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Safety of a 13-Valent Pneumococcal Conjugate Vaccine in Elderly Adults Previously Immunized with a 23-Valent Pneumococcal Polysaccharide Vaccine: An Open-Label Trial
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作者 Tino F. Schwarz Karlis Pauksens +4 位作者 Christine Juergens Deepthi Jayawardene Daniel A. Scott William C. Gruber Beate Schmoele-Thoma 《World Journal of Vaccines》 2013年第4期123-129,共7页
An open-label, multicenter study was conducted to describe the safety of the 13-valent pneumococcal conjugate vaccine (PCV13) in 1049 individuals aged ≥68 years, who had previously been immunized with the unconjugate... An open-label, multicenter study was conducted to describe the safety of the 13-valent pneumococcal conjugate vaccine (PCV13) in 1049 individuals aged ≥68 years, who had previously been immunized with the unconjugated 23-valent pneumococcal polysaccharide vaccine (PPSV23). In addition, the safety profile of PCV13 in this study was compared, in a post-hoc descriptive analysis, to that observed in other elderly populations, who had received PCV13 or PPSV23 as part of other completed studies. Local (56.6%) and systemic reactions (58.4%) were very common, but were mainly mild, and of short duration (mean: 1.3 - 4.6 days). There were no related serious adverse events (AEs) within 1 month after PCV13. 123 days after PCV13 and 94 days after a nonstudy influenza vaccine, a case of transient Guillain-Barré syndrome occurred, which the investigator assessed as possibly related to the vaccination. Reactogenicity observed in this study population was generally similar to that of other elderly study populations with PPSV23-preimmunized adults, and with PPSV23-naive adults. Reactogenicity was less common in this study than that observed in PPSV23-preimmunized adults who were revaccinated with PPSV23 rather than a subsequent dose of PCV13. There were no related serious AEs reported after PCV13 and PPSV23 in these comparator studies. Conclusion: PCV13 may be administered safely to older adults previously immunized with PPSV23. (ClinicalTrials. gov Identifier: NCT00500266) 展开更多
关键词 13-valent PNEUMOCOCCAL Conjugate vaccine 23-valent PNEUMOCOCCAL polysaccharide vaccine Streptococcus PNEUMONIAE REACTOGENICITY SAFETY
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23价肺炎球菌多糖疫苗和流行性感冒疫苗防治老年慢性肺病急性发作的研究 被引量:5
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作者 杜坚宗 刘小利 +2 位作者 赵恬 顾亮 钦光跃 《中国临床药理学与治疗学》 CAS CSCD 2012年第6期700-703,共4页
目的:评价老年慢性肺病人群联合接种23价肺炎球菌多糖疫苗和流行性感冒疫苗,预防慢性肺病急性发作的效果。方法:选取2008年10月到2009年3月的稳定期老年慢性肺病患者192例。随机分为接种23价肺炎球菌多糖疫苗和流行性感冒疫苗的试验组9... 目的:评价老年慢性肺病人群联合接种23价肺炎球菌多糖疫苗和流行性感冒疫苗,预防慢性肺病急性发作的效果。方法:选取2008年10月到2009年3月的稳定期老年慢性肺病患者192例。随机分为接种23价肺炎球菌多糖疫苗和流行性感冒疫苗的试验组97例和接种流行性感冒疫苗的对照组95例。在基线调查的基础上,接种后1年内随访两组慢性肺病第一次急性发作时间情况。结果:试验组急性发作的发生率53.6%(52/97)低于对照组72.6%(69/95)(χ2=6.659,P=0.010)。接种23价肺炎球菌多糖疫苗和流行性感冒疫苗能减少慢性肺病急性发作的发生率,其保护效率为26.2%。两组病死率相近,分别为8.2%(8/97)和11.6%(11/95)(χ2=0.597,P=0.440)。Kaplan-Meier生存函数发现试验组慢性肺病急性发作未发生率低于对照组(log-rank检验,χ2=8.065,P=0.005)。结论:联合接种23价肺炎球菌多糖疫苗和流行性感冒疫苗能减少慢性肺病急性发作的发生,具有一定的保护效力。 展开更多
关键词 23价肺炎球菌多糖疫苗 流行性感冒疫苗 老年人 慢性肺病 急性发作
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23价肺炎球菌多糖疫苗和流行性感冒病毒裂解疫苗联合接种对老年人呼吸系统疾病防治效果观察与效益分析 被引量:21
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作者 王茂慈 王太平 +5 位作者 杨绍明 潘红 张伟 宋艳娟 殷克香 杨晓琳 《中国疫苗和免疫》 CAS 2010年第3期229-232,共4页
目的评价老年人群联合接种23价肺炎球菌多糖疫苗(23-Valent Penumococcal Polysaccharide Vaccine,PenV23)和流行性感冒(流感)病毒裂解疫苗(Split-Virus Influenza Vaccine,InfV-B),预防上呼吸系统疾病的效果和成本-效益。方法选取日照... 目的评价老年人群联合接种23价肺炎球菌多糖疫苗(23-Valent Penumococcal Polysaccharide Vaccine,PenV23)和流行性感冒(流感)病毒裂解疫苗(Split-Virus Influenza Vaccine,InfV-B),预防上呼吸系统疾病的效果和成本-效益。方法选取日照市城区部分预防接种门诊,在2005年联合接种过PenV23和InfV-B的151名老年人为接种组,抽取匹配的均未接种两种疫苗的188名社区人员为对照组。在基线调查的基础上,联合接种后2年内对接种组和对照组进行随访,记录入院诊断治疗情况、直接医疗费用等。结果 PenV23和InfV-B联合接种对上呼吸道感染的保护效率为60%(比值比为0.35,95%可信区间为0.153~0.794),差异有统计学意义(P=0.009)。联合接种疫苗组平均住院时间(20.00±5.66)d,对照组为(24.19±7.24)d,差异有统计学意义(t=5.82,P<0.001)。联合接种疫苗的效益成本比为4.03,净效益为177994.86元。结论社区老年人群联合接种PenV23和InfV-B能减少上呼吸系统疾病的发生,具有一定的保护效力,且能获得较高的成本效益。 展开更多
关键词 23价肺炎球菌多糖疫苗 流行性感冒病毒裂解疫苗 上呼吸道感染 预防效果
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