儿童新型冠状病毒疫苗接种专家共识  

Experts′consensus on severe acute respiratory syndrome coronavirus-2 vaccination of children

作　　者：郑跃杰[1] 王晓川[2] 冯录召 谢正德 姜毅[5] 卢根 李兴旺[7] 蒋荣猛[7] 邓继岿[8] 刘苗[5] 徐保平[9] 魏庄[10] 刘钢[11] 陆小霞 金润铭[13] 刘智胜[14] 尚云晓[15] 舒赛男[16] 白燕[13] 陆敏[17] 刘光华 罗万军[19] 崔玉霞[20] 叶乐平 林丽开 赵东赤[23] 申阿东 邵剑波[25] 熊莉娟[26] 高立伟[9] 王天有 赵正言[28] 杨永弘 申昆玲[9] Zheng Yuejie;Wang Xiaochuan;Feng Luzhao;Xie Zhengde;Jiang Yi;Lu Gen;Li Xingwang;Jiang Rongmeng;Deng Jikui;Liu Miao;Xu Baoping;Wei Zhuang;Liu Gang;Lu Xiaoxia;Jin Runming;Liu Zhisheng;Shang Yunxiao;Shu Sainan;Bai Yan;Lu Min;Liu Guanghua;Luo Wanjun;Cui Yuxia;Ye Leping;Lin Likai;Zhao Dongchi;Shen Adong;Shao Jianbo;Xiong Lijuan;Gao Liwei;Wang Tianyou;Zhao Zhengyan;Yang Yonghong;Shen Kunling(Department of Respiratory,Shenzhen Children′s Hospital,Shenzhen 518038,Guangdong Province,China;Department of Clinical Immunology/Allergy,Children′s Hospital of Fudan University,National Center for Children′s Health,Shanghai 201102,China;School of Population Medicine&Public Health,Chinese Academy of Medical Sciences/Peking Union Medical College,Beijing 100730,China;Research Unit of Critical Infection in Children,Chinese Academy of Medical Sciences,2019RU016,China National Clinical Research Center for Respiratory Diseases,Beijing Pediatric Research Institute,Beijing Children′s Hospital,Capital Medical University,National Center for Children′s Health,Beijing 100045,China;Department of Pediatrics,Renmin Hospital of Wuhan University,Wuhan 430060,China;Department of Respiratory,Guangzhou Women and Children′s Medical Center,Guangzhou 510623,China;Diagnosis and Treatment Center of Infec-tious Diseases,Beijing Ditan Hospital,Capital Medical University,Beijing 100015,China;Department of Infectious Disea-ses,Shenzhen Children′s Hospital,Shenzhen 518038,Guangdong Province,China;Department of Respiratory,Beijing Children′s Hospital,Capital Medical University,China National Clinical Research Center for Respiratory Diseases,National Center for Children′s Health,Beijing 100045,China;Children′s Health Care Center,Beijing Children′s Hospital,Capital Medical University,National Center for Children′s Health,Beijing 100045,China;Department of Infectious Diseases,Beijing Children′s Hospital,Capital Medical University,National Center for Children′s Health,Beijing 100045,China;Department of Respiratory,Wuhan Children′s Hospi

