The 36 references with contexts in paper I. Snegireva I., K. Zatolochina E., M. Darmostukova A., R. Alyautdin N., B. Romanov K., И. Снегирева И., К. Затолочина Э., М. Дармостукова А., Р. Аляутдин Н., Б. Романов К. (2018) “Современные подходы к взаимозаменяемости вакцин // Modern approaches to vaccines interchangeability” / spz:neicon:vedomostincesmp:y:2016:i:4:p:3-8

1
Federal Law of Russian Federation of 22.12.2014 ¹ 429-FZ, «On Amendments to the Federal Law «On Circulation of Medicines» (in Russian).
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    Ñîãëàñíî ðîññèéñêîìó çàêîíîäàòåëüñòâó, âçàèìîçàìåíÿåìûì ëåêàðñòâåííûì ïðåïàðàòîì (ËÏ) ÿâëÿåòñÿ ËÏ ñ äîêàçàííîé òåðàïåâòè÷åñêîé ýêâèâàëåíòíîñòüþ èëè áèîýêâèâàëåíòíîñòüþ â îòíîøåíèè ðåôåðåíòíîãî ïðåïàðàòà, èìåþùèé ýêâèâàëåíòíûé åìó êà÷åñòâåííûé è êîëè÷åñòâåííûé ñîñòàâ äåéñòâóþùèõ âåùåñòâ, âñïîìîãàòåëüíûõ âåùåñòâ, ëåêàðñòâåííóþ ôîðìó è ñïîñîá ââåäåíèÿ
    Exact
    [1]
    Suffix
    .  äàííîì îïðåäåëåíèè íå ïðîâîäèòñÿ ÷åòêîé ãðàíè ìåæäó êðèòåðèÿìè âçàèìîçàìåíÿåìîñòè äëÿ õèìè÷åñêèõ è èììóíîáèîëîãè÷åñêèõ ïðåïàðàòîâ, êîòîðûå ïðèíöèïèàëüíî ðàçëè÷àþòñÿ ïî ïðîèñõîæäåíèþ, ìåõàíèçìó äåéñòâèÿ è ñïîñîáíîñòè âûçûâàòü èììóííûå ðåàêöèè [2].

2
Borzova M. Interchangeability of biological medicines: fantasy or reality? Remedium 2014; (9): 6–13 (in Russian).
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     äàííîì îïðåäåëåíèè íå ïðîâîäèòñÿ ÷åòêîé ãðàíè ìåæäó êðèòåðèÿìè âçàèìîçàìåíÿåìîñòè äëÿ õèìè÷åñêèõ è èììóíîáèîëîãè÷åñêèõ ïðåïàðàòîâ, êîòîðûå ïðèíöèïèàëüíî ðàçëè÷àþòñÿ ïî ïðîèñõîæäåíèþ, ìåõàíèçìó äåéñòâèÿ è ñïîñîáíîñòè âûçûâàòü èììóííûå ðåàêöèè
    Exact
    [2]
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    . Âçàèìîçàìåíÿåìîñòü âîñïðîèçâåäåííûõ ËÏ (ïîëó÷åííûõ ìåòîäîì õèìè÷åñêîãî ñèíòåçà) â öåëîì áàçèðóåòñÿ íà áèîýêâèâàëåíòíîñòè ñðàâíèâàåìûõ ËÏ, à ïðè îöåíêå ñîïîñòàâèìîñòè áèîëîãè÷åñêèõ ïðåïàðàòîâ íåâîçìîæíî îïèðàòüñÿ èñêëþ÷èòåëüíî íà êðèòåðèé áèîýêâèâàëåíòíîñòè.

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Mironov AN, ed. Guidance on the examination of medicines. V. 4. Moscow: Poligraf-Plus; 2014 (in Russian).
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    Îãðàíè÷åííûå íà ñåãîäíÿøíèé äåíü âîçìîæíîñòè ïðîãíîçèðîâàíèÿ êëèíè÷åñêèõ ñâîéñòâ áèîëîãè÷åñêèõ ìîëåêóë, îòëè÷àþùèõñÿ ñëîæíîñòüþ ñòðîåíèÿ, íà îñíîâàíèè çíàíèé èõ ôèçèêî-õèìè÷åñêèõ õàðàêòåðèñòèê îáóñëàâëèâàþò íåâîçìîæíîñòü ïðèìåíåíèÿ êîíöåïöèè áèîýêâèâàëåíòíîñòè ïðè îöåíêå âçàèìîçàìåíÿåìîñòè áèîëîãè÷åñêèõ ËÏ
    Exact
    [3, 4]
    Suffix
    . Ïðè ýòîì îïðåäåëåíèå «âçàèìîçàìåíÿåìîñòü »íå ìîæåò ðàñïðîñòðàíÿòüñÿ íà èììóíîáèîëîãè÷åñêèå ëåêàðñòâåííûå ïðåïàðàòû (ÈËÏ), êàæäûé èç êîòîðûõ, âíå çàâèñèìîñòè îò îòñóòñòâèÿ ðàçëè÷èé â ìåõàíèçìå äåéñòâèÿ, òåõíîëîãèè èçãîòîâëåíèÿ ïðîèçâîäñòâåííîãî øòàììà, ñïîñîáå ââåäåíèÿ è äðóãèõ õàðàêòåðèñòèêàõ ñ ïðåïàðàòîì àíàëîãè÷íîãî íàçíà÷åíèÿ, âûïóñêàåìûì äðóãèì ïðîèçâîäèòåëåì, ÿâëÿåòñÿ îðèãèíàëüíûì ËÏ.

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Chow SC, Liu JP. Design and Analysis of Bioavailability and Bioequivalence Studies. 3rd ed. New York: CRC Press; 2008.
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    Îãðàíè÷åííûå íà ñåãîäíÿøíèé äåíü âîçìîæíîñòè ïðîãíîçèðîâàíèÿ êëèíè÷åñêèõ ñâîéñòâ áèîëîãè÷åñêèõ ìîëåêóë, îòëè÷àþùèõñÿ ñëîæíîñòüþ ñòðîåíèÿ, íà îñíîâàíèè çíàíèé èõ ôèçèêî-õèìè÷åñêèõ õàðàêòåðèñòèê îáóñëàâëèâàþò íåâîçìîæíîñòü ïðèìåíåíèÿ êîíöåïöèè áèîýêâèâàëåíòíîñòè ïðè îöåíêå âçàèìîçàìåíÿåìîñòè áèîëîãè÷åñêèõ ËÏ
    Exact
    [3, 4]
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    . Ïðè ýòîì îïðåäåëåíèå «âçàèìîçàìåíÿåìîñòü »íå ìîæåò ðàñïðîñòðàíÿòüñÿ íà èììóíîáèîëîãè÷åñêèå ëåêàðñòâåííûå ïðåïàðàòû (ÈËÏ), êàæäûé èç êîòîðûõ, âíå çàâèñèìîñòè îò îòñóòñòâèÿ ðàçëè÷èé â ìåõàíèçìå äåéñòâèÿ, òåõíîëîãèè èçãîòîâëåíèÿ ïðîèçâîäñòâåííîãî øòàììà, ñïîñîáå ââåäåíèÿ è äðóãèõ õàðàêòåðèñòèêàõ ñ ïðåïàðàòîì àíàëîãè÷íîãî íàçíà÷åíèÿ, âûïóñêàåìûì äðóãèì ïðîèçâîäèòåëåì, ÿâëÿåòñÿ îðèãèíàëüíûì ËÏ.

