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婴儿百日咳预防面临的持续挑战:2024年有哪些新情况?

The ongoing challenge of prevention of pertussis in infants: what's new in 2024?

作者信息

Matera Maria Gabriella, Capristo Carlo, de Novellis Vito, Cazzola Mario

机构信息

Unit of Pharmacology, Department of Experimental Medicine, University of Campania 'Luigi Vanvitelli', Naples, Italy.

Unit of Pediatrics, Department of Woman, Child and General and Specialized Surgery, University of Campania 'Luigi Vanvitelli', Naples, Italy.

出版信息

Expert Rev Anti Infect Ther. 2025 May;23(5):247-263. doi: 10.1080/14787210.2025.2476010. Epub 2025 Mar 9.

Abstract

INTRODUCTION

Pertussis, a respiratory disease caused primarily by , is undergoing a resurgence despite decades of high rates of vaccination. The prevention of pertussis in infants presents several challenges, including the waning immunity of the acellular pertussis (aP) vaccine, the limited protection afforded to newborns before they complete the vaccine series, and the existence of gaps in maternal vaccination. Furthermore, the unwillingness or refusal of a considerable number of individuals, including some healthcare workers, to receive vaccinations represents another significant challenge.

AREAS COVERED

This narrative review provides an updated overview of the ongoing challenge of preventing pertussis in infants and discusses some possible solutions.

EXPERT OPINION

The ongoing challenge of preventing pertussis in infants is multifaceted. To address these challenging issues, a multi-pronged approach is required. This approach should be designed to address various barriers and increase uptake. It should include measures to strengthen maternal vaccination programs, ensure timely infant vaccinations, improve public education, and continue research into more effective vaccines with longer-lasting immunity.

摘要

引言

百日咳是一种主要由[病原体未提及]引起的呼吸道疾病,尽管数十年来疫苗接种率很高,但该病仍在卷土重来。预防婴儿百日咳面临若干挑战,包括无细胞百日咳(aP)疫苗免疫力的减弱、新生儿在完成疫苗接种系列之前获得的保护有限,以及产妇疫苗接种存在缺口。此外,包括一些医护人员在内的相当一部分人不愿意或拒绝接种疫苗是另一个重大挑战。

涵盖领域

本叙述性综述提供了预防婴儿百日咳这一持续挑战的最新概述,并讨论了一些可能的解决方案。

专家意见

预防婴儿百日咳这一持续挑战是多方面的。为应对这些具有挑战性的问题,需要采取多管齐下的方法。这种方法应旨在解决各种障碍并提高疫苗接种率。它应包括加强产妇疫苗接种计划、确保及时为婴儿接种疫苗、改善公众教育以及继续研究具有更持久免疫力的更有效疫苗的措施。

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