有關哮喘和慢性阻塞性肺病(慢阻肺病)患者,接種2019冠狀病毒病 (新冠) 疫苗的一般建議
二零二一年五月十八日
由 香港胸肺基金會、香港胸肺學會 及 美國胸肺學院(港澳分會)發出,經 香港醫學組織聯會 整理的指引我患有哮喘或慢性阻塞性肺病,我應該接種2019冠狀病毒病(新冠)疫苗嗎?
患有哮喘或慢阻肺病的人仕應該接種新冠疫苗。但如果您有下列狀況,則應謹慎行事並先向醫生查詢。1
計劃接種疫苗時,您應繼續服用慣常使用的哮喘或慢阻肺病吸入和口服藥物。慢阻肺病患者患上嚴重2019冠狀病毒病的機會較常人為高。2,3
在以下情況,哮喘或慢阻肺病患者在接種新冠疫苗前,需要採取預防措施:
參考文獻:
1. GINA guidance about COVID-19 and asthma (Updated 26 April 2021) https://ginasthma.org/wp-content/uploads/2021/04/21_04_26-GINA-COVID-19- and-asthma.pdf
2. Global strategy for the diagnosis, management , and prevention of chronic obstructive pulmonary disease (2021 report) https://goldcopd.org/wpcontent/uploads/2020/11/GOLD-REPORT-2021-v1.1-25N...
3. Alqahtani JS, Oyelade T, Aldhahir AM, Alghamdi SM, Almehmadi M, Alqahtani AS, Quaderi S, Mandal S, Hurst JR. Prevalence, Severity and Mortality associated with COPD and Smoking in patients with COVID-19: A Rapid Systematic Review and Meta-Analysis. PLoS One. 2020 May 11;15(5):e0233147
4. Consensus statements on the approach to COVID-19 vaccine allergy safety in Hong Kong http://www.allergy.org.hk/doc/HKIA%20- %20Consensus%20Statements.pdf
5. Center of Disease Control and Prevention. Vaccines and Immunisations, PiferBioNTech Vaccine.https://www.cdc.gov/vaccines/covid-19/info-byproduct/pfizer/index.html
6. Coronavac drug insert. https://www.covidvaccine.gov.hk/pdf/CoronaVac_ENG_PI_brief.pdf
7. Public Health England, Department of Health. Immunisation against infectious disease (COVID-19: the green book, chapter 14a) (7 May 2021). https://assets.publishing.service.gov.uk/government/uploads/system/uploa... hment_data/file/984310/Greenbook_chapter_14a_7May2021.pdf
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