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基于CODAE方法的脑膜炎疫苗相关不良反应图谱研究

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基于美国疫苗不良反应报告系统(vaccine adverse event reporting system,VAERS)的数据,对Menactra、Men-veo、MenQuadfi、Trumenba和Bexsero这 5 种上市脑膜炎疫苗接种相关不良反应(adverse event,AE)进行综合分析与评价.截至 2023 年 3 月 31 日,从数据库中分别检索下载 5 种疫苗相关不良反应数据,采用整合本体学(combinato-rial ontology-based detection of vaccine adverse events method,CODAE)方法挖掘筛选出共计 94 种有统计学意义的不良反应,其中 23 种属于严重不良反应;通过制定本体逻辑关系上的不良反应图谱,显示行为和神经学病变是最为富集的不良反应类别;通过汇总死亡案例的临床信息,统计分析可能影响死亡发生的接种过程变量,发现接种者年龄等变量对死亡发生有一定的影响,然而可用数据信息相对较少,相关结果有待进一步论证.针对不良反应的分析与评价表明,当前上市的 5 种脑膜炎疫苗是相对安全的,对于特定严重不良反应与疫苗接种以及接种者自身状况之间的确切关系值得在未来的工作中进行更为深入的研究.
Analytical investigation of adverse event profiles associated with the meningitis vaccines based on CODAE method
This study aims to analyze and evaluate adverse event(AE)associated with five licensed meningitis vaccines(Menactra,Menveo,MenQuadfi,Trumenba and Bexsero)based on data from vaccine adverse event reporting system(VAERS).As of March 31,2023,the AE data associated Menactra,Menveo,MenQuadfi,Trumenba,and Bexsero were retrieved from VAERS database respectively.A total of 94 statistically significant adverse events were identified using the combinatorial ontology-based detection of vaccine adverse events method(CODAE),including 23 serious adverse events.By mapping out the ontology-based AE profiles,we showed that these significant AEs were clustered in the behavioral and neurological conditions.In addition,a statistical analysis with detailed information in death case reports was used to ascer-tain the major variables that might affect the occurrence of death AE.We found that variables such as the age of the vacci-nated person had a certain impact on the occurrence of death.However,the available data was relatively limited,and the relevant results needed further verification.The analysis and evaluation of adverse events indicated that the five currently marketed meningitis vaccines were relatively safe.The exact relationship between specific serious adverse events,vaccina-tion,and the condition of the vaccinated person deserved further in-depth research in future work.

meningitis vaccineadverse event(AE)vaccine adverse event reporting system(VAERS)ontology of ad-verse events

张雪、苏俊、杨秋月、谢江安

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重庆邮电大学 生命健康信息科学与工程学院,重庆 400065

脑膜炎疫苗 不良反应(AE) 疫苗不良反应报告系统(VAERS) 不良反应本体

重庆市教育委员会科学技术研究项目国家自然科学基金青年基金项目

KJZD-K20200060361801067

2024

重庆邮电大学学报(自然科学版)
重庆邮电大学

重庆邮电大学学报(自然科学版)

CSTPCD北大核心
影响因子:0.66
ISSN:1673-825X
年,卷(期):2024.36(4)