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  孩子漏打疫苗怎么办?|全国儿童预防接种日

  2025年4月25日是第39个“全国儿童预防接种日”。今年的主题为“打疫苗,防疾病,保健康”。

  孩子感冒、发烧漏打疫苗,如何补种?

  孩子补种疫苗,是否有最短时间间隔?

  孩子补种疫苗期间,还能接种其他疫苗吗?

  ……

  疫苗补种那些事,家长看完心里有数。

  01

  补种疫苗的基本原则是什么?

  未按照推荐年龄及时完成接种的18周岁以下人群,应根据国家免疫规划疫苗补种的通用原则尽早补种。

  主要包括:1.应尽早进行补种,尽快完成全程接种,优先保证国家免疫规划疫苗的全程接种。2.只需补种未完成的剂次,无须重新开始全程接种。3.当遇到无法使用同一厂家同种疫苗完成接种程序时,可使用不同厂家的同种疫苗完成后续接种。4.具体补种建议参考每种疫苗的补种要求。

  02

  补种后,疫苗的保护效果如何?

  在大多数情况下,只要免疫系统应答正常,即便接种时间有所延迟,按照疫苗补种的相关规范和要求进行,疫苗补种依然可以达到预防疾病的目的。如乙肝疫苗通过补种也可让身体产生对抗病毒的乙肝抗体。

  少数情况下,由于不同个体的免疫系统功能不同,补种疫苗的保护效果不同。比如,免疫功能低下者补种疫苗的保护效果可能会受到影响。

  03

  补种疫苗,是否有最短时间间隔?

  补种疫苗有最短时间间隔要求,还需参考各地区每种疫苗的具体补种标准。例如,根据《北京市免疫规划疫苗补种标准(2025年版)》,乙肝疫苗基础免疫3剂次,第1剂和第2剂间隔应≥28天,第2剂和第3剂间隔应≥60天,第3剂和第1剂间隔应≥4个月。

  04

  补种疫苗期间,还可以接种其他疫苗吗?

  现阶段的国家免疫规划疫苗均可按照免疫程序或补种原则同时接种。例如,8月龄宝宝若正在补种乙肝疫苗,也可按照免疫程序接种麻腮风疫苗,但需遵循同时接种原则的具体要求,由接种医生评估儿童具体情况后安排疫苗接种。

  05

  有的疫苗需要接种3次,已打2次,漏打后是否需要从头开始补种?

  根据国家免疫规划疫苗补种的通用原则,只需补种未完成的剂次,无须重新开始全程接种。以乙肝疫苗接种为例,基础免疫需接种3次,补种标准为补满3次即可,无须从头开始补种。

  06

  超龄的孩子还能补种吗?

  部分疫苗超龄后还可补种,有些则不能。可参考《北京市免疫规划疫苗补种标准(2025年版)》中的具体内容。例如,乙肝疫苗基础剂次(前3针)、脊灰、乙脑、甲肝疫苗等在18岁内没有补种年龄限制。

  而以下疫苗补种则有年龄限制:卡介苗满4岁不再补种;麻腮风疫苗基础剂次(第1针)>1.5岁不再补种;A群流脑疫苗满3岁不再补种等,这种设置与传染病易感年龄有关。

  作者:首都医科大学附属北京儿童医院保健中心赵明

  审核:国家健康科普专家库成员、首都医科大学附属北京儿童医院保健中心主任医师梁爱民

  策划:谭嘉王宁

  成都4月25日电(贺劭清王爵)拥有输变电施工队伍上千支,年均承揽项目1300余个,足迹遍布东南亚、非洲、欧洲、南美洲;电力线路架线总里程约100万公里,能绕地球赤道约25圈……被称为“中国输变电劳务输出第一县”的四川岳池县,如何从“劳务输出”向“规模制造”转型,更好守护全球灯火?

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