首页|疫苗相关性葡萄膜炎的临床特征分析:基于美国疫苗不良事件报告系统的回顾性研究

疫苗相关性葡萄膜炎的临床特征分析:基于美国疫苗不良事件报告系统的回顾性研究

Analysis of clinical characteristics of vaccine-associated uveitis:a retrospective study based on American vaccine adverse event reporting system

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目的 了解疫苗相关性葡萄膜炎的临床特征,为疫苗安全性监测、预防接种以及临床诊治提供参考.方法 通过美国疫苗不良事件报告系统收集 1990-2022 年所有接种疫苗后发生葡萄膜炎的相关报告,并对接种者的性别、年龄、接种疫苗类型、疫苗剂次、葡萄膜炎发生时间以及葡萄膜炎类型进行回顾性分析.结果 317 例疫苗相关性葡萄膜炎病例中,共涉及 10余种疫苗类型,主要为COVID-19 疫苗、人乳头瘤病毒疫苗、乙型肝炎疫苗.男 86 例、女 231 例,男女比例为 1∶2.7.18~<60岁接种者发生葡萄膜炎最多,占比 65.3%.葡萄膜炎常见于接种疫苗后<8d和第 1 剂疫苗接种后发生,分别占比 56.8%和47.0%.184 例葡萄膜炎类型分组报告中,虹膜睫状体炎占比最高,为 56.5%.结论 充分认识、深入研究接种疫苗的这一不良反应,持续开展疫苗安全性监测,更好进行预防接种以及临床诊治.
Objective To investigate the clinical characteristics of vaccine-associated uveitis in order to provide a reference for vac-cine safety monitoring,vaccination,and clinical diagnosis and treatment.Methods The vaccine-associated uveitis reports from 1990 to 2022 were collected from the American Vaccine Adverse Event Reporting System.Moreover,sex,age,type of vaccination,dose series,time of occurrence,and type of uveitis of vaccine-associated uveitis reports were retrospectively analyzed.Results Of the 317 cases of vaccine-associated uveitis,more than 10 types of vaccine were involved,mainly the COVID-19 vaccine,human papillomavirus vaccine,and hepatitis B vaccine.There were 86 males and 231 females,with a male-to-female ratio of 1:2.7.Patients aged 18-<60 years,accounted for the majority of the total cases(65.3%).Uveitis is common under 8 days after vaccina-tion and after the first dose of vaccination,accounting for 56.8%and 47.0%,respectively.Iridocyclitis represented the highest pro-portion of 184(56.5%)cases of uveitis.Conclusion Fully understand and study this adverse reaction to vaccination in depth,con-tinue to monitor vaccine safety,better vaccination,and clinical diagnosis and treatment.

VaccineUveitisVaccine adverse event reporting systemAdverse reaction

侯宁、杨军兴、张宇鹏、林子淳、邓爱军

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山东第二医科大学附属医院(临床医学院),山东第二医科大学,山东 潍坊 261000

山东第二医科大学附属医院 眼科中心,山东 潍坊 261000

疫苗 葡萄膜炎 疫苗不良事件报告系统 不良反应

山东省自然科学基金面上项目

ZR2020MH173

2024

山东大学耳鼻喉眼学报
山东大学

山东大学耳鼻喉眼学报

CSTPCD
影响因子:0.671
ISSN:1673-3770
年,卷(期):2024.38(2)
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