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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">epidemiology</journal-id><journal-title-group><journal-title xml:lang="ru">Эпидемиология и Вакцинопрофилактика</journal-title><trans-title-group xml:lang="en"><trans-title>Epidemiology and Vaccinal Prevention</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2073-3046</issn><issn pub-type="epub">2619-0494</issn><publisher><publisher-name>«Numicom» LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31631/2073-3046-2024-23-2-71-77</article-id><article-id custom-type="elpub" pub-id-type="custom">epidemiology-1972</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПРАКТИЧЕСКИЕ АСПЕКТЫ ЭПИДЕМИОЛОГИИ И ВАКЦИНОПРОФИЛАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PRACTICAL ASPECTS OF EPIDEMIOLOGY AND VACCINE PREVENTION</subject></subj-group></article-categories><title-group><article-title>Вакцинация против кори пациентов с онкологическими заболеваниями</article-title><trans-title-group xml:lang="en"><trans-title>Vaccination against Measles in Patients with Oncological Disease</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4006-9320</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Харит</surname><given-names>С. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kharit</surname><given-names>S. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Харит Сусанна Михайловна – д. м. н., профессор, заведующий НИО вакцинопрофилактики и поствакцинальной патологии ФГБУ «ДНКЦИБ» ФМБА России.</p><p>Санкт-Петербург</p><p>Тел. +7 (812) 234-68-55</p></bio><bio xml:lang="en"><p>Susanna M. Kharit – Dr. Sci. (Med.), Professor, Pediatric Research and Clinical Center for Infectious Diseases under the Federal Medical Biological Agency.</p><p>St. Petersburg</p><p>Tel. +7 (812) 234-68-55</p></bio><email xlink:type="simple">kharit-s@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фридман</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Fridman</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Фридман Ирина Владимировна – к. м. н., заведующая консультативно-поликлиническим отделением ФГБУ «ФНЦРИ им. Г.А. Альбрехта» Минтруда России.</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Irina V. Fridman – Cand. Sci. (Med.), Federal Scientific Center for the Rehabilitation of the Disabled named after G. A. Albrecht Ministry of Labor and Social Protection.</p><p>St. Petersburg</p></bio><email xlink:type="simple">fridiv@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5888-6313</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рулева</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ruleva</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рулева Анна Александровна – к. м. н., научный сотрудник НИО вакцинопрофилактики и поствакцинальной патологии ФГБУ «ДНКЦИБ» ФМБА России.</p><p>197022, Санкт-Петербург, ул. Профессора Попова, д.9</p><p>Тел.+7 (812) 234-60-04</p></bio><bio xml:lang="en"><p>Anna A. Ruleva – Cand. Sci. (Med.), Pediatric Research and Clinical Center for Infectious Diseases under the Federal Medical Biological Agency.</p><p>9, Professora Popov street, St. Petersburg, 197022</p><p>Tel. +7 (812) 234-60-04</p></bio><email xlink:type="simple">niidi@niidi.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Детский научно-­клинический центр инфекционных болезней» ФМБА России; Санкт-Петербургский государственный педиатрический медицинский университет Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pediatric Research and Clinical Center for Infectious Diseases under the Federal Medical Biological Agency; Saint-Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Федеральный научный центр реабилитации инвалидов им. Г.А. Альбрехта» Минтруда России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Scientific Center for the Rehabilitation of the Disabled named after G. A. Albrecht Ministry of Labor and Social Protection</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>03</day><month>05</month><year>2024</year></pub-date><volume>23</volume><issue>2</issue><fpage>71</fpage><lpage>77</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Харит С.М., Фридман И.В., Рулева А.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Харит С.М., Фридман И.В., Рулева А.А.</copyright-holder><copyright-holder xml:lang="en">Kharit S.M., Fridman I.V., Ruleva A.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.epidemvac.ru/jour/article/view/1972">https://www.epidemvac.ru/jour/article/view/1972</self-uri><abstract><p>Актуальность. Рост недоверия к вакцинам во всем мире, снижение охвата прививками привели к подъему заболеваемости корью и увеличению уязвимости лиц с иммунодефицитным статусом. Цель. Изучить эффективность и безопасность вакцинации против кори детей с онкогематологическими заболеваниями. Материалы и методы. В исследовании приняли участие 107 детей: из них 74 – с острым лимфобластным лейкозом в анамнезе и 33 – с солидными опухолями. Все дети в анамнезе получали стандартизованную полихимиотерапию. У всех участвоваших в исследовании детей был изучен прививочный анамнез, определены титры специфических антител к кори. Дети с незащитным уровнем антител (53 ребенка) в дальнейшем были вакцинированы против кори. Результаты и обсуждения. До онкологического заболевания были привиты против кори 99 (92,5%) из 107 обследованных детей, из них 68 (68,7%) пациентов только вакцинированы, а 31 (31,3%) – имели вакцинацию и ревакцинацию. Защитные титры антител против кори сохранились у 51 ребенка (51,5%), 48 (48,5%) детей оказались серонегативными. При оценке иммуногенности через 14 и 45 дней после введения вакцины было установлено, что к 14 дню антитела присутствовали у 27 из 53 детей (50,9%), к 45 дню – у 33 из 53 детей (62,3%), у 20 детей уровень антител был ниже защитного, в том числе у трех детей из шести повторно ревакцинированных. Заключение. Дети со злокачественными заболеваниями, вне зависимости от числа ранее проведенных прививок и давности окончания терапии, становятся в 83,8% случаев незащищенными или имеют низкие титры антител к кори, а проведение иммунизации по окончании лечения эффективно в 62,3% случаев.</p></abstract><trans-abstract xml:lang="en"><p>Relevance. Growing distrust of vaccines around the world, a decrease in vaccination rates have led to an increase in the incidence of measles and a rise in the vulnerability of people with immunodeficiency status. The aim. To study the efficacy and safety of measles vaccination in children with oncohematological diseases. Materials &amp; methods. The study involved 107 children: 74 of them with a history of acute lymphoblastic leukemia and 33 with solid tumors. All children had a history of receiving standardized polychemotherapy. In all the subjects, the vaccination history was studied, the titers of specific antibodies to measles were determined. Children with non-protective levels of antibodies (53 children) were subsequently vaccinated against measles. Results and discussions. Of the 107 children examined, before cancer, 99 (92.5%) were vaccinated against measles, of which 68 (68.7%) patients were only vaccinated, and 31 (31.3%) had vaccination and revaccination. Protective titers of antibodies against measles were preserved in 51 people (51.5%), and 48 (48.5%) were seronegative. When assessing immunogenicity on days 14, 45 after the introduction of the vaccine, it turned out that by day 14, 27 out of 53 children (50.9%) developed measles antibodies, and by day 45, 33 out of 53 children (62.3%), the rest of the children did not developed a protective level of antibodies, including 3 of 6 revaccinated. Conclusion. Thus, children with malignant diseases, regardless of the number of previous vaccinations and the duration of the end of therapy, become unprotected or have low titers of antibodies to measles in 83.8%, and immunization after treatment is effective in 62.3% of cases.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>вакцинация групп риска</kwd><kwd>корь</kwd><kwd>иммунодефицит</kwd><kwd>онкологическое заболевание</kwd></kwd-group><kwd-group xml:lang="en"><kwd>vaccination of risk groups</kwd><kwd>measles</kwd><kwd>immunodeficiency</kwd><kwd>oncological disease</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Pergam S., Englund J., Kamboj M., et al. 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