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Vaccinazione meningococco


 

Premessa

In Italia la vaccinazione contro il meningococco non รจ obbligatoria.
La vaccinazione contro il meningococco viene consigliata agli operatori sanitari, a coloro che viaggiano e si recano in ย aree ad alto rischio, ad esempio Africa sub -Sahariana;ย a coloro che vivono in comunitร , come gli ย studenti nei dormitori universitari, iย militari in caserma perchรฉ a causa del contatto ravvicinato e prolungato corronoย maggiori rischi. La vaccinazione contro il meningococco viene consigliata a:
  • 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.ย 
  • 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.ย 

La meningite รจ un infiammazione delle meningi ovvero delle membrane che avvolgono il cervello e il midollo spinale e puรฒ provocare complicanze gravi e, talvolta infauste come la morte o grave invaliditร . Tra ย le prime cause di meningite batterica ci sono le infezioni da pneumococco e quelle da meningococco. L’immunizzazione รจ ย l’unica soluzione per non ammalarsi.ย 

ย 

L’importanza della vaccinazione

Il migliore strumento che abbiamo per combattere la meningite รจ rappresentato dai vaccini. I vaccini pneumococcici e meningococcici, infatti, stimolano il sistema immunitario ย a produrre ย anticorpi protettivi nei confronti degli antigeni in esso contenuti e ย hannoย un’ottima tollerabilitร . La meningite e piรน in generale le infezioni batteriche invasive fanno paura per la loro gravitร  e perchรฉ, nelle forme fulminanti, possono uccidere ย in poche ore. Quando accade, non si fa in tempo a trattarle con gli antibiotici, non c’รจ nulla da fare, l’unica possibilitร  ย รจ laย prevenzione vaccinale.ย 

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: ย Hib, pneumococco e meningococco. Il vaccino contro Hib viene somministrato nel primo anno di vita – al 3ยฐ, 5ยฐ e 11ยฐ mese nella formulazione esavalente, insieme a quelli obbligatori contro tetano, differite, polio ed epatite B e insieme al vaccino raccomandato contro la pertosse.ย 

โ€ข Diversa รจ la situazione con le infezioni invasive da pneumococco. Esistono piรน di 90 tipi di questo batterio e ย i vaccini disponibili immunizzano contro quelli piรน frequentemente causa di malattie. Oggi, i bimbi al terzo, quinto e undicesimo mese di vita vengono vaccinati con un prodotto 13-valente in grado di offrire un’ ampia protezione. Ancora non c’รจ ย un ย vaccino ย universale contro lo pneumococco, dunque rimane una quota di casi di infezioni dovute a sierotipi piรน rari, non coperti da alcun vaccino.ย 

Infine c’รจ il meningococco, anch’esso presente con ย diversi sierotipi. I piรน comune nel nostro paese, causa di meningite e malattie invasive ย sono il C e il B. La vaccinazione contro il meningococco C รจ disponibile in Italia giร  da diversi anni eย offerta a tutti i nuovi nati nel tredicesimo mese di vita. Poichรฉย la protezione immunitaria conferita tende ad attenuarsi col tempoย 
e l’incidenza delle infezione da meningococco continua a essere elevata fino al 25 anni di etร , si raccomanda un richiamo intornoย ai 12 anni. In quell’occasione si raccomanda di utilizzare il vaccino tetravalente, che protegge dal siero gruppo C e dai gruppi A, Y e W135. Questi ultimi tre sono al ย momento poco diffusi in Europa ma, data l’abitudine a viaggiare dei giovani ย non si puรฒ escludere l’eventualitร  di un contatto.ย 


L’arma contro il meningococco B

 

Dal ย 2014 รจ ย arrivato in Italia anche ilย vaccino contro ilย meningococco B, l’ultimo tassello del puzzle per completare la protezione dalle infezioni da meningococco. Il batterio, oggi รจ responsabile della maggior parte dei casi di meningite e ย infezione invasiva da meningococco in Italia. Il nuovo prodotto puรฒ essere somministrato ย giร ย a 2 mesi di vita ย ed occorrono 4 dosi.

Le prime 3 da somministrare a distanza di almeno un mese,ย 

l’una dall’altra e la quarta 12 – 23 mesi. Ai piccoli dai ย 5 ย a 23 mesi servono tre dosi,ย le prime due a distanza di almeno due mesi una dall’altra eย la terza a 12 – 23 dalla seconda. ย 

Infine,ย per i bimbi piรน grandi sono sufficienti due dosiย aย distanza di almeno due mesi l’una dall’altra

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