特殊健康状态儿童新型冠状病毒疫苗接种专家共识  

Expert consensus on COVID-19 vaccination for children with special medical conditions

作　　者：王相诗[1] 冯天行 李晶晶[1] 王文婕[1] 葛艳玲[1] 孙金峤[1] 黄卓英[3] 郭翔[3] 李智[3] 孙晓冬[3] 曾玫[1] WANG Xiangshi;FENG Tianxing;LI Jingjing;WANG Wenjie;GE Yanling;SUN Jinqiao;HUANG Zhuoying;GUO Xiang;LI Zhi;SUN Xiaodong;ZENG Mei(Children’Hospital of Fudan University,Shanghai 201102,China;Shanghai Clinical Research and Trial Center,Shanghai 201203,China;Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200051,China)

机构地区：[1]复旦大学附属儿科医院,上海201102 [2]上海临床研究中心,上海201203 [3]上海市疾病预防控制中心,上海200051

出　　处：《上海预防医学》2023年第8期840-853,F0004,共15页Shanghai Journal of Preventive Medicine

基　　金：上海市科学技术委员会新冠疫苗加强免疫效果及免疫策略的优化研究(22YJ1400200);上海市科学技术委员会上海市2022年度“科技创新行动计划”医学创新研究专项项目。

摘　　要：一些特殊健康状态儿童和免疫低下儿童是新型冠状病毒感染的重症高危脆弱人群,接种新型冠状病毒疫苗(简称“新冠疫苗”)是降低死亡、重症疾病和总体疾病负担的重要策略。面对不断进化的新型冠状病毒及其日益增加的传播性,广泛接种新冠疫苗是实现这一目标的基本保障。特殊健康状态儿童是新冠疫苗接种的优先人群,但是实施新冠疫苗接种存在的疫苗犹豫是当前迫切需要解决的问题。为推进上海市和我国特殊健康状态儿童新冠疫苗接种的可持续实施,上海市疾病预防控制中心联合国家儿童医学中心复旦大学附属儿科医院、上海市预防医学会免疫规划专业委员会组织成立共识专家工作组,基于已发表的有关新冠疫苗在特殊人群和儿童应用的研究证据,制订推荐建议,对常见慢性病、过敏史、涉及与疫苗接种不良事件有关病症以及免疫低下儿童的新冠疫苗接种提出推荐意见及实施建议。Children with certain comorbidities and immunocompromising conditions are highly vulnerable to SARS-CoV-2 infection.Vaccination against SARS-CoV-2 is an important strategy to reduce death,critical illness and overall disease burden.With the evolving and increasing transmission of SARS-CoV-2,universal vaccination is essential to achieve this goal.Children with special medical conditions are considered as the priorities for SARS-CoV-2 vaccination.However,vaccine hesitancy towards the implementation of SARS-CoV-2 vaccination currently remains an urgent challenge.In order to promote the sustainable vaccination for those children in Shanghai as well as China,Shanghai municipal center for disease control and prevention,together with the national children's medical center,children's hospital of Fudan university and the expert group on immunization planning of the Shanghai preventive medicine association,organized a consensus expert working group to formulate the evidence-based recommendations and implementation suggestions for children with common chronic diseases,allergy history,diseases involving adverse events related to vaccination,and immunocompromising conditions,based on the published evidence of SARS-CoV-2 vaccination for populations and children with special medical conditions.

关 键 词：特殊健康状态 儿童 新型冠状病毒疫苗 专家共识 

分 类 号：R186[医药卫生—流行病学]