Svår TBE med resttillstånd kan drabba även yngre barn. Vaccinationsråd till barn bör individualiseras, grad av exponering avgörande
Engelsk titel: Severe TBE with sequelae can also affect young children. Vaccination advice to children should be individualized, degree of exposure essential
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Författare:
Fröding, Inga
;
Hjertqvist, Marika
Email: inga.froding@karolinska.se
Språk: Swe
Antal referenser: 27
Dokumenttyp:
Översikt
UI-nummer: 13117056
Sammanfattning
Tick-borne encephalitis (TBE) usually causes a milder disease with less severe sequelae in children than in adults. Previous immunization recommendations in Sweden considered immunization for TBE as unnecessary for young children in endemic areas. However, severe cases of TBE also occur in children, and recent publications show that cognitive sequelae, such as memory difficulties or attention problems, after TBE infection possibly is more common than previously thought. There is no way to predict which individuals will be affected with severe symptoms or sequelae. Available vaccines are safe and effective from 1 year of age, and immunization should be considered in children from the age of 1 year. Individual advice on immunization against TBE should be based on an assessment of the individual’s risk of exposure to ticks in TBE-endemic areas.