Vaccinazione meningococco
Table of Contents
Premessa
- coloro che soffrono di alcune patologie di base(tra cui le immunodeficienze) e altre infezioni delle prime vie respiratorie, possono aumentare il rischio di malattia meningococcica.
- Soggetti affetti da:
- anemia falciforme
- asplenia funzionale o anatomica
- HI
- immunodeficienze congenite o acquisite
- gravi cardiopatie
- malattie polmonari croniche
- gravi epatopatie
- diabete insulino dipendentifistole liquorali
sono ad aumentato rischio di malattia da pneumococco.
La meningite è un infiammazione delle meningiovvero delle membrane che avvolgono il cervello e il midollo spinale e può provocare complicanze gravi e, talvolta infauste come la morte o grave invalidità. Tra le prime cause di meningite batterica ci sono le infezioni da pneumococco e quelle da meningococco. L’immunizzazione è l’unica soluzione per non ammalarsi.
L’importanza della vaccinazione
Il migliore strumento che abbiamo per combattere la meningite è rappresentato dai vaccini. Ivaccini pneumococcici e meningococcici, infatti, stimolano il sistema immunitario a produrre anticorpi protettivi nei confronti degli antigeniin esso contenuti e hanno un’ottima tollerabilità. La meningite e più in generale le infezioni batteriche invasive fanno paura per la loro gravità e perché, nelle forme fulminanti, possono uccidere in poche ore. Quando accade, non si fa in tempo a trattarle con gli antibiotici, non c’è nulla da fare, l’unica possibilità è la prevenzione vaccinale.
Quando bisogna vaccinarsi?
Gran parte delle forme di meningite e infezione batterica invasiva sono prevenibili con le vaccinazioni di cui oggi si dispone contro diversi patogeni: Hib, pneumococco e meningococco. Il vaccino contro Hib viene somministrato nel primo anno di vita – al3°, 5° e 11° mesenella formulazione esavalente, insieme a quelli obbligatori controtetano, differite, polio ed epatite Be insieme al vaccino raccomandato contro lapertosse.
• Diversa è la situazione con le infezioni invasive dapneumococco. Esistono più di 90 tipi di questo batterioe i vaccini disponibili immunizzano contro quelli più frequentemente causa di malattie. Oggi, i bimbi alterzo, quinto e undicesimo mese di vitavengono vaccinati con un prodotto13-valentein grado di offrire un’ ampia protezione. Ancoranon c’è un vaccino universalecontrolo pneumococco,dunque rimane una quota di casi di infezioni dovute a sierotipi più rari, non coperti da alcun vaccino.
Infine c’è ilmeningococco,anch’esso presente con diversi sierotipi. I più comune nel nostro paese, causa di meningite e malattie invasive sono ilC e il B.Lavaccinazione contro ilmeningococco Cè disponibile in Italiagià da diversi anni e offerta a tutti i nuovi natinel tredicesimo mese di vita.Poiché la protezione immunitaria conferita tende ad attenuarsi col tempo
e l’incidenza delle infezione da meningococco continua a essere elevata fino al 25 anni di età,si raccomanda un richiamointorno ai 12 anni.In quell’occasione si raccomanda di utilizzare ilvaccinotetravalente,che protegge dal siero gruppoC e dai gruppi A, YeW135.Questi ultimi tre sono al momento poco diffusi in Europa ma, data l’abitudine a viaggiare dei giovani non si può escludere l’eventualità di un contatto.
L’arma contro il meningococco B
Dal 2014 è arrivato in Italia anche il vaccino contro il meningococco B, l’ultimo tassello del puzzle per completare la protezione dalle infezioni da meningococco. Il batterio, oggi è responsabile della maggior parte dei casi di meningite e infezione invasiva da meningococco in Italia. Il nuovo prodotto può essere somministrato già a 2 mesi di vita ed occorrono 4 dosi.
Le prime 3 da somministrare a distanza di almeno un mese,
l’una dall’altra e la quarta 12 – 23 mesi. Ai piccoli dai 5 a 23 mesi servono tre dosi, le prime due a distanza di almeno due mesi una dall’altra e la terza a 12 – 23 dalla seconda.
Infine, per i bimbi più grandi sono sufficienti due dosi a distanza di almeno due mesi l’una dall’altra
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