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Open Access Article

International Journal of Medicine and Data. 2025; 9: (4) ; 95-98 ; DOI: 10.12208/j.ijmd.20250093.

Real-world study on the safety of tetanus immunoglobulin F(ab')₂, equine for short-term passive immunization against Clostridium tetani infection
马破伤风免疫球蛋白F(ab′)2预防破伤风梭菌感染短期被动免疫的安全性真实世界调查研究

作者: 王欣 *

世界中医药学会联合会中药专业委员会 北京

*通讯作者: 王欣,单位:世界中医药学会联合会中药专业委员会 北京;

发布时间: 2025-11-28 总浏览量: 141

摘要

目的 评价马破伤风免疫球蛋白F(ab′)₂在真实世界中用于预防破伤风感染短期被动免疫的安全性。方法 回顾性分析3023例外伤患者使用马破伤风免疫球蛋白F(ab′)₂的临床资料,统计用药的皮试阳性率、过敏反应及其他不良事件发生情况。结果 在3023例外伤患者中,皮试阳性率为1.16%(35/3023),皮试阴性且实际注射马破伤风免疫球蛋白F(ab′)₂的外伤患者共2988例。本次共报告不良事件31例(1.03%),其中26例(0.99%)判定为与药物相关,无药物相关的严重不良事件报告。结论 本真实世界研究证实,马破伤风免疫球蛋白F(ab′)₂用于预防破伤风梭菌感染的短期被动免疫,安全性良好,适用于具有破伤风感染风险的外伤患者。

关键词: 马破伤风免疫球蛋白F(ab′)₂;破伤风预防;被动免疫;真实世界研究

Abstract

Objective To evaluate the safety of Tetanus Immunoglobulin F(ab′)2, Equine for short-term passive immunization in the prevention of tetanus infection in a real-world setting.
Methods A retrospective analysis was conducted on the clinical data of 3023 trauma patients who received Tetanus Immunoglobulin F(ab′)2, Equine. The rates of positive skin tests, allergic reactions, and other adverse events were statistically analyzed.
Results Among the 3023 trauma patients, the positive skin test rate was 1.16% (35/3023). A total of 2988 patients who had a negative skin test actually received the injection of Tetanus Immunoglobulin F(ab′)2, Equine. In total, 31 adverse events were reported (1.03%), of which 26 (0.99%) were judged to be drug-related. No drug-related serious adverse events were reported.
Conclusion   This real-world study confirms that Tetanus Immunoglobulin F(ab′)2, Equine demonstrates a favorable safety profile for short-term passive immunization in the prevention of Clostridium tetani infection, making it suitable for use in trauma patients at risk of tetanus infection.

Key words: Tetanus immunoglobulin F(ab′)2, Equine; Tetanus prevention; Passive immunization; Real-world study

参考文献 References

[1] 非新生儿破伤风诊疔规范(2019年版)编写审定专家组,外伤后破伤风疫苗和被动免疫制剂使用指南(2019年版)编写审定专家组.非新生儿破伤风诊疗规范(2019年版)[J].中华急诊医学杂志, 2019, 28(12):1470-1475.

[2] 中华人民共和国国家卫生健康委员会.非新生儿破伤风诊疗规范(2024 年版)[EB/OL].(2024-10-31)[2025-09-14].http://www.nhc.gov.cn/cms-search/downFiles/c65f6656b7334fa3b52acbc544bb1850.pdf.

[3] 王海勤.马破伤风免疫球蛋白F(ab')2和破伤风抗毒素的过敏反应比较[J].中文科技期刊数据库(全文版)医药卫生,2022(12):264-267.

[4] 王传林,刘斯,邵祝军,等.外伤后破伤风疫苗和被动免疫制剂使用指南[J].中国疫苗和免疫, 2020(1):6.

[5] 刘永祥,赵忠鹏,罗德炎,等.马抗破伤风毒素免疫球蛋白F(ab′)2新制备工艺的建立[J].中国生物制品学杂志, 2011, 24(11):3.

[6] 国家医疗保障局,人力资源社会保障部.国家基本医疗保险、工伤保险和生育保险药品目录(2024 年)(M). 

https://www.nhsa.gov.cn/art/2024/11/28 /art_104_ 14886.html.

[7] 蔡艳霞,郑晓秋.马破伤风免疫球蛋白F(ab′)2与破伤风抗毒素皮试效果比较[J].中国乡村医药,2017,24(17):37-37.

[8] 罗时定.人破伤风免疫球蛋白及其应用[J].中华急诊医学杂志, 2002, 11(4):2.

[9] 李娟菊.TAT皮试阳性率增高的原因分析与对策[J].中国实用医药, 2010(18):2.

[10] 陈彩莲,王桃林,朱流财.马破伤风免疫球蛋白F(ab′)2和破伤风抗毒素的过敏反应比较[J].世界临床医学, 2017, 11(8):2.

[11] 丁天然,张永信.马破伤风免疫球蛋白F(ab′)2及其临床应用前景[J].上海医药, 2012, 33(19):3.

引用本文

王欣, 马破伤风免疫球蛋白F(ab′)2预防破伤风梭菌感染短期被动免疫的安全性真实世界调查研究[J]. 国际医学与数据杂志, 2025; 9: (4) : 95-98.