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aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...

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efeqtis bustirebisTvis rekomendebulia Spv-s <strong>da</strong>matebiTi doza meore<br />

vaqcinacii<strong>da</strong>n 6-8 kviris Semdeg.<br />

• rutinuli Spv vaqcinacia 5 wlis asakis zeviT bavSvebSi<br />

rekomendebuli araa <strong>aiv</strong> statusis miuxe<strong>da</strong>vad.<br />

Spv-s pirveladi kursis Semdeg revaqcinacia dReisaTvis rekomendebuli<br />

araa. Tumca 2 wlisa <strong>da</strong> Semdgomi asakis bavSvebSi, Spv-s pirveladi<br />

kursis bolo vaqcinacii<strong>da</strong>n 6-8 kviris Semdeg rekomendebulia <strong>da</strong>matebiTi<br />

doza efeqtis bustirebisTvis.<br />

19 dReisaTvis <strong>aiv</strong> <strong>infeqcia</strong>/<strong>SidsiT</strong> <strong>da</strong>avadebulebSi Spv-s gamoyenebis Sesaxeb monacemebi<br />

mcirea, Catarebulia kvlevebi mxolod samxreT afrikaSi, aseve mcire gamokvlevebi aSS-<br />

Si.<br />

4.6. inaqtivirebuli poliovirusis vaqcina (ipv)<br />

Tu polioimunizacia naCvenebia, ipv gamoyenebul un<strong>da</strong> iqnas <strong>aiv</strong><br />

inficirebul Cvilebsa <strong>da</strong> bavSvebSi imunuri statusis miuxe<strong>da</strong>vad, aseve<br />

momvlel personalsa <strong>da</strong> ojaxis im wevrebSi, romlebic mWidro kontaqtSi<br />

arian <strong>aiv</strong> inficirebul/<strong>SidsiT</strong> <strong>da</strong>avadebulebTan, raTa moxdes vaccine an<br />

vaccine-derived poliovirusis transmisiis prevencia am ukanasknelebSi (AI).<br />

aravaqcinirebuli <strong>aiv</strong> inficirebuli mozrdilebisaTvis, romelTac<br />

aReniSnebaT poliovirusTan eqspoziciis maRali riski, rekomendebulia<br />

ipv-s pirveladi kursi.<br />

4.7.cofis vaqcina<br />

gamoiyeneba cofis sawinaaRmdego ori tipis vaqcina: nervuli qsovilis<br />

vaqcina (Semple-type) <strong>da</strong> axali ujredi<strong>da</strong>n miRebuli vaqcina (modern cellderived<br />

vaccine). cofis sawinaaRmdego vaqcinebi gamoiyeneba eqspoziciis<br />

Semdgomi proteqciisa <strong>da</strong> eqspoziciamde imunogenurobisaTvis. cofis<br />

sawinaaRmdego vaqcinebi ar aris ukunaCvenebi <strong>aiv</strong> inficirebulTaTvis <strong>da</strong><br />

saWiroebisas un<strong>da</strong> gamoviyenoT (AI).<br />

imunokompromitirebul <strong>aiv</strong> inficirebulebSi SesaZloa ar ganviTardes<br />

efeqturi imunologiuri pasuxi, ramdena<strong>da</strong>c imuniteti <strong>da</strong>mokidebulia<br />

CD4+ ujredebiT ganpirobebuli maneitralizebeli antisxeulebis titrze<br />

G proteinis mimarT. amrigad, rodesac imunokompromitirebul <strong>aiv</strong><br />

inficirebuls utardeba eqspoziciis Semdgomi <strong>mkurnaloba</strong>,<br />

savaldebuloa intramuskularuli vaqcinisa <strong>da</strong> cofis sawinaaRmdego<br />

imunoglobulinis gamoyeneba sapasuxo antisxeulebis serologiuri<br />

monitoringiT.<br />

proteqciisaTvis saWiroa cofis sawinaaRmdego antisxeulebis titri<br />

>0.5IU/ml. Tu cofis sawinaaRmdego vaqcinis 4-5 dozis gamoyenebis Semdeg<br />

maneitralizebeli antisxeulebis titri

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