5
Ozeretskovsky NA, Zatolochina KE, Snegireva II. Proposals for the prevention of adverse events when using immunobiological drugs in the Russian Federation. Bezopasnost i risk farmakoterapii 2015; (2): 25–9 (in Russian).
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    Âûáîð ïðåïàðàòà ïðè åãî íàçíà÷åíèè îïðåäåëÿåò âðà÷, ðóêîâîäñòâóÿñü Íàöèîíàëüíûì êàëåíäàðåì ïðîôèëàêòè÷åñêèõ ïðèâèâîê, êàëåíäàðåì ïðîôèëàêòè÷åñêèõ ïðèâèâîê ïî ýïèäåìè÷åñêèì ïîêàçàíèÿì, ñàíèòàðíî-ýïèäåìèîëîãè÷åñêèìè ïðàâèëàìè, â îòíîøåíèè ñîîòâåòñòâóþùåé èíôåêöèîííîé áîëåçíè, èíñòðóêöèÿìè ïî ìåäèöèíñêîìó ïðèìåíåíèþ ïðåïàðàòîâ
    Exact
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    . Íàëè÷èå íà ôàðìàöåâòè÷åñêîì ðûíêå áîëüøîãî ÷èñëà ðàçíûõ òîðãîâûõ íàèìåíîâàíèé âàêöèí, ïðåäíàçíà÷åííûõ äëÿ ïðîôèëàêòèêè îäíèõ è òåõ æå èíôåêöèîííûõ áîëåçíåé [6], íåîáõîäèìîñòü ìíîãîêðàòíîãî ââåäåíèÿ ïðåïàðàòà â òå÷åíèå êóðñà âàêöèíàöèè, à òàêæå ðàçëè÷íûå îáñòîÿòåëüñòâà, ñâÿçàííûå ñ îòñóòñòâèåì âàêöèí êîíêðåòíîãî ïðîèçâîäèòåëÿ, ìèãðàöèåé âàêöèíèðóåìîãî íàñåëåíèÿ, çàìåíîé ïîñòàâùèêîâ ïðåïàðàòîâ, ïð

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Borisevich IV, Vorobieva MS, Gayderova LA, Gorbunov MA, Davydov DS, Ignatiev GM et al. Medical immunobiological preparations. Directory. V. 1. Vaccines. Moscow: Gella-print; 2010 (in Russian).
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    ÷åñêèõ ïðèâèâîê, êàëåíäàðåì ïðîôèëàêòè÷åñêèõ ïðèâèâîê ïî ýïèäåìè÷åñêèì ïîêàçàíèÿì, ñàíèòàðíî-ýïèäåìèîëîãè÷åñêèìè ïðàâèëàìè, â îòíîøåíèè ñîîòâåòñòâóþùåé èíôåêöèîííîé áîëåçíè, èíñòðóêöèÿìè ïî ìåäèöèíñêîìó ïðèìåíåíèþ ïðåïàðàòîâ [5]. Íàëè÷èå íà ôàðìàöåâòè÷åñêîì ðûíêå áîëüøîãî ÷èñëà ðàçíûõ òîðãîâûõ íàèìåíîâàíèé âàêöèí, ïðåäíàçíà÷åííûõ äëÿ ïðîôèëàêòèêè îäíèõ è òåõ æå èíôåêöèîííûõ áîëåçíåé
    Exact
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    , íåîáõîäèìîñòü ìíîãîêðàòíîãî ââåäåíèÿ ïðåïàðàòà â òå÷åíèå êóðñà âàêöèíàöèè, à òàêæå ðàçëè÷íûå îáñòîÿòåëüñòâà, ñâÿçàííûå ñ îòñóòñòâèåì âàêöèí êîíêðåòíîãî ïðîèçâîäèòåëÿ, ìèãðàöèåé âàêöèíèðóåìîãî íàñåëåíèÿ, çàìåíîé ïîñòàâùèêîâ ïðåïàðàòîâ, ïðèíÿòèåì àäìèíèñòðàòèâíûõ ðåøåíèé îá îòçûâå èëè ïðèîñòàíîâëåíèè èñïîëüçîâàíèÿ ïðåïàðàòîâ, äèêòóþò íåîáõîäèìîñòü ðåøåíèÿ âîïðîñà î âçàèìîçàìåíÿåìîñòè îäíîíà

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Snegireva II, Zatolochina KE, Darmostukova MA, Khotova TYu, Alyautdin RN, Ozeretskovsky NA. et al. Vaccine Interchangeability. Uspehi sovremennogo estestvoznaniya 2015; (8): 43–7 (in Russian).
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    â òå÷åíèå êóðñà âàêöèíàöèè, à òàêæå ðàçëè÷íûå îáñòîÿòåëüñòâà, ñâÿçàííûå ñ îòñóòñòâèåì âàêöèí êîíêðåòíîãî ïðîèçâîäèòåëÿ, ìèãðàöèåé âàêöèíèðóåìîãî íàñåëåíèÿ, çàìåíîé ïîñòàâùèêîâ ïðåïàðàòîâ, ïðèíÿòèåì àäìèíèñòðàòèâíûõ ðåøåíèé îá îòçûâå èëè ïðèîñòàíîâëåíèè èñïîëüçîâàíèÿ ïðåïàðàòîâ, äèêòóþò íåîáõîäèìîñòü ðåøåíèÿ âîïðîñà î âçàèìîçàìåíÿåìîñòè îäíîíàïðàâëåííûõ âàêöèí ðàçíûõ ïðîèçâîäèòåëåé
    Exact
    [7, 8]
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    .  îôèöèàëüíûõ ðóêîâîäÿùèõ äîêóìåíòàõ ïî èììóíîïðîôèëàêòèêå íåêîòîðûõ çàðóáåæíûõ ñòðàí òåðìèíîì «âçàèìîçàìåíÿåìîñòü »(interchangeability) îáîçíà÷àþò ïðàêòèêó ïåðåõîäà îò âàêöèíû îäíîãî ïðîèçâîäèòåëÿ ê ïðåïàðàòó àíàëîãè÷íîãî íàçíà÷åíèÿ äðóãîãî ïðîèçâîäèòåëÿ.

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Feldman S. Interchangeability of vaccines. Pediatric Infectious Disease Journal 2001; 20(11): 23–9.
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    â òå÷åíèå êóðñà âàêöèíàöèè, à òàêæå ðàçëè÷íûå îáñòîÿòåëüñòâà, ñâÿçàííûå ñ îòñóòñòâèåì âàêöèí êîíêðåòíîãî ïðîèçâîäèòåëÿ, ìèãðàöèåé âàêöèíèðóåìîãî íàñåëåíèÿ, çàìåíîé ïîñòàâùèêîâ ïðåïàðàòîâ, ïðèíÿòèåì àäìèíèñòðàòèâíûõ ðåøåíèé îá îòçûâå èëè ïðèîñòàíîâëåíèè èñïîëüçîâàíèÿ ïðåïàðàòîâ, äèêòóþò íåîáõîäèìîñòü ðåøåíèÿ âîïðîñà î âçàèìîçàìåíÿåìîñòè îäíîíàïðàâëåííûõ âàêöèí ðàçíûõ ïðîèçâîäèòåëåé
    Exact
    [7, 8]
    Suffix
    .  îôèöèàëüíûõ ðóêîâîäÿùèõ äîêóìåíòàõ ïî èììóíîïðîôèëàêòèêå íåêîòîðûõ çàðóáåæíûõ ñòðàí òåðìèíîì «âçàèìîçàìåíÿåìîñòü »(interchangeability) îáîçíà÷àþò ïðàêòèêó ïåðåõîäà îò âàêöèíû îäíîãî ïðîèçâîäèòåëÿ ê ïðåïàðàòó àíàëîãè÷íîãî íàçíà÷åíèÿ äðóãîãî ïðîèçâîäèòåëÿ.

