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ACIPのインフルエンザ予防接種勧奨事項 

米国CDCのACIPから、今冬のインフルエンザ予防接種の勧めが公表された。

要点は;
1)生後6ヶ月以上のすべての人々に、予防接種を行なうこと
2)生後6ヶ月から8歳の小児が、以下の条件にある場合には、最低4週間の間隔を開けて、二回予防接種を行な  うこと
  1;予防接種既往の不明の者
  2;季節性インフルエンザ予防接種暦のない者
  3;季節性インフルエンザ予防接種を昨シーズン初めて受けたが、一回だけに留まった者
  4;予防接種暦の如何に関わらず、昨シーズン新型H1N1インフルエンザ予防接種を一度も受けていない者 
3)今シーズンに用いられるべき予防接種は以下のウイルス株を含む三価の予防接種であること
   A/California/7/2009 (H1N1)-like (the same strain as was used for 2009 H1N1 monovalent vaccines)
   antigens
  A/Perth/16/2009 (H3N2)-like antigens
  B/Brisbane/60/2008-like antigens
4)5)省略


以下、抄録引用~~~

MMWR Recomm Rep. 2010 Aug 6;59(RR-8):1-62.

Prevention and Control of Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010.
Influenza Division, National Center for Immunization and Respiratory Diseases.

Abstract
This report updates the 2009 recommendations by CDC's Advisory Committee on Immunization Practices (ACIP) regarding the use of influenza vaccine for the prevention and control of influenza (CDC. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices [ACIP]. MMWR 2009;58[No. RR-8] and CDC. Use of influenza A (H1N1) 2009 monovalent vaccine---recommendations of the Advisory Committee on Immunization Practices [ACIP], 2009. MMWR 2009;58:[No. RR-10]). The 2010 influenza recommendations include new and updated information.

Highlights of the 2010 recommendations include 1) a recommendation that annual vaccination be administered to all persons aged >/=6 months for the 2010--11 influenza season; 2) a recommendation that children aged 6 months--8 years whose vaccination status is unknown or who have never received seasonal influenza vaccine before (or who received seasonal vaccine for the first time in 2009--10 but received only 1 dose in their first year of vaccination) as well as children who did not receive at least 1 dose of an influenza A (H1N1) 2009 monovalent vaccine regardless of previous influenza vaccine history should receive 2 doses of a 2010--11 seasonal influenza vaccine (minimum interval: 4 weeks) during the 2010--11 season; 3) a recommendation that vaccines containing the 2010--11 trivalent vaccine virus strains A/California/7/2009 (H1N1)-like (the same strain as was used for 2009 H1N1 monovalent vaccines), A/Perth/16/2009 (H3N2)-like, and B/Brisbane/60/2008-like antigens be used; 4) information about Fluzone High-Dose, a newly approved vaccine for persons aged >/=65 years; and 5) information about other standard-dose newly approved influenza vaccines and previously approved vaccines with expanded age indications. Vaccination efforts should begin as soon as the 2010--11 seasonal influenza vaccine is available and continue through the influenza season. These recommendations also include a summary of safety data for U.S.-licensed influenza vaccines. These recommendations and other information are available at CDC's influenza website (http://www.cdc.gov/flu); any updates or supplements that might be required during the 2010--11 influenza season also will be available at this website. Recommendations for influenza diagnosis and antiviral use will be published before the start of the 2010--11 influenza season. Vaccination and health-care providers should be alert to announcements of recommendation updates and should check the CDC influenza website periodically for additional information.

PMID: 20689501 [PubMed - in process]

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