机构地区：[1]深圳市儿童医院呼吸科,广东深圳518038 [2]国家儿童医学中心,复旦大学附属儿科医院临床免疫/过敏科,上海201102 [3]中国医学科学院,北京协和医学院群医学及公共卫生学院,北京100730 [4]国家儿童医学中心,国家呼吸系统疾病临床医学研究中心,首都医科大学附属北京儿童医院,北京市儿科研究所,中国医学科学院儿童危重感染诊治创新单元,北京100045 [5]武汉大学人民医院儿科,430060 [6]广州市妇女儿童医疗中心呼吸科,510623 [7]首都医科大学附属北京地坛医院感染性疾病诊疗中心,100015 [8]深圳市儿童医院感染科,广东深圳518038 [9]国家儿童医学中心,国家呼吸系统疾病临床医学研究中心,首都医科大学附属北京儿童医院呼吸科,北京100045 [10]国家儿童医学中心,首都医科大学附属北京儿童医院儿童保健中心,北京100045 [11]国家儿童医学中心,首都医科大学附属北京儿童医院感染科,北京100045 [12]华中科技大学同济医学院附属武汉儿童医院呼吸科,430016 [13]华中科技大学同济医学院附属协和医院儿科,武汉430022 [14]华中科技大学同济医学院附属武汉儿童医院神经内科,430016 [15]中国医科大学附属盛京医院小儿呼吸内科,沈阳110004 [16]华中科技大学同济医学院附属同济医院儿科,武汉430030 [17]上海市儿童医院呼吸科,200062 [18]上海儿童医学中心福建医院,福建省儿童医院儿科,福州350005 [19]华中科技大学同济医学院附属武汉儿童医院感染管理办公室,430016 [20]贵州省人民医院儿科,贵阳550002 [21]北京大学第一医院儿科,100034 [22]武汉大学中南医院武汉大学医院管理研究所,430071 [23]武汉大学中南医院儿科,430071 [24]国家儿童医学中心,国家呼吸系统疾病临床医学研究中心,首都医科大学附属北京儿童医院,北京市儿科研究所,北京100045 [25]华中科技大学同济医学院附属武汉儿童医院放射影像中�

出　　处：《中华实用儿科临床杂志》2021年第18期1361-1367,共7页Chinese Journal of Applied Clinical Pediatrics

摘　　要：目前新型冠状病毒(简称新冠病毒)感染仍在世界范围内流行,截至2021年9月10日,全球新冠病毒病(corona virus disease2019,COVID-19)确诊病例已经达到2.22亿人、死亡人数近460万。随着新冠病毒疫苗研制并在世界范围内逐步广泛应用,未接种疫苗的儿童和青少年人群病例的增加值得关注。据世界卫生组织监测数据显示,儿童新冠病毒感染病例的占比逐渐增加,<5岁和5~14岁年龄组病例的占比从2020年1月的1.0%和2.5%分别升高至2021年7月的2.0%和8.7%。全球已经有几十亿成年人接种各种类新冠病毒疫苗,已证实其保护作用包括减少感染和传播、降低重症和住院、减少死亡等,也具有较高的安全性。加拿大、美国、欧洲等多国陆续批准在12~17岁的儿童和青少年紧急接种新冠病毒mRNA疫苗,我国也已经批准3~17岁儿童按照梯次逐步推进新冠病毒灭活疫苗接种。为了顺利推进和实施新冠病毒疫苗在儿童的接种工作,国家呼吸系统疾病临床医学研究中心、国家儿童医学中心、中华医学会儿科学分会等学术机构组织相关专家对儿童新冠病毒疫苗接种形成了该共识。At present,severe acute respiratory syndrome coronavirus-2(SARS-CoV-2)infection is still rampant worldwide.As of September 10,2021,there were about 222 million confirmed cases of corona virus disease 2019(COVID-19)and more than 4.6 million deaths worldwide.With the development of COVID-19 vaccines and the gradual vaccination worldwide,the increasing number of cases in children and unvaccinated young people has drawn attention.According to World Health Organization surveillance data,the proportion of COVID-19 infection cases in children gradually increased,and the proportion of cases in the age groups of under 5 years and 5!14 years increased from 1.0%and 2.5%in January 2020 to 2.0%and 8.7%in July 2021,respectively.At present,billions of adults have been vaccinated with various COVID-19 vaccines worldwide,and their protective effects including reducing infec-tion and transmission,reducing severe disease and hospitalization,and reducing death,as well as high safety have been confirmed.Canada,the United States,Europe and other countries have approved the emergency COVID-19 vaccination in children and adolescents aged 12 to 17 years,and China has also approved the phased vaccination of COVID-19 vaccination in children and adolescents aged 3 to 17 years.For smooth advancement and implementation of COVID-19 vaccination in children,academic institutions,including National Clinical Research Center for Respiratory Diseases,Na-tional Center for Children′s Health,and The Society of Pediatrics,Chinese Medical Association organized relevant ex-perts to reach this consensus on COVID-19 vaccination in children.

关 键 词：新型冠状病毒 儿童 疫苗接种 不良反应 

分 类 号：R186[医药卫生—流行病学]