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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">rosped</journal-id><journal-title-group><journal-title xml:lang="ru">Российский педиатрический журнал имени М.Я. Студеникина</journal-title><trans-title-group xml:lang="en"><trans-title>M.Ya. Studenikin Russian Pediatric Journal</trans-title></trans-title-group></journal-title-group><publisher><publisher-name>ФГАУ «НМИЦ здоровья детей» Минздрава России</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.46563/1560-9561-2021-24-5-340-347</article-id><article-id custom-type="edn" pub-id-type="custom">dzjnfc</article-id><article-id custom-type="elpub" pub-id-type="custom">rosped-914</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>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Вакцинация против пневмококковой инфекции детей с хронической сердечной недостаточностью</article-title><trans-title-group xml:lang="en"><trans-title>Vaccination against pneumococcal infections in children with chronic heart failure</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3586-4031</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Галицкая</surname><given-names>Марина Геннадьевна</given-names></name><name name-style="western" xml:lang="en"><surname>Galitskaya</surname><given-names>Marina G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Канд. мед. наук, ст. науч. сотр. Центра профилактической педиатрии ФГАУ «НМИЦ здоровья детей» Минздрава России</p><p>e-mail: galitskaya.mg@nczd.ru</p></bio><bio xml:lang="en"><p>MD, PhD, Senior Researcher, Department of Preventive Pediatrics of National Medical Research Center for Children’s Health</p><p>e-mail: galitskaya.mg@nczd.ru</p></bio><email xlink:type="simple">galitskaya.mg@nczd.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8586-7946</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фисенко</surname><given-names>Андрей Петрович</given-names></name><name name-style="western" xml:lang="en"><surname>Fisenko</surname><given-names>Andrey P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор мед. наук, проф., директор ФГАУ «НМИЦ здоровья детей» Минздрава России</p><p>e-mail: director@nczd.ru</p></bio><email xlink:type="simple">director@nczd.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>Ткаченко</surname><given-names>Наталья Евгеньевна</given-names></name><name name-style="western" xml:lang="en"><surname>Tkachenko</surname><given-names>Natalya E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зав. отделением вакцинопрофилактики детей с отклонениями в состоянии здоровья и семейной вакцинации ФГАУ «НМИЦ здоровья детей» Минздрава России</p><p>e-mail: Tkachenko@nczd.ru</p></bio><email xlink:type="simple">tkachenko@nczd.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7780-6737</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Давыдова</surname><given-names>Ирина Владимировна</given-names></name><name name-style="western" xml:lang="en"><surname>Davydova</surname><given-names>Irina V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор мед. наук, гл. науч. сотр. лаб. клинической иммунологии и аллергологии Центра профилактической педиатрии ФГАУ «НМИЦ здоровья детей» Минздрава России</p><p>e-mail: davydova@nczd.ru</p></bio><email xlink:type="simple">davydova@nczd.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4679-0533</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Смирнов</surname><given-names>Иван Евгеньевич</given-names></name><name name-style="western" xml:lang="en"><surname>Smirnov</surname><given-names>Ivan E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор мед. наук, проф., нач. метод. отдела ФГАУ «НМИЦ здоровья детей» Минздрава России</p><p>e-mail: smirnov@nczd.ru</p></bio><email xlink:type="simple">smirnov@nczd.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>Курдуп</surname><given-names>Мария Константиновна</given-names></name><name name-style="western" xml:lang="en"><surname>Kurdup</surname><given-names>Mariya K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Врач-педиатр отделения вакцинопрофилактики детей с отклонениями в состоянии здоровья и семейной вакцинации ФГАУ «НМИЦ здоровья детей» Минздрава России</p><p>e-mail: mariya.kurdup@gmail.com</p></bio><email xlink:type="simple">mariya.kurdup@gmail.com</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>Макарова</surname><given-names>Светлана Геннадиевна</given-names></name><name name-style="western" xml:lang="en"><surname>Makarova</surname><given-names>Svetlana G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор мед. наук, руководитель центра профилактической педиатрии ФГАУ «НМИЦ здоровья детей»; проф. каф. многопрофильной клинической подготовки факультета фундаментальной медицины ФГБОУ ВО «МГУ им. М.В. Ломоносова»</p><p>e-mail: sm27@yandex.ru</p></bio><email xlink:type="simple">sm27@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАУ «Национальный медицинский исследовательский центр здоровья детей» Минздрава России</institution></aff><aff xml:lang="en"><institution>National Medical Research Center for Children’s Health</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАУ «Национальный медицинский исследовательский центр здоровья детей» Минздрава России; ФГБОУ ВО «Московский государственный университет им. М.В. Ломоносова»</institution></aff><aff xml:lang="en"><institution>National Medical Research Center for Children’s Health; Lomonosov Moscow State University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>07</day><month>10</month><year>2024</year></pub-date><volume>24</volume><issue>5</issue><fpage>340</fpage><lpage>347</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Галицкая М.Г., Фисенко А.П., Ткаченко Н.Е., Давыдова И.В., Смирнов И.Е., Курдуп М.К., Макарова С.Г., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Галицкая М.Г., Фисенко А.П., Ткаченко Н.Е., Давыдова И.В., Смирнов И.Е., Курдуп М.К., Макарова С.Г.</copyright-holder><copyright-holder xml:lang="en">Galitskaya M.G., Fisenko A.P., Tkachenko N.E., Davydova I.V., Smirnov I.E., Kurdup M.K., Makarova S.G.</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.rosped.ru/jour/article/view/914">https://www.rosped.ru/jour/article/view/914</self-uri><abstract><p>В современных условиях самым эффективным методом профилактики пневмококковых инфекций (ПИ) является вакцинация, которая способна существенно уменьшить заболеваемость и смертность от пневмококка, а также обеспечить снижение уровня антибиотикорезистентности. Использование пневмококковых конъюгированных вакцин позволило уменьшить частоту инвазивных ПИ у вакцинированных детей, а также у невакцинированных групп населения. Особенно это касается детей с тяжёлой соматической патологией, в том числе с различными формами сердечной недостаточности (СН). Приведены данные о том, что вакцинация больных детей с СН может быть клинически эффективным вмешательством для улучшения результатов лечения недостаточности кровообращения и повышения качества жизни пациентов. Однако вопросы, касающиеся оптимального времени вакцинации больных детей при СН, дозы, частоты и стратегий внедрения вакцин, всё ещё требуют решения. Обобщены данные о патофизиологии обеспечения кардиопротекции при эффективной вакцинации против пневмококковой инфекции, гриппа и COVID-19 при патологии сердца. Авторы рекомендуют обеспечить условия для эффективной вакцинопрофилактики ПИ при СН у детей.</p><sec><title>Участие авторов</title><p>Участие авторов:Галицкая М.Г., Ткаченко Н.Е., Макарова С.Г. — концепция и дизайн исследования;Галицкая М.Г., Курдуп М.К., Давыдова И.В., Макарова С.Г. — сбор и обработка материала;Галицкая М.Г., Смирнов И.Е. — написание текста;Фисенко А.П., Смирнов И.Е. — редактирование.Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех её частей.</p></sec><sec><title>Финансирование</title><p>Финансирование. Исследование не имело финансовой поддержки.</p></sec><sec><title>Конфликт интересов</title><p>Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов. </p></sec><sec><title>Поступила 26</title><p>Поступила 26.10.2021Принята в печать 28.10.2021Опубликована 15.11.2021</p></sec></abstract><trans-abstract xml:lang="en"><p>In current conditions, the most effective method of preventing pneumococcal infections (PI) is vaccination, which can significantly reduce the incidence and mortality from pneumococcus and reduce the level of antibiotic resistance. The use of pneumococcal conjugate vaccines has reduced the incidence of invasive PIs in vaccinated children and unvaccinated populations. This is especially true for children with severe somatic pathology, including those with various forms of heart failure (HF). The data show that vaccination of sick HF children can be a clinically effective intervention to improve the treatment results of circulatory failure and improve patients’ quality of life. However, questions regarding the optimal timing of vaccination of sick children with heart failure, dose, frequency and strategies of vaccine introduction still need to be resolved. Data on the pathophysiology of cardioprotection provision during effective vaccination against PI, influenza and COVID-19 in cardiac pathology are summarized. The authors recommend providing conditions for effective vaccine prevention of PI in children with heart failure.</p><sec><title>Contribution</title><p>Contribution:Galitskaya M.G., Tkachenko N.E., Makarova S.G. — research concept and design of the study;Galitskaya M.G., Kurdup M.K., Davydova I.V., Makarova S.G. — collection and processing material;Galitskaya M.G., Smirnov I.E. — text writing;Fisenko A.P., Smirnov I.E. — editing.All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.</p></sec><sec><title>Acknowledgement</title><p>Acknowledgement. The study had no sponsorship.</p></sec><sec><title>Conflict of interest</title><p>Conflict of interest. The authors declare no conflict of interest.</p></sec><sec><title>Received</title><p>Received: October 26, 2021Accepted: October 28, 2021Published: November 15, 2021</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>пневмококковая инфекция</kwd><kwd>заболеваемость</kwd><kwd>конъюгированные вакцины</kwd><kwd>вакцинация</kwd><kwd>хроническая сердечная недостаточность</kwd><kwd>врождённые пороки сердца</kwd><kwd>кардиомиопатии</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pneumococcal infection</kwd><kwd>morbidity</kwd><kwd>conjugate vaccines</kwd><kwd>vaccination</kwd><kwd>chronic heart failure</kwd><kwd>congenital heart defects</kwd><kwd>cardiomyopathy</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">Varghese R., Jayaraman R., Veeraraghavan B. 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