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Public Health Agency of Canada. Canadian Immunization Guide. PrinciplesofVaccineInterchangeability.Availablefrom: http:// www.phac-aspc.gc.ca/publicat/cig-gci/p01-06-eng.php.
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    Òàê, ñîãëàñíî îñíîâíûì ïðèíöèïàì âçàèìîçàìåíÿåìîñòè âàêöèí â Êàíàäå (äèðåêòèâà Health Canada), âçàèìîçàìåíÿåìûå âàêöèíû äîëæíû èìåòü îäèíàêîâûå ïîêàçàíèÿ ê ïðèìåíåíèþ ñ ó÷åòîì âîçðàñòíûõ îãðàíè÷åíèé; ïåðå÷íè ìåäèöèíñêèõ ïðîòèâîïîêàçàíèé; ñõåìû ïðèìåíåíèÿ; ñîñòàâû àíòèãåíîâ; ïîêàçàòåëè áåçîïàñíîñòè, ðåàêòîãåííîñòè, èììóíîãåííîñòè è ýôôåêòèâíîñòè
    Exact
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    Suffix
    . Ê âûøåóêàçàííûì ïðèíöèïàì âçàèìîçàìåíÿåìîñòè âàêöèí, ïî ìíåíèþ àâòîðîâ, íåîáõîäèìî äîáàâèòü ðàâíóþ èëè áîëüøóþ ïðîäîëæèòåëüíîñòü è âûðàæåííîñòü ïðîôèëàêòè÷åñêîé ýôôåêòèâíîñòè (æèâûå è èíàêòèâèðîâàííûå âàêöèíû, àíàòîêñèíû).

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Hepatitis B Vaccine. Position Paper WHO. Wkly Epidemiol Rec. 2009; 84(40): 405–20.
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    Áîëåå ÷åì òðèäöàòèëåòíèé ìèðîâîé îïûò ïðèìåíåíèÿ ðåêîìáèíàíòíûõ âàêöèí ïðîòèâ ãåïàòèòà B ïîêàçàë âîçìîæíîñòü èõ âçàèìîçàìåíÿåìîñòè (ðàâíîöåííîé çàìåíû).  ñîîòâåòñòâèè ñ ïîçèöèåé ÂÎÇ ïî äàííîìó âîïðîñó, âñå âàêöèíû ïðîòèâ ÂÃÂ, ïðîèçâîäèìûå â ìèðå, ÿâëÿþòñÿ èììóíîëîãè÷åñêè ñîïîñòàâèìûìè è ìîãóò áûòü âçàèìîçàìåíÿåìûìè
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    . Òîãî æå ìíåíèÿ ïðèäåðæèâàþòñÿ ðåãóëèðóþùèå îðãàíû çäðàâîîõðàíåíèÿ ðÿäà ñòðàí, êîòîðûå âêëþ÷àþò èíôîðìàöèþ î âçàèìîçàìåíÿåìîñòè âàêöèí ïðîòèâ Âàâ ðóêîâîäÿùèå äîêóìåíòû è ðåêîìåíäàöèè ïî èììóíîïðîôèëàêòèêå.

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CDC. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 2011; 60(RR02): 1–60. Available from: http://www.cdc.gov/ mmwr/preview/mmwrhtml/rr6002a1.htm.
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    Ïðèìåíåíèå âàêöèí ðàçíûõ ïðîèçâîäèòåëåé â òå÷åíèå îäíîãî êóðñà âàêöèíàöèè íå âëèÿåò íà ïîêàçàòåëè èììóíîëîãè÷åñêîé ýôôåêòèâíîñòè. Ñðîêè èììóíèçàöèè íå äîëæíû áûòü íàðóøåíû ïî ïðè÷èíå òîãî, ÷òî ïðîèçâîäèòåëü ââåäåííîé ðàíåå âàêöèíû íåèçâåñòåí èëè ïðåïàðàò îïðåäåëåííîãî ïðîèçâîäèòåëÿ îêàçûâàåòñÿ íåäîñòóïíûì
    Exact
    [11–13]
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    . Ïðè ýòîì êàæäàÿ âàêöèíà äîëæíà ââîäèòüñÿ â ñòðîãîì ñîîòâåòñòâèè ñ èíñòðóêöèåé ïî ïðèìåíåíèþ. Ñîãëàñíîóêàçàíèÿì, ñîäåðæàùèìñÿâðóêîâîäñòâàõ ïî èììóíèçàöèè Âåëèêîáðèòàíèè (Green Book) è Êàíàäû (Canadian Immunization Guide), äëÿ çàâåðøåíèÿ êóðñà èììóíèçàöèè èëè ðåâàêöèíàöèè ïðîòèâ ÂÃÂ ìîãóò áûòü èñïîëüçîâàíû âàêöèíû ðàçíûõ ïðîèçâîäèòåëåé, ïðè óñëîâèè èõ ïðèìåíåíèÿ â ðåêîìåíäóåìûõ ïðîèçâîäèòåëÿìè

14
Public Health Agency of Canada. Canadian Immunization Guide.Principles of Vaccine Interchangeability. Available from: http:// www.phacaspc.gc.ca/publicat/cig-gci/p01-06-eng.php.
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    Ñîãëàñíîóêàçàíèÿì, ñîäåðæàùèìñÿâðóêîâîäñòâàõ ïî èììóíèçàöèè Âåëèêîáðèòàíèè (Green Book) è Êàíàäû (Canadian Immunization Guide), äëÿ çàâåðøåíèÿ êóðñà èììóíèçàöèè èëè ðåâàêöèíàöèè ïðîòèâ ÂÃÂ ìîãóò áûòü èñïîëüçîâàíû âàêöèíû ðàçíûõ ïðîèçâîäèòåëåé, ïðè óñëîâèè èõ ïðèìåíåíèÿ â ðåêîìåíäóåìûõ ïðîèçâîäèòåëÿìè äîçàõ è â ñîîòâåòñòâèè ñ óòâåðæäåííûìè ñõåìàìè ââåäåíèÿ
    Exact
    [14, 15]
    Suffix
    . Ðóêîâîäñòâîì ïî èììóíèçàöèè Àâñòðàëèè(Australian Immunization Handbook) íå ðåêîìåíäîâàíî ïðèìåíåíèå âàêöèí ïðîòèâ Âàðàçíûõ ïðîèçâîäèòåëåé â òå÷åíèå êóðñà èììóíèçàöèè.  òî æå âðåìÿ ïîäîáíàÿ çàìåíà äîïóñêàåòñÿ â òîì ñëó÷àå, êîãäà íàèìåíîâàíèå ðàíåå ââåäåííîé âàêöèíû íåèçâåñòíî [16].

15
Salisbury D, Ramsay M, eds. Public Health England. Immunization against Infectious Diseases. Part 2: The diseases, vaccinations and vaccines. 2013. Available from: https://www.gov.uk/government/ uploads/system/uploads/attachment_data/file/263311/Green_Book_ Chapter_18_v2_0.pdf.
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    Ñîãëàñíîóêàçàíèÿì, ñîäåðæàùèìñÿâðóêîâîäñòâàõ ïî èììóíèçàöèè Âåëèêîáðèòàíèè (Green Book) è Êàíàäû (Canadian Immunization Guide), äëÿ çàâåðøåíèÿ êóðñà èììóíèçàöèè èëè ðåâàêöèíàöèè ïðîòèâ ÂÃÂ ìîãóò áûòü èñïîëüçîâàíû âàêöèíû ðàçíûõ ïðîèçâîäèòåëåé, ïðè óñëîâèè èõ ïðèìåíåíèÿ â ðåêîìåíäóåìûõ ïðîèçâîäèòåëÿìè äîçàõ è â ñîîòâåòñòâèè ñ óòâåðæäåííûìè ñõåìàìè ââåäåíèÿ
    Exact
    [14, 15]
    Suffix
    . Ðóêîâîäñòâîì ïî èììóíèçàöèè Àâñòðàëèè(Australian Immunization Handbook) íå ðåêîìåíäîâàíî ïðèìåíåíèå âàêöèí ïðîòèâ Âàðàçíûõ ïðîèçâîäèòåëåé â òå÷åíèå êóðñà èììóíèçàöèè.  òî æå âðåìÿ ïîäîáíàÿ çàìåíà äîïóñêàåòñÿ â òîì ñëó÷àå, êîãäà íàèìåíîâàíèå ðàíåå ââåäåííîé âàêöèíû íåèçâåñòíî [16].

16
Australian Immunization Handbook. 10th ed. Part 4.5. Hepatitis B. 2015. Available from: http://www.immunise.health.gov.au/internet/ immunise/publishing.nsf/Content/Handbook10-home.
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    Ðóêîâîäñòâîì ïî èììóíèçàöèè Àâñòðàëèè(Australian Immunization Handbook) íå ðåêîìåíäîâàíî ïðèìåíåíèå âàêöèí ïðîòèâ Âàðàçíûõ ïðîèçâîäèòåëåé â òå÷åíèå êóðñà èììóíèçàöèè.  òî æå âðåìÿ ïîäîáíàÿ çàìåíà äîïóñêàåòñÿ â òîì ñëó÷àå, êîãäà íàèìåíîâàíèå ðàíåå ââåäåííîé âàêöèíû íåèçâåñòíî
    Exact
    [16]
    Suffix
    .  íîðìàòèâíûõ äîêóìåíòàõ ïî èììóíèçàöèè Ðîññèéñêîé Ôåäåðàöèè îòñóòñòâóþò óêàçàíèÿ î âçàèìîçàìåíÿåìîñòè âàêöèí ïðîòèâ ÂÃÂ. Òåì íå ìåíåå â ðóêîâîäñòâàõ è íàó÷íûõ ïóáëèêàöèÿõ ïî âàêöèíîïðîôèëàêòèêå èíôåêöèîííûõ áîëåçíåé èìåþòñÿ ðàçäåëû î âçàèìîçàìåíÿåìîñòè çàðåãèñòðèðîâàííûõ íà òåððèòîðèè Ðîññèè âàêöèí ïðîòèâ Âà[17–19].

17
Tatochenko VK, Ozeretskovsky NA, Fedorov AM. Immunoprophylaxis 2014 (reference). 12th ed. Moscow: Pediatr; 2014 (in Russian).
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     íîðìàòèâíûõ äîêóìåíòàõ ïî èììóíèçàöèè Ðîññèéñêîé Ôåäåðàöèè îòñóòñòâóþò óêàçàíèÿ î âçàèìîçàìåíÿåìîñòè âàêöèí ïðîòèâ ÂÃÂ. Òåì íå ìåíåå â ðóêîâîäñòâàõ è íàó÷íûõ ïóáëèêàöèÿõ ïî âàêöèíîïðîôèëàêòèêå èíôåêöèîííûõ áîëåçíåé èìåþòñÿ ðàçäåëû î âçàèìîçàìåíÿåìîñòè çàðåãèñòðèðîâàííûõ íà òåððèòîðèè Ðîññèè âàêöèí ïðîòèâ ÂÃÂ
    Exact
    [17–19]
    Suffix
    .  èíñòðóêöèÿõ ïî ïðèìåíåíèþ âàêöèí äëÿ ïðîôèëàêòèêè ÂàÝíäæåðèêñ®Â (Engerix®B) è Øàíâàê- óêàçàíî, ÷òî ýòè ïðåïàðàòû ìîãóò èñïîëüçîâàòüñÿ äëÿ çàâåðøåíèÿ êóðñà âàêöèíàöèè, íà÷àòîãî äðóãèìè âàêöèíàìè, à òàêæå äëÿ ðåâàêöèíàöèè [20].

20
State register of medicines. Available from: http:// grls.rosminzdrav.ru/Default.aspx.
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     èíñòðóêöèÿõ ïî ïðèìåíåíèþ âàêöèí äëÿ ïðîôèëàêòèêè ÂàÝíäæåðèêñ®Â (Engerix®B) è Øàíâàê- óêàçàíî, ÷òî ýòè ïðåïàðàòû ìîãóò èñïîëüçîâàòüñÿ äëÿ çàâåðøåíèÿ êóðñà âàêöèíàöèè, íà÷àòîãî äðóãèìè âàêöèíàìè, à òàêæå äëÿ ðåâàêöèíàöèè
    Exact
    [20]
    Suffix
    . Çà ðóáåæîì äëÿ èçó÷åíèÿ âçàèìîçàìåíÿåìîñòè âàêöèí Engerix-B (GlaxoSmithKline Biologicals, Rixensart, Belgium) è Recombivax HB (Merck & Co, West Point, PA) áûëè ïðîâåäåíû èññëåäîâàíèÿ ñðåäè äåòñêîãî íàñåëåíèÿ.

21
Mahoney FJ, Kane M. Hepatitis B vaccine. In: Plotkin SA, Orenstein WA, eds. Vaccines. 3rd ed. Philadelphia, PA: WB Saunders; 1999.
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    Íîâîðîæäåííûì (âîçðàñòîì ìåíåå íåäåëè) ââîäèëè Engerix-B, ÷åðåç ìåñÿö äåòè ïîëó÷àëè ëèáî Engerix-B, ëèáî Recombivax HB, â âîçðàñòå 6 ìåñÿöå⠖ òîëüêî Recombivax HB. Óðîâåíü ñåðîçàùèùåííîñòè â îáåèõ ãðóïïàõ áûë âûøå 96 %
    Exact
    [21, 22]
    Suffix
    .  äðóãîì èññëåäîâàíèè èñïûòóåìûå ïîëó÷àëè ïåðâóþ è âòîðóþ âàêöèíàöèþ ïðåïàðàòîì ïîä òîðãîâîé ìàðêîé Recombivax HB, à òðåòüþ – Recombivax HB èëè Engerix-B. Ñòàòèñòè÷åñêîé ðàçíèöû â êîíöåíòðàöèè HBs-àíòèòåë îòìå÷åíî íå áûëî [23].

22
Seto D, West DJ, Gilliam RR, Ioli VA, Ferrara DK, Rich B. Antibody responses of healthy neonates to two mixed regimens of hepatitis B vaccine. Pediatr Infect Dis J. 1999; 18(9): 840–2.
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    Íîâîðîæäåííûì (âîçðàñòîì ìåíåå íåäåëè) ââîäèëè Engerix-B, ÷åðåç ìåñÿö äåòè ïîëó÷àëè ëèáî Engerix-B, ëèáî Recombivax HB, â âîçðàñòå 6 ìåñÿöå⠖ òîëüêî Recombivax HB. Óðîâåíü ñåðîçàùèùåííîñòè â îáåèõ ãðóïïàõ áûë âûøå 96 %
    Exact
    [21, 22]
    Suffix
    .  äðóãîì èññëåäîâàíèè èñïûòóåìûå ïîëó÷àëè ïåðâóþ è âòîðóþ âàêöèíàöèþ ïðåïàðàòîì ïîä òîðãîâîé ìàðêîé Recombivax HB, à òðåòüþ – Recombivax HB èëè Engerix-B. Ñòàòèñòè÷åñêîé ðàçíèöû â êîíöåíòðàöèè HBs-àíòèòåë îòìå÷åíî íå áûëî [23].

23
Bush LM, Moonsammy GI, Bosciaj A. Evaluation of initiating a hepatitis B vaccination schedule with one vaccine and completing it with another. Vaccine 1991; (9): 807–9.
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     äðóãîì èññëåäîâàíèè èñïûòóåìûå ïîëó÷àëè ïåðâóþ è âòîðóþ âàêöèíàöèþ ïðåïàðàòîì ïîä òîðãîâîé ìàðêîé Recombivax HB, à òðåòüþ – Recombivax HB èëè Engerix-B. Ñòàòèñòè÷åñêîé ðàçíèöû â êîíöåíòðàöèè HBs-àíòèòåë îòìå÷åíî íå áûëî
    Exact
    [23]
    Suffix
    .  Ðîññèè èìåþòñÿ äàííûå îá îïûòå ïðèìåíåíèÿ âàêöèí «Ýóâàêñ  »è «Êîìáèîòåõ »â óñëîâèÿõ êðóïíîãî ñòàöèîíàðà. Èñïîëüçîâàëèñü ðàçëè÷íûå ñõåìû âàêöèíàöèè.  ðåçóëüòàòå áûëî îòìå÷åíî, ÷òî âûñîêàÿ èììóíîãåííîñòü ïîêàçàíà è â ñëó÷àå êîìáèíàöèè äâóõ ðàçíûõ âàêöèí, è òàêàÿ ïðàêòèêà âçàèìîçàìåíÿåìîñòè âàêöèí ïðîòèâ ãåïàòèòà  äîïóñòèìà [24].

24
Kuzin SN. Vaccinoprophylaxis of Hepatitis B: successes and challenges. Vaktsinatsiya 2001; 3(15). Available from: http://medi.ru/ doc/15b1504.htm (in Russian).
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    Èñïîëüçîâàëèñü ðàçëè÷íûå ñõåìû âàêöèíàöèè.  ðåçóëüòàòå áûëî îòìå÷åíî, ÷òî âûñîêàÿ èììóíîãåííîñòü ïîêàçàíà è â ñëó÷àå êîìáèíàöèè äâóõ ðàçíûõ âàêöèí, è òàêàÿ ïðàêòèêà âçàèìîçàìåíÿåìîñòè âàêöèí ïðîòèâ ãåïàòèòà  äîïóñòèìà
    Exact
    [24]
    Suffix
    . Âàêöèíà äëÿ ïðîôèëàêòèêè âèðóñíîãî ãåïàòèòà À. Âñå ìîíîâàëåíòíûå âàêöèíû äëÿ ïðîôèëàêòèêè âèðóñíîãî ãåïàòèòà À âçàèìîçàìåíÿåìû.  1998–2001 ãîäàõ â ñòðàíàõ Åâðîñîþçà ïðîâîäèëèñü èññëåäîâàíèÿ, ïîêàçàâøèå, ÷òî âàêöèíû ïðîòèâ âèðóñíîãî ãåïàòèòà À, àäñîðáèðîâàííûå íà àëþìèíèè â êà÷åñòâå àäúþâàíòà, ìîãóò áûòü âçàèìîçàìåíÿåìû [25–29].

25
Connor BA, Phair J, Sack D, McEniry D, Hornick R, Banerjee D, et al. Randomised, double-blind study in healthy adults to assess the boosting effect of Vaqta or Havrix after a single dose of Havrix. Clin Infect Dis. 2001; 32(3): 396–401.
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    Âñå ìîíîâàëåíòíûå âàêöèíû äëÿ ïðîôèëàêòèêè âèðóñíîãî ãåïàòèòà À âçàèìîçàìåíÿåìû.  1998–2001 ãîäàõ â ñòðàíàõ Åâðîñîþçà ïðîâîäèëèñü èññëåäîâàíèÿ, ïîêàçàâøèå, ÷òî âàêöèíû ïðîòèâ âèðóñíîãî ãåïàòèòà À, àäñîðáèðîâàííûå íà àëþìèíèè â êà÷åñòâå àäúþâàíòà, ìîãóò áûòü âçàèìîçàìåíÿåìû
    Exact
    [25–29]
    Suffix
    .  õîäå ñðàâíèòåëüíîãî èññëåäîâàíèÿ áûëî âûÿâëåíî, ÷òî æèâàÿ âàêöèíà ïðîòèâ ãåïàòèòà À áîëåå èììóíîãåííà ïî ñðàâíåíèþ ñ àëþìèíèé-àäñîðáèðîâàííîé [30]. Òàêæå â 2004 ãîäó ïðîâîäèëîñü îòêðûòîå íåñðàâíèòåëüíîå ìóëüòèöåíòðîâîå èññëåäîâàíèå, â õîäå êîòîðîãî áûëî âûÿâëåíî, ÷òî æèâàÿ âàêöèíà ìîæåò áûòü èñïîëüçîâàíà â êà÷åñòâåáóñòåðâàêöèíàöèè â òîì ñëó÷àå, åñëè â êà÷åñòâå ïåðâîé äîçû èñïîëüçîâàëàñü àëþì

30
Just M, Berger R, Dreschsler H, Brantschen S, Gluck R. A single vaccination with an inactivated hepatitis A liposome vaccine induces rotective antibodies after only two weeks. Vaccine 1992; 10(11): 737–9.
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     1998–2001 ãîäàõ â ñòðàíàõ Åâðîñîþçà ïðîâîäèëèñü èññëåäîâàíèÿ, ïîêàçàâøèå, ÷òî âàêöèíû ïðîòèâ âèðóñíîãî ãåïàòèòà À, àäñîðáèðîâàííûå íà àëþìèíèè â êà÷åñòâå àäúþâàíòà, ìîãóò áûòü âçàèìîçàìåíÿåìû [25–29].  õîäå ñðàâíèòåëüíîãî èññëåäîâàíèÿ áûëî âûÿâëåíî, ÷òî æèâàÿ âàêöèíà ïðîòèâ ãåïàòèòà À áîëåå èììóíîãåííà ïî ñðàâíåíèþ ñ àëþìèíèé-àäñîðáèðîâàííîé
    Exact
    [30]
    Suffix
    . Òàêæå â 2004 ãîäó ïðîâîäèëîñü îòêðûòîå íåñðàâíèòåëüíîå ìóëüòèöåíòðîâîå èññëåäîâàíèå, â õîäå êîòîðîãî áûëî âûÿâëåíî, ÷òî æèâàÿ âàêöèíà ìîæåò áûòü èñïîëüçîâàíà â êà÷åñòâåáóñòåðâàêöèíàöèè â òîì ñëó÷àå, åñëè â êà÷åñòâå ïåðâîé äîçû èñïîëüçîâàëàñü àëþìèíèé-àäñîðáèðîâàííàÿ âàêöèíà [31, 32].

31
Loutan L, Bovier P, Althaus B, Gluck R. Inactivated virosome hepatitis A vaccine. Lancet 1994; 343(8893): 322–4.
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    Òàêæå â 2004 ãîäó ïðîâîäèëîñü îòêðûòîå íåñðàâíèòåëüíîå ìóëüòèöåíòðîâîå èññëåäîâàíèå, â õîäå êîòîðîãî áûëî âûÿâëåíî, ÷òî æèâàÿ âàêöèíà ìîæåò áûòü èñïîëüçîâàíà â êà÷åñòâåáóñòåðâàêöèíàöèè â òîì ñëó÷àå, åñëè â êà÷åñòâå ïåðâîé äîçû èñïîëüçîâàëàñü àëþìèíèé-àäñîðáèðîâàííàÿ âàêöèíà
    Exact
    [31, 32]
    Suffix
    .  Ðîññèè áûëè ïðîâåäåíû èññëåäîâàíèÿ ïî âçàèìîçàìåíÿåìîñòè ðàçëè÷íûõ âàêöèí ïðîòèâ ãåïàòèòà À. Ñîãëàñíî óñëîâèÿì èññëåäîâàíèÿ, âàêöèíó «Àâàêñèì »èñïîëüçîâàëè â êà÷åñòâå áóñòåðà ïîñëå ïåðâè÷íîé âàêöèíàöèè âàêöèíîé «Õàâðèêñ».

32
Beck B, Hatz C, Loutan L, Steffen R. Immunogenicity of booster vaccination with a virosomal hepatitis A vaccine after primary immunization with an aluminium-adsorbed hepatitis A vaccine. J Travel Med. 2004; 11(4): 201–7.
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    Òàêæå â 2004 ãîäó ïðîâîäèëîñü îòêðûòîå íåñðàâíèòåëüíîå ìóëüòèöåíòðîâîå èññëåäîâàíèå, â õîäå êîòîðîãî áûëî âûÿâëåíî, ÷òî æèâàÿ âàêöèíà ìîæåò áûòü èñïîëüçîâàíà â êà÷åñòâåáóñòåðâàêöèíàöèè â òîì ñëó÷àå, åñëè â êà÷åñòâå ïåðâîé äîçû èñïîëüçîâàëàñü àëþìèíèé-àäñîðáèðîâàííàÿ âàêöèíà
    Exact
    [31, 32]
    Suffix
    .  Ðîññèè áûëè ïðîâåäåíû èññëåäîâàíèÿ ïî âçàèìîçàìåíÿåìîñòè ðàçëè÷íûõ âàêöèí ïðîòèâ ãåïàòèòà À. Ñîãëàñíî óñëîâèÿì èññëåäîâàíèÿ, âàêöèíó «Àâàêñèì »èñïîëüçîâàëè â êà÷åñòâå áóñòåðà ïîñëå ïåðâè÷íîé âàêöèíàöèè âàêöèíîé «Õàâðèêñ».

33
Sabanin YuV, Kuzin SN. Features of vaccine «Avaxim» according to domestic and foreign literature. Vaktsinatsiya 2005; (2). Available from: http:// medi.ru/doc/15b3903.htm.
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    Ñîãëàñíî óñëîâèÿì èññëåäîâàíèÿ, âàêöèíó «Àâàêñèì »èñïîëüçîâàëè â êà÷åñòâå áóñòåðà ïîñëå ïåðâè÷íîé âàêöèíàöèè âàêöèíîé «Õàâðèêñ». Àâòîðû äåëàþò çàêëþ÷åíèå, ÷òî îáå âàêöèíû – è «Àâàêñèì», è «Õàâðèêñ »ìîæíî ïðèìåíÿòü â êà÷åñòâå áóñòåðà ïðè âàêöèíàöèè ïðîòèâ ãåïàòèòà À ïðè èñïîëüçîâàíèè âàêöèíû «Õàâðèêñ »äëÿ ïåðâè÷íîé âàêöèíàöèè
    Exact
    [33]
    Suffix
    . Âàêöèíà äëÿ ïðîôèëàêòèêè äèôòåðèè, êîêëþøà, ñòîëáíÿêà.Êîíòðîëüíî-ðàçðåøèòåëüíûé îðãàí Êàíàäû â îòíîøåíèè âçàèìîçàìåíÿåìîñòè âàêöèí äëÿ ïðîôèëàêòèêè äèôòåðèè, êîêëþøà, ñòîëáíÿêà ðåêîìåíäóåò äëÿ âñåãî êóðñà âàêöèíàöèè èñïîëüçîâàòü îäíó è òó æå âàêöèíó.

34
Public Health Agency of Canada. National Advisory Committee on Immunization. Canadian Immunization Guide. Principles of Vaccine Interchangeability. 2013. Available from: http://www.phac-aspc.gc.ca/ publicat/cig-gci/.
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    Òîëüêî â êðàéíèõ ñëó÷àÿõ, êîãäà íåâîçìîæíî òî÷íî óñòàíîâèòü è èñïîëüçîâàòü îðèãèíàëüíûé ïðåïàðàò, ðàçðåøàåòñÿ èñïîëüçîâàíèå âàêöèíû äðóãîãî ïðîèçâîäèòåëÿ. Äëÿ áóñòåð-âàêöèíàöèè âîçìîæíî èñïîëüçîâàíèå ëþáîé àíàëîãè÷íîé âàêöèíû
    Exact
    [34]
    Suffix
    .  Ðîññèè ëèöåíçèðîâàíû êîêëþøíûå âàêöèíû, êîòîðûå âõîäÿò â ñîñòàâ êîìïëåêñíûõ îòå÷åñòâåííûõ è çàðóáåæíûõ ïðåïàðàòîâ: ÀÊÄÑ-âàêöèíà, ÀÊÄÑÃåï  âàêöèíà, Áóáî-Êîê, Èíôàíðèêñ, Ïåíòàêñèì, Òåòðàêñèì è äð. [35].

35
Medunitsyn NV. Medical immunobiological preparations: a handbook. V. 2. Moscow: Gella-Print; 2010.
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    Prefix
    Äëÿ áóñòåð-âàêöèíàöèè âîçìîæíî èñïîëüçîâàíèå ëþáîé àíàëîãè÷íîé âàêöèíû [34].  Ðîññèè ëèöåíçèðîâàíû êîêëþøíûå âàêöèíû, êîòîðûå âõîäÿò â ñîñòàâ êîìïëåêñíûõ îòå÷åñòâåííûõ è çàðóáåæíûõ ïðåïàðàòîâ: ÀÊÄÑ-âàêöèíà, ÀÊÄÑÃåï  âàêöèíà, Áóáî-Êîê, Èíôàíðèêñ, Ïåíòàêñèì, Òåòðàêñèì è äð.
    Exact
    [35]
    Suffix
    .  îáðàùåíèè èìåþòñÿ êàê öåëüíîêëåòî÷íàÿ êîêëþøíàÿ âàêöèíà, òàê è áåñêëåòî÷íûå. Òðàäèöèîííî â íàøåé ñòðàíå ïðèìåíÿåòñÿ öåëüíîêëåòî÷íàÿ êîêëþøíàÿ âàêöèíà ÀÊÄÑ. Ïî äàííûì ðÿäà àâòîðîâ, â ýïèäåìèîëîãè÷åñêèõ íàáëþäåíèÿõ óñòàíîâëåíî, ÷òî äåòè, ïåðâè÷íî âàêöèíèðîâàííûå öåëüíîêëåòî÷íîé êîêëþøíîé âàêöèíîé, à çàòåì ïîëó÷èâøèå áåñêëåòî÷íóþ êîêëþøíóþ âàêöèíó (ÁÊÂ), áûëè ëó÷øå çàùèùåíû îò êîêëþøà ïî ñðàâíåíè

36
Chuprinina RP, Alekseeva IA, Obukhov YuI, Soloviev EA. The effectiveness of immunization pertussis combination vaccines containing whole-cell or acellular pertussis vaccine. Biopreparaty. Profilaktika, diagnostika, lechenie 2014; (4): 4–13 (in Russian).
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    Ïî äàííûì ðÿäà àâòîðîâ, â ýïèäåìèîëîãè÷åñêèõ íàáëþäåíèÿõ óñòàíîâëåíî, ÷òî äåòè, ïåðâè÷íî âàêöèíèðîâàííûå öåëüíîêëåòî÷íîé êîêëþøíîé âàêöèíîé, à çàòåì ïîëó÷èâøèå áåñêëåòî÷íóþ êîêëþøíóþ âàêöèíó (ÁÊÂ), áûëè ëó÷øå çàùèùåíû îò êîêëþøà ïî ñðàâíåíèþ ñ äåòüìè, ïîëó÷èâøèìè òîëüêî ÁÊÂ
    Exact
    [36]
    Suffix
    . Íà÷àâøèéñÿ êóðñ âàêöèíàöèè öåëüíîêëåòî÷íûì ïðåïàðàòîì ìîæåò áûòü ïðîäîëæåí áåñêëåòî÷íûì, ÷òî îñîáåííî âàæíî äëÿ äåòåé ñ ñèëüíûìè è ïàòîëîãè÷åñêèìè ðåàêöèÿìè íà ÀÊÄÑ, à òàêæå ñ ïðîòèâîïîêàçàíèÿìè ê âàêöèíàöèè [37].

37
Babachenko IV. Current concepts of immunogenicity and prophylactic efficacy of acellular DTP vaccines based on complex antigens Pertussis coli. Voprosy sovremennoy pediatrii 2005; 4(5): 35–41 (in Russian).
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    Íà÷àâøèéñÿ êóðñ âàêöèíàöèè öåëüíîêëåòî÷íûì ïðåïàðàòîì ìîæåò áûòü ïðîäîëæåí áåñêëåòî÷íûì, ÷òî îñîáåííî âàæíî äëÿ äåòåé ñ ñèëüíûìè è ïàòîëîãè÷åñêèìè ðåàêöèÿìè íà ÀÊÄÑ, à òàêæå ñ ïðîòèâîïîêàçàíèÿìè ê âàêöèíàöèè
    Exact
    [37]
    Suffix
    . È íàîáîðîò, äåòè, êîòîðûì íà÷àëè âàêöèíàöèþ ÁÊÂ, ìîãóò ïðîäîëæàòü ïðèâèâàòüñÿ âàêöèíîé ÀÊÄÑ ïðè íåâîçìîæíîñòè äàëüíåéøåé âàêöèíàöèè ÁÊ [38]. Îäíàêî íè â îäíîé èíñòðóêöèè ïî ïðèìåíåíèþ êîêëþøíûõ âàêöèí íå óêàçàíû äàííûå î âîçìîæíîñòÿõ çàìåíû.

38
Fedorov AM, Tatochenko VK. Acellular pertussis vaccine – a new stage in the fight against this infection. Voprosy sovremennoy pediatrii 2005; 4(2): 87–91 (in Russian).
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    Íà÷àâøèéñÿ êóðñ âàêöèíàöèè öåëüíîêëåòî÷íûì ïðåïàðàòîì ìîæåò áûòü ïðîäîëæåí áåñêëåòî÷íûì, ÷òî îñîáåííî âàæíî äëÿ äåòåé ñ ñèëüíûìè è ïàòîëîãè÷åñêèìè ðåàêöèÿìè íà ÀÊÄÑ, à òàêæå ñ ïðîòèâîïîêàçàíèÿìè ê âàêöèíàöèè [37]. È íàîáîðîò, äåòè, êîòîðûì íà÷àëè âàêöèíàöèþ ÁÊÂ, ìîãóò ïðîäîëæàòü ïðèâèâàòüñÿ âàêöèíîé ÀÊÄÑ ïðè íåâîçìîæíîñòè äàëüíåéøåé âàêöèíàöèè ÁÊÂ
    Exact
    [38]
    Suffix
    . Îäíàêî íè â îäíîé èíñòðóêöèè ïî ïðèìåíåíèþ êîêëþøíûõ âàêöèí íå óêàçàíû äàííûå î âîçìîæíîñòÿõ çàìåíû.  èññëåäîâàíèÿõ, ïðîâåäåííûõ â ñòðàíàõ Åâðîñîþçà, îïðåäåëÿëè èììóíîãåííîñòü àäñîðáèðîâàííûõ àöåëþëÿðíûõ êîêëþøíî-äèôòåðèéíî-ñòîëáíÿ÷íûõ âàêöèí, êîòîðûå ñîäåðæàò áåñêëåòî÷íûé êîêëþøíûé êîìïîíåíò (ÀàÊÄÑ), è öåëüíîêëåòî÷íîé ÀÊÄÑ.

39
Pichichero ME, Edwards KM, Anderson EL, Rennels MB, Englund JA, Yerg DE, et al. Safety and immunogenicity of six acellular pertussis vaccines and one whole-cell pertussis vaccine given as a fifth dose in four- to six-year-old children. Pediatrics 2000; 105(1): e11.
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  1. In-text reference with the coordinate start=14669
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     èññëåäîâàíèè ïðèíèìàëè ó÷àñòèå äåòè â âîçðàñòå 4–6 ëåò, êîòîðûå áûëè âàêöèíèðîâàíû (â 2, 4, 6 ìåñÿöåâ), ðåâàêöèíèðîâàíû (15–20 ìåñÿöåâ) ÀàÊÄÑ è öåëüíîêëåòî÷íîé ÀÊÄÑ. Íà îñíîâàíèè ðåçóëüòàòîâ ýòîãî èññëåäîâàíèÿ áûëî óñòàíîâëåíî, ÷òî ïðè èñïîëüçîâàíèè âàêöèí, îòëè÷íûõ îò ïåðâîíà÷àëüíûõ, íàïðÿæåííîñòü èììóíèòåòà íå ñíèæàåòñÿ
    Exact
    [39, 40]
    Suffix
    . Îòíîñèòåëüíî âçàèìîçàìåíÿåìîñòè ðàçíûõ íàèìåíîâàíèé ÀàÊÄÑ èìååòñÿ ðÿä èññëåäîâàíèé, îòâå÷àþùèõ íà âîïðîñû èñïîëüçîâàíèÿ âàêöèíû äðóãîãî ïðîèçâîäèòåëÿ äëÿ çàâåðøåíèÿ êóðñà âàêöèíàöèè [41–44].  ñâÿçè ñ óâåëè÷åíèåì êîëè÷åñòâà ïðåïàðàòîâ âàêöèí, âëèòåðàòóðå ñòàëè ïîÿâëÿòüñÿ äàííûå î ðåçóëüòàòàõ èììóíèçàöèè, êîòîðóþ íà÷èíàëè ñ îäíîãî ïðåïàðàòà, à äëÿ çàâåðøåíèÿ èñïîëüçîâàëè äðóãîé [45].

40
Pichichero ME, Deloria MA, Rennels MB, Anderson EL, Edwards KM, Decker MD, et al. A safety and immunogenicity comparison of 12 acellular pertussis vaccines and one whole-cell pertussis vaccine given as a fourth dose in 15- to 20-month-old children. Pediatrics 1997; 100(5): 772–88.
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  1. In-text reference with the coordinate start=14669
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     èññëåäîâàíèè ïðèíèìàëè ó÷àñòèå äåòè â âîçðàñòå 4–6 ëåò, êîòîðûå áûëè âàêöèíèðîâàíû (â 2, 4, 6 ìåñÿöåâ), ðåâàêöèíèðîâàíû (15–20 ìåñÿöåâ) ÀàÊÄÑ è öåëüíîêëåòî÷íîé ÀÊÄÑ. Íà îñíîâàíèè ðåçóëüòàòîâ ýòîãî èññëåäîâàíèÿ áûëî óñòàíîâëåíî, ÷òî ïðè èñïîëüçîâàíèè âàêöèí, îòëè÷íûõ îò ïåðâîíà÷àëüíûõ, íàïðÿæåííîñòü èììóíèòåòà íå ñíèæàåòñÿ
    Exact
    [39, 40]
    Suffix
    . Îòíîñèòåëüíî âçàèìîçàìåíÿåìîñòè ðàçíûõ íàèìåíîâàíèé ÀàÊÄÑ èìååòñÿ ðÿä èññëåäîâàíèé, îòâå÷àþùèõ íà âîïðîñû èñïîëüçîâàíèÿ âàêöèíû äðóãîãî ïðîèçâîäèòåëÿ äëÿ çàâåðøåíèÿ êóðñà âàêöèíàöèè [41–44].  ñâÿçè ñ óâåëè÷åíèåì êîëè÷åñòâà ïðåïàðàòîâ âàêöèí, âëèòåðàòóðå ñòàëè ïîÿâëÿòüñÿ äàííûå î ðåçóëüòàòàõ èììóíèçàöèè, êîòîðóþ íà÷èíàëè ñ îäíîãî ïðåïàðàòà, à äëÿ çàâåðøåíèÿ èñïîëüçîâàëè äðóãîé [45].

41
Centers for Disease Control and Prevention. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP). MMWR 2002; 51: RR-2.
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    Íà îñíîâàíèè ðåçóëüòàòîâ ýòîãî èññëåäîâàíèÿ áûëî óñòàíîâëåíî, ÷òî ïðè èñïîëüçîâàíèè âàêöèí, îòëè÷íûõ îò ïåðâîíà÷àëüíûõ, íàïðÿæåííîñòü èììóíèòåòà íå ñíèæàåòñÿ [39, 40]. Îòíîñèòåëüíî âçàèìîçàìåíÿåìîñòè ðàçíûõ íàèìåíîâàíèé ÀàÊÄÑ èìååòñÿ ðÿä èññëåäîâàíèé, îòâå÷àþùèõ íà âîïðîñû èñïîëüçîâàíèÿ âàêöèíû äðóãîãî ïðîèçâîäèòåëÿ äëÿ çàâåðøåíèÿ êóðñà âàêöèíàöèè
    Exact
    [41–44]
    Suffix
    .  ñâÿçè ñ óâåëè÷åíèåì êîëè÷åñòâà ïðåïàðàòîâ âàêöèí, âëèòåðàòóðå ñòàëè ïîÿâëÿòüñÿ äàííûå î ðåçóëüòàòàõ èììóíèçàöèè, êîòîðóþ íà÷èíàëè ñ îäíîãî ïðåïàðàòà, à äëÿ çàâåðøåíèÿ èñïîëüçîâàëè äðóãîé [45]. Òàê áûëà ïðîâåäåíà îöåíêà èììóíîãåííîñòè âàêöèíàöèè (â âîçðàñòå 2, 4, 6 ìåñÿöåâ), êîãäà äëÿ ïîëíîãî êóðñà ó îäíîãî ïàöèåíòà ïðèìåíÿëè ÀàÊÄÑ ïîä áðåíäàìè Tripedia (â ñîñòàâå êîêëþøíûé àíàòîêñèí, ôèëàìåíòî

45
Wirsing von Konig CH, Herden P, Palitzsch D, Schneeweiss B, Bier N. Immunogenicity of acellular pertussis vaccines using two vaccines for primary immunization. Pediatr Infect Dis J. 2000; 19: 757–9.
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    Îòíîñèòåëüíî âçàèìîçàìåíÿåìîñòè ðàçíûõ íàèìåíîâàíèé ÀàÊÄÑ èìååòñÿ ðÿä èññëåäîâàíèé, îòâå÷àþùèõ íà âîïðîñû èñïîëüçîâàíèÿ âàêöèíû äðóãîãî ïðîèçâîäèòåëÿ äëÿ çàâåðøåíèÿ êóðñà âàêöèíàöèè [41–44].  ñâÿçè ñ óâåëè÷åíèåì êîëè÷åñòâà ïðåïàðàòîâ âàêöèí, âëèòåðàòóðå ñòàëè ïîÿâëÿòüñÿ äàííûå î ðåçóëüòàòàõ èììóíèçàöèè, êîòîðóþ íà÷èíàëè ñ îäíîãî ïðåïàðàòà, à äëÿ çàâåðøåíèÿ èñïîëüçîâàëè äðóãîé
    Exact
    [45]
    Suffix
    . Òàê áûëà ïðîâåäåíà îöåíêà èììóíîãåííîñòè âàêöèíàöèè (â âîçðàñòå 2, 4, 6 ìåñÿöåâ), êîãäà äëÿ ïîëíîãî êóðñà ó îäíîãî ïàöèåíòà ïðèìåíÿëè ÀàÊÄÑ ïîä áðåíäàìè Tripedia (â ñîñòàâå êîêëþøíûé àíàòîêñèí, ôèëàìåíòîçíûé ãåìàããëþòèíèí, àíàòîêñèí äèôòåðèéíûé, àíàòîêñèí ñòîëáíÿ÷íûé) è Infanrix (â ñîñòàâå êîêëþøíûé àíàòîêñèí, ïåðòàêòèí, ôèëàìåíòîçíûéãåìàããëþòèíèí, àíàòîêñèíäèôòåðèéíûé,àíàòîêñèí ñòîëáíÿ÷íûé), ïî

46
Greenberg DP, Pickering LK, Senders SD, Bissey JD, Howard RA, Blatter MM, et al. Interchangeability of 2 diphtheria-tetanus-acellular pertussis vaccines in infancy. Pediatrics 2002; 109: 666–72.
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    ó îäíîãî ïàöèåíòà ïðèìåíÿëè ÀàÊÄÑ ïîä áðåíäàìè Tripedia (â ñîñòàâå êîêëþøíûé àíàòîêñèí, ôèëàìåíòîçíûé ãåìàããëþòèíèí, àíàòîêñèí äèôòåðèéíûé, àíàòîêñèí ñòîëáíÿ÷íûé) è Infanrix (â ñîñòàâå êîêëþøíûé àíàòîêñèí, ïåðòàêòèí, ôèëàìåíòîçíûéãåìàããëþòèíèí, àíàòîêñèíäèôòåðèéíûé,àíàòîêñèí ñòîëáíÿ÷íûé), ïîñëå ÷åãî áûë ñäåëàí âûâîä, ÷òî ýòè âàêöèíû ìîãóò áûòü ïðè íåîáõîäèìîñòè çàìåíåíû â õîäå êóðñà âàêöèíàöèè
    Exact
    [46]
    Suffix
    . Îòå÷åñòâåííûå ó÷åíûå ïðèøëè ê âûâîäó, ÷òî â ñâÿçè ñ èñïîëüçîâàíèåì ðàçíûõ íàáîðîâ àíòèãåíîâ ðàçíûìè ïðîèçâîäèòåëÿìè àöåëëþëÿðíîé êîêëþøíîé âàêöèíû ðåêîìåíäóåòñÿ ïðîâîäèòü ïåðâè÷íóþ âàêöèíàöèþ èç òðåõ ïðèâèâîê âàêöèíîé îäíîãî ïðîèçâîäèòåëÿ, à ðåâàêöèíàöèÿ äîïóñêàåòñÿ âàêöèíîé ëþáîãî ïðîèçâîäèòåëÿ [47].

47
Tatochenko VK. Combination vaccines. Vaktsinatsiya 2008; (5–6): 3–7 (in Russian). AUTHORS Federal State Budgetary Institution «Scientific Centre for Expert Evaluation of Medicinal Products» of the Ministry of Health of the Russian Federation, Petrovsky boulevard 8, bld. 2, Moscow 127051, Russian Federation.
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    Îòå÷åñòâåííûå ó÷åíûå ïðèøëè ê âûâîäó, ÷òî â ñâÿçè ñ èñïîëüçîâàíèåì ðàçíûõ íàáîðîâ àíòèãåíîâ ðàçíûìè ïðîèçâîäèòåëÿìè àöåëëþëÿðíîé êîêëþøíîé âàêöèíû ðåêîìåíäóåòñÿ ïðîâîäèòü ïåðâè÷íóþ âàêöèíàöèþ èç òðåõ ïðèâèâîê âàêöèíîé îäíîãî ïðîèçâîäèòåëÿ, à ðåâàêöèíàöèÿ äîïóñêàåòñÿ âàêöèíîé ëþáîãî ïðîèçâîäèòåëÿ
    Exact
    [47]
    Suffix
    . ÇÀÊËÞ×ÅÍÈÅ Àíàëèç äàííûõ íàó÷íîé ëèòåðàòóðû è äîêóìåíòîâ ðåãóëÿòîðíûõ îðãàíîâ ðÿäà ñòðàí ïîêàçûâàåò âîçìîæíîñòü çàìåíû ïðåïàðàòîâ âàêöèí ïðè èõ èñïîëüçîâàíèè â ñîîòâåòñòâèè ñ ðåêîìåíäàöèÿìè ïî ãðàôèêó ââåäåíèÿ è äîçèðîâêîé, óêàçàííîé ïðîèçâîäèòåëåì.