides advice to the Centers for Disease Control and Prevention, normally meets 3 times per year to develop US vaccine recommendations. The ACIP met June 21-23, 2023, to discuss respiratory syncytial virus (RSV) vaccines, influenza vaccines, pneumococcal vaccines, meningococcal vaccines, and COVID-19 vaccines. The ACIP also held a special meeting on August 3, 2023, to discuss RSV prophylaxis in infants. This update summarizes the proceedings of these meetings that are most relevant to the pediatric population. Major updates for pediatric clinicians include a new recommendation for the monoclonal antibody nirsevimab for prevention of RSV disease in all infants, recommendations regarding use of 20-valent pneumococcal conjugate vaccine, and discussion of potential forthcoming changes to meningococcal and COVID-19 vaccination recommendations.
免疫实践咨询委员会(ACIP)是一个由医学和公共卫生专家组成的小组,向疾病控制与预防中心提供建议。该委员会通常每年召开 3 次会议,以制定美国疫苗推荐意见。ACIP 于 2023 年 6 月 21 日至 23 日举行会议,讨论呼吸道合胞病毒(RSV)疫苗、流感疫苗、肺炎球菌疫苗、脑膜炎球菌疫苗和 COVID-19 疫苗。ACIP 还于 2023 年 8 月 3 日举行了一次特别会议,讨论婴儿的 RSV 预防措施。本更新总结了与儿科人群最相关的这些会议的程序。儿科临床医生的主要更新包括针对所有婴儿预防 RSV 疾病的单克隆抗体 nirsevimab 的新推荐、关于使用 20 价肺炎球菌结合疫苗的建议,以及讨论脑膜炎球菌和 COVID-19 疫苗接种建议可能即将发生的